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 |
|---|---|---|---|---|
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $779.44 – $909.34 | 7 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $849.13 – $990.65 | 7 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,518.34 – $1,771.39 | 7 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,091.50 – $1,273.42 | 7 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $831.80 – $970.43 | 7 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $259.80 – $303.10 | 7 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $117.17 – $136.70 | 7 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $180.82 – $210.96 | 7 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $1,869.74 – $2,181.36 | 7 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,887.02 – $2,201.52 | 7 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $700.80 – $817.60 | 7 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,464.80 – $1,708.93 | 7 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $643.08 – $750.26 | 7 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $153.59 – $179.19 | 7 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $4.93 – $58.15 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $66.02 | $101.57 | $5.10 – $53.70 | 9 |
| Rh ig IV CPT 90386 | not published | not published | $11.66 – $11.66 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $35.22 – $35.22 | 1 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,024.02 – $1,194.69 | 7 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $7.55 | $11.62 | $11.66 – $11.66 | 1 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $35.22 – $35.22 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $43.19 – $43.19 | 1 |
| Rho d immune globulin inj HCPCS J2790 | $199.42 | $306.80 | $91.88 – $91.88 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $91.88 – $91.88 | 1 |
| Rhythm ecg with report CPT 93040 | not published | not published | $5.05 – $15.08 | 7 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $346.15 | $532.54 | $17.68 – $28.90 | 7 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $545.52 | $839.26 | $27.78 – $36.22 | 7 |
| Rib cartilage graft CPT 21230 | not published | not published | $567.39 – $661.95 | 7 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $95.84 – $430.40 | 7 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,061.00 – $2,061.00 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $498.62 | $767.10 | $25.06 – $29.23 | 7 |
| Rilonacept injection HCPCS J2793 | not published | not published | $28.23 – $28.23 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $6.53 – $29.34 | 7 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $264.14 – $1,186.20 | 7 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $168.85 – $758.26 | 7 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $763.83 – $3,430.19 | 7 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $5.09 – $29.34 | 7 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $24.75 | $38.07 | $18.27 – $18.27 | 1 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $7.05 – $8.22 | 7 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $24.97 | $38.41 | $13.42 – $13.42 | 1 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $158.78 | $244.28 | $112.74 – $112.74 | 1 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $56.37 – $56.37 | 1 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $10.48 | $16.13 | $101.47 – $101.47 | 1 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $86.02 – $86.02 | 1 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $10.49 | $16.14 | $86.02 – $86.02 | 1 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $885.28 – $1,032.83 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $497.74 | $765.76 | $68.92 – $80.41 | 7 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $545.38 – $636.28 | 7 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $281.12 – $327.98 | 7 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $335.09 – $390.94 | 7 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $3,306.39 | $5,086.76 | $198.26 – $231.30 | 7 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $122.48 – $142.89 | 7 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $544.99 – $635.82 | 7 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $90.77 – $105.90 | 7 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $651.93 – $760.59 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $291.23 – $339.77 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $302.32 – $352.71 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $280.21 – $326.92 | 7 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $168.31 – $196.36 | 7 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $76.93 – $89.75 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $383.61 – $447.54 | 7 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,845.04 – $2,152.55 | 7 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,648.17 | $2,535.65 | $127.27 – $148.48 | 7 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $155.80 – $181.77 | 7 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $180.88 – $211.03 | 7 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $118.80 – $138.60 | 7 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $163.46 – $190.70 | 7 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $423.64 – $494.25 | 7 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $262.23 – $305.94 | 7 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $280.48 – $327.23 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $256.88 – $299.69 | 7 |
| Rmvl pq iabp CPT 33968 | not published | not published | $25.31 – $29.53 | 7 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $140.18 – $163.55 | 7 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $980.30 – $1,143.68 | 7 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $264.10 – $308.12 | 7 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,357.06 | $2,087.79 | $63.50 – $74.08 | 7 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $441.71 – $515.33 | 7 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $74.57 – $87.00 | 7 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,681.13 – $1,961.32 | 7 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,845.37 – $2,152.93 | 7 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $993.45 – $1,159.02 | 7 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $483.06 – $563.57 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $365.13 – $425.98 | 7 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $363.82 – $424.45 | 7 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $447.83 – $522.47 | 7 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $404.19 – $471.56 | 7 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $207.10 – $241.62 | 7 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $388.91 – $453.73 | 7 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $290.49 – $338.91 | 7 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $913.52 – $1,065.77 | 7 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,944.74 – $2,268.86 | 7 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,371.77 – $2,767.06 | 7 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,677.46 – $1,957.03 | 7 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $107.44 – $482.50 | 7 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $4.42 – $4.42 | 1 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $38.02 – $38.02 | 1 |
| Romiplostim injection HCPCS J2796 | not published | not published | $108.10 – $108.10 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $16.47 | $25.34 | $12.05 – $12.05 | 1 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.31 | $0.47 | $0.22 – $0.22 | 1 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $586.00 – $2,631.59 | 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.