Canton-Potsdam Hospital
50 Leroy Street, Potsdam, NY · Rochesterregional · · NPI 156854878|
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $127.32 | $195.88 | $19.08 – $19.08 | 1 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $16.61 – $16.61 | 1 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $20.83 – $20.83 | 1 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.83 – $1.83 | 1 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $50.12 – $50.12 | 1 |
| Penile injection CPT 54235 | not published | not published | $58.89 – $68.70 | 7 |
| Penile vascular study CPT 93980 | $913.38 | $1,405.20 | $52.18 – $60.88 | 7 |
| Penile vascular study CPT 93981 | not published | not published | $42.42 – $52.22 | 7 |
| Penile venous occlusion CPT 37790 | not published | not published | $382.52 – $446.27 | 7 |
| Penis plastic surgery CPT 54360 | not published | not published | $565.07 – $659.25 | 7 |
| Penis study CPT 54240 | not published | not published | $25.25 – $46.47 | 7 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $180.50 – $180.50 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $54.17 – $54.17 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,926.88 – $2,926.88 | 1 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $346.94 – $404.76 | 7 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $258.93 – $302.08 | 7 |
| Percut ablate liver rf CPT 47382 | not published | not published | $557.50 – $650.42 | 7 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $246.37 – $287.43 | 7 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $171.64 – $171.64 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $155.85 – $181.83 | 7 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,961.65 – $2,288.59 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $173.58 – $202.51 | 7 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $665.61 – $776.55 | 7 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $556.13 – $648.82 | 7 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $207.20 – $241.73 | 7 |
| Peripheral vascular rehab CPT 93668 | $173.93 | $267.59 | $13.06 – $15.24 | 7 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $25.63 – $29.90 | 7 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $25.63 – $29.90 | 7 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $333.26 – $388.80 | 7 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $19.19 – $19.19 | 2 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $40.40 – $191.23 | 7 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $18.06 – $81.12 | 7 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,935.82 – $8,693.33 | 7 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.65 – $0.65 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $636.25 – $742.29 | 7 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $526.46 – $614.20 | 7 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $92.56 – $107.99 | 7 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $73.34 – $85.56 | 7 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $867.72 – $1,012.34 | 7 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $544.06 – $634.74 | 7 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $650.92 – $759.41 | 7 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $551.76 – $643.72 | 7 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $571.60 – $666.87 | 7 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $434.58 – $507.01 | 7 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $218.34 – $254.73 | 7 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $176.02 – $205.36 | 7 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $319.03 – $372.20 | 7 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $327.94 – $382.60 | 7 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $376.89 | $579.83 | $71.09 – $82.94 | 7 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $446.53 – $520.95 | 7 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $405.08 – $472.59 | 7 |
| Perq transcath closure each CPT 93592 | not published | not published | $287.30 – $335.18 | 7 |
| Perq transcath closure pda CPT 93582 | not published | not published | $485.35 – $566.24 | 7 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $659.07 – $768.92 | 7 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $798.94 – $932.10 | 7 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $544.42 – $635.16 | 7 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $426.07 – $497.08 | 7 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $240.09 – $280.11 | 7 |
| Perq tx malar fracture CPT 21355 | not published | not published | $253.51 – $295.76 | 7 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $393.59 – $459.19 | 7 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $569.03 – $663.87 | 7 |
| Pertussis ag if CPT 87265 | not published | not published | $8.11 – $113.47 | 9 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.84 – $16.84 | 1 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $84.71 – $84.71 | 1 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $101.26 | $155.79 | $63.73 – $286.19 | 7 |
| Pessary reusable rub anytype HCPCS A4561 | $49.72 | $76.50 | $25.59 – $114.91 | 7 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,507.28 | $6,934.27 | $541.00 – $682.76 | 2 |
| Pet CT whole body initial CPT 78816 | $4,069.77 | $6,261.19 | $696.00 – $878.70 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $594.00 – $749.42 | 2 |
| Pet image full body CPT 78813 | not published | not published | $847.00 – $1,069.59 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $569.00 – $719.12 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $255.00 – $322.19 | 2 |
| Pet image w/ct lmtd CPT 78814 | $4,069.77 | $6,261.19 | $310.00 – $390.87 | 2 |
| Pet scan brain perf study CPT 78609 | not published | not published | $594.00 – $750.43 | 2 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $17.74 – $65.70 | 9 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $25.82 – $98.07 | 9 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $9.15 – $32.98 | 9 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $230.03 – $268.37 | 7 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $34.84 – $34.84 | 2 |
| Ph body fluid CPT 83986 | $62.56 | $96.24 | $3.22 – $33.91 | 9 |
| Phencyclidine (pcp) CPT 83992 | $230.28 | $354.27 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $48.48 – $48.48 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $121.60 | $187.08 | $10.61 – $144.91 | 9 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $545.86 – $545.86 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $139.50 – $139.50 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $1.02 – $1.02 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $109.45 | $168.38 | $10.61 – $125.50 | 9 |
| Phlebotomy therapeutic CPT 99195 | $190.26 | $292.70 | $10.10 – $97.52 | 7 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $208.84 – $243.65 | 7 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $256.50 – $299.25 | 7 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | $155.60 | $239.39 | not published | 0 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | $138.14 | $212.53 | not published | 0 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | $134.14 | $206.37 | not published | 0 |
| Phosphorus CPT 84100 | $51.28 | $78.90 | $4.27 – $44.89 | 9 |
| Phosphorus 24 hour urine CPT 84105 | $82.10 | $126.31 | $5.08 – $54.74 | 9 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $98.09 – $114.44 | 7 |
| Photochemotherapy puva CPT 96912 | not published | not published | $82.95 – $96.78 | 7 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $125.72 – $146.67 | 7 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $20.45 – $23.86 | 7 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $40.47 – $47.22 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.