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 |
|---|---|---|---|---|
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $8.50 – $9.44 | 8 |
| Assay of salicylate CPT 80179 | $49.04 | $75.45 | $16.78 – $176.55 | 9 |
| Assay of semen fructose CPT 82757 | not published | not published | $15.61 – $17.34 | 8 |
| Assay of sialic acid CPT 84275 | not published | not published | $12.10 – $13.44 | 8 |
| Assay of silica CPT 84285 | not published | not published | $22.69 – $25.21 | 8 |
| Assay of somatostatin CPT 84307 | not published | not published | $16.45 – $173.14 | 9 |
| Assay of thiocyanate CPT 84430 | not published | not published | $10.47 – $110.15 | 9 |
| Assay of troponin qual CPT 84512 | not published | not published | $9.08 – $10.09 | 8 |
| Assay of tyrosine CPT 84510 | $39.05 | $60.07 | $9.57 – $100.68 | 9 |
| Assay of urine sulfate CPT 84392 | $17.82 | $27.42 | $4.94 – $52.00 | 9 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $8.60 – $9.55 | 8 |
| Assay of urine urobilinogen CPT 84583 | $15.17 | $23.34 | $5.44 – $57.30 | 9 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $8.05 – $156.47 | 9 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $8.88 – $101.63 | 9 |
| Assay rbc glutathione CPT 82979 | not published | not published | $8.50 – $9.44 | 8 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $9.49 – $186.97 | 9 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $233.75 | $359.61 | $85.36 – $261.94 | 9 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $148.84 – $173.65 | 7 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $28.01 – $32.68 | 7 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $3.43 – $40.44 | 9 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $43.85 – $51.16 | 7 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $173.45 – $202.36 | 7 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $33.13 – $37.55 | 7 |
| Ast/sgot CPT 84450 | $69.08 | $106.28 | $4.66 – $49.06 | 9 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $608.85 – $676.50 | 8 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $217.71 – $241.90 | 8 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $98.49 – $98.49 | 1 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $123.30 – $137.00 | 8 |
| Atomic absorption CPT 82190 | not published | not published | $14.31 – $15.90 | 8 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.74 – $0.74 | 1 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $621.63 – $725.24 | 7 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $536.58 – $626.01 | 7 |
| Attach ocular implant CPT 65140 | not published | not published | $713.53 – $832.45 | 7 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $55.64 – $64.91 | 7 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $123.30 – $137.00 | 8 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $83.83 – $1,297.58 | 9 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $83.83 – $1,297.58 | 9 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $83.83 – $1,297.58 | 9 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $83.83 – $1,297.58 | 9 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $83.83 – $1,297.58 | 9 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $66.82 – $77.96 | 7 |
| Audiometry air + bone CPT 92553 | not published | not published | $10.10 – $48.89 | 7 |
| Audit/dast 15-30 min CPT 99408 | $173.45 | $266.85 | not published | 0 |
| Audit/dast over 30 min CPT 99409 | $297.16 | $457.17 | not published | 0 |
| Auditory function + 15 min CPT 92621 | not published | not published | $13.37 – $15.60 | 7 |
| Auditory function 60 min CPT 92620 | not published | not published | $57.02 – $66.52 | 7 |
| Augmentation cheek bone CPT 21270 | not published | not published | $578.75 – $675.21 | 7 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $524.59 – $612.02 | 7 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $602.77 – $703.23 | 7 |
| Augmentation of facial bones CPT 21208 | not published | not published | $580.45 – $677.19 | 7 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $161.63 – $188.57 | 7 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $388.83 – $453.63 | 7 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $836.24 – $975.61 | 7 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $1,276.12 – $1,488.81 | 7 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,933.50 | $2,974.61 | $756.58 – $7,962.13 | 9 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $73.24 – $85.45 | 7 |
| Automated diff wbc count CPT 85004 | $14.88 | $22.89 | $3.20 – $61.28 | 9 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $15.15 – $45.22 | 7 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $15.15 – $45.90 | 7 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $15.15 – $78.54 | 7 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $105.24 – $105.24 | 1 |
| Av fistula revision CPT 36833 | not published | not published | $624.15 – $728.18 | 7 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $562.35 – $656.07 | 7 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $532.97 – $621.80 | 7 |
| Av fusion direct any site CPT 36821 | not published | not published | $509.28 – $594.16 | 7 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $562.54 – $656.29 | 7 |
| Avul nail plate addl CPT 11732 | $198.56 | $305.47 | $13.18 – $15.38 | 7 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $451.81 | $695.09 | $42.63 – $49.74 | 7 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $199.08 – $894.02 | 7 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $571.79 – $667.09 | 7 |
| Azacitidine injection HCPCS J9025 | not published | not published | $1.54 – $1.54 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $3.77 – $3.77 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $300.00 – $300.00 | 1 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $5.82 – $5.82 | 1 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $29.13 – $29.13 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $186.92 – $186.92 | 1 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $39.56 – $39.56 | 1 |
| Baclofen eval charges CPT 97750 | $61.20 | $94.16 | $29.45 – $88.14 | 8 |
| Bacterial meningitis antigen CPT 86403 | $28.91 | $44.48 | $3.79 – $109.30 | 9 |
| Bacterial vaginosis pcr CPT 87801 | $442.99 | $681.53 | $40.40 – $664.89 | 9 |
| Bactericidal level serum CPT 87197 | not published | not published | $13.52 – $15.02 | 8 |
| #bac vag cand-c. albicans naa CPT 87481 | $141.15 | $217.16 | $21.05 – $332.35 | 9 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $8.05 – $36.13 | 7 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $98.83 | $152.04 | $28.66 – $89.24 | 8 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $135.32 – $157.88 | 7 |
| Banding pulmonary artery CPT 33690 | not published | not published | $980.88 – $1,144.36 | 7 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $340.14 | $523.29 | $40.40 – $153.09 | 7 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $541.59 | $833.22 | $25.25 – $100.53 | 7 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $410.88 | $632.13 | $20.20 – $66.21 | 7 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.20 – $1.33 | 7 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $3.11 – $13.98 | 7 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $9.38 – $56.87 | 7 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $6.85 – $35.73 | 7 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $4.98 – $28.33 | 7 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $9.22 – $50.44 | 7 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $140.61 – $164.04 | 7 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $31.58 – $332.35 | 9 |
| Bartonella dna quant CPT 87472 | not published | not published | $38.56 – $42.84 | 8 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $24.77 – $28.90 | 7 |
| Basiliximab HCPCS J0480 | not published | not published | $4,955.26 – $4,955.26 | 1 |
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.