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 |
|---|---|---|---|---|
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $4,201.52 – $18,868.11 | 7 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $15,615.71 – $70,126.69 | 7 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $383.67 – $447.62 | 7 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $721.49 – $841.74 | 7 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $831.64 – $970.25 | 7 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $476.76 – $556.22 | 7 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $441.04 – $514.55 | 7 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $473.34 – $552.23 | 7 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $429.48 – $501.06 | 7 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $470.63 – $549.07 | 7 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $813.64 – $949.24 | 7 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $477.88 – $557.53 | 7 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $53.51 – $240.32 | 7 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $46.67 – $209.60 | 7 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $43.95 – $197.36 | 7 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $37.04 – $166.36 | 7 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $67.27 – $302.08 | 7 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $113.98 – $511.84 | 7 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $67.27 – $302.08 | 7 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $63.14 – $283.57 | 7 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $87.87 – $394.59 | 7 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $100.22 – $450.04 | 7 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $43.95 – $197.36 | 7 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $53.51 – $240.32 | 7 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $53.51 – $240.32 | 7 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $38.45 – $172.66 | 7 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $92.03 – $413.30 | 7 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $173.00 – $776.90 | 7 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $556.70 – $2,500.03 | 7 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $56.30 – $252.81 | 7 |
| Shortening of hand tendon CPT 26479 | not published | not published | $577.53 – $673.78 | 7 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,104.41 – $1,288.48 | 7 |
| Shorten radius or ulna CPT 25390 | not published | not published | $603.40 – $703.96 | 7 |
| Shorten radius & ulna CPT 25392 | not published | not published | $797.63 – $930.57 | 7 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $186.97 | $287.64 | $10.00 – $15.54 | 9 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $411.51 – $1,847.99 | 7 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $240.99 | $370.76 | $17.68 – $20.91 | 7 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $834.95 – $974.11 | 7 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $256.69 | $394.91 | $13.64 – $15.91 | 7 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $355.59 – $1,596.88 | 7 |
| Shoulder harness HCPCS L5699 | not published | not published | $209.56 – $941.11 | 7 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $561.64 – $2,522.18 | 7 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,574.29 | $5,498.91 | $242.24 – $282.61 | 7 |
| Shoulder MRI (with contrast) CPT 73222 | $2,216.32 | $3,409.72 | $202.82 – $236.63 | 7 |
| Shoulder MRI (without contrast) CPT 73221 | $1,987.67 | $3,057.95 | $121.22 – $141.42 | 7 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $834.44 – $973.52 | 7 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $981.83 – $1,145.47 | 7 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $427.14 – $1,918.19 | 7 |
| Shoulder X-ray CPT 73030 | $224.13 | $344.81 | $15.15 – $26.56 | 7 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $302.73 | $465.74 | $10.10 – $14.24 | 7 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $73.43 – $329.76 | 7 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $59.62 – $267.72 | 7 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $53.74 – $241.33 | 7 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,071.12 – $1,249.64 | 7 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,071.12 – $1,249.64 | 7 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,028.00 – $1,199.33 | 7 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $52.76 – $61.55 | 7 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,012.46 – $1,181.20 | 7 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,066.54 – $1,244.29 | 7 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,135.85 – $1,325.16 | 7 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $11.00 – $12.22 | 8 |
| Sialography s&i CPT 70390 | not published | not published | $20.20 – $92.87 | 7 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $129.37 – $150.93 | 7 |
| Sickling rbc CPT 85660 | $128.12 | $197.11 | $4.96 – $52.19 | 9 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $57.74 – $67.37 | 7 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $86.69 – $101.14 | 7 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $91.83 – $107.13 | 7 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $53.88 – $62.86 | 7 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $124.11 – $144.79 | 7 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $82.92 – $96.74 | 7 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $118.56 – $138.32 | 7 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $152.19 – $177.56 | 7 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $94.25 – $109.96 | 7 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $96.79 – $112.92 | 7 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $131.35 – $153.25 | 7 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $74.60 – $87.03 | 7 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $17.63 – $20.57 | 7 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $62.54 – $72.96 | 7 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.72 – $0.72 | 1 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $624.98 – $2,806.64 | 7 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $104.37 – $121.77 | 7 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $121.40 – $121.40 | 1 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $24.49 – $28.57 | 7 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $272.10 – $1,221.93 | 7 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,522.48 – $2,942.90 | 7 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,615.02 | $2,484.65 | $107.23 – $125.10 | 7 |
| Sinus CT scan (with contrast) CPT 70487 | $1,584.82 | $2,438.18 | $84.95 – $99.11 | 7 |
| Sinus CT scan (without contrast) CPT 70486 | $1,500.13 | $2,307.89 | $75.60 – $88.20 | 7 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $64.96 – $75.79 | 7 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $281.33 – $328.22 | 7 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $474.67 – $553.78 | 7 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $409.89 – $478.20 | 7 |
| Sinus X-ray (complete) CPT 70220 | $362.23 | $557.27 | $20.20 – $27.24 | 7 |
| Sinus X-ray (limited) CPT 70210 | $231.52 | $356.18 | $12.63 – $23.90 | 7 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $267.18 – $1,199.86 | 7 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $108.29 – $486.30 | 7 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $77,820.00 – $77,820.00 | 1 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $17.08 – $17.08 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $81.42 – $81.42 | 1 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $334.07 – $1,500.24 | 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.