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 |
|---|---|---|---|---|
| Skin and muscle repair face CPT 15845 | not published | not published | $829.07 – $967.25 | 7 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $7.32 – $36.13 | 7 |
| Skin Biopsy CPT 11102 | $451.81 | $695.09 | $26.22 – $30.59 | 7 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $519.73 – $606.35 | 7 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $77.10 – $89.95 | 7 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $574.63 – $670.40 | 7 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $575.33 – $671.22 | 7 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $85.66 – $99.94 | 7 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $5.05 – $6.57 | 7 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,004.85 – $2,338.99 | 7 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,498.43 – $4,081.50 | 7 |
| Skull X-ray (1 to 3 views) CPT 70250 | $231.52 | $356.18 | $15.15 – $26.90 | 7 |
| Skull X-ray (complete) CPT 70260 | $446.50 | $686.93 | $25.25 – $30.57 | 7 |
| Skyla, 13.5 mg HCPCS J7301 | $1,476.51 | $2,271.55 | $1,048.40 – $1,072.06 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $157.33 – $174.81 | 8 |
| Sleep study attended CPT 95807 | $1,145.95 | $1,763.00 | $327.60 – $382.20 | 7 |
| Sleep Study (Polysomnography) CPT 95810 | $3,278.61 | $5,044.01 | $472.66 – $551.44 | 7 |
| Sleep study unattended CPT 95806 | not published | not published | $49.82 – $58.13 | 7 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $209.60 – $941.27 | 7 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $5.15 – $5.15 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,396.18 – $2,795.54 | 7 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $9.88 – $44.38 | 7 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $60.41 – $271.28 | 7 |
| Slitting of prepuce CPT 54000 | not published | not published | $90.51 – $105.60 | 7 |
| Slitting of prepuce CPT 54001 | not published | not published | $112.08 – $130.76 | 7 |
| Slp pure tone screening CPT 92551 | $66.90 | $102.92 | $5.05 – $5.05 | 2 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $53.54 – $62.46 | 7 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $19,539.46 – $19,539.46 | 1 |
| Small animal inoculation CPT 87003 | not published | not published | $15.16 – $16.84 | 8 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $366.99 | $564.60 | $30.30 – $80.55 | 7 |
| Small bowel endoscopy CPT 44360 | not published | not published | $110.82 – $129.29 | 7 |
| Small bowel endoscopy CPT 44364 | not published | not published | $156.64 – $182.74 | 7 |
| Small bowel endoscopy CPT 44366 | not published | not published | $182.87 – $213.35 | 7 |
| Small bowel endoscopy CPT 44369 | not published | not published | $187.46 – $218.70 | 7 |
| Small bowel endoscopy CPT 44376 | not published | not published | $216.01 – $252.01 | 7 |
| Small bowel endoscopy CPT 44378 | not published | not published | $291.07 – $339.58 | 7 |
| Small bowel endoscopy CPT 44382 | not published | not published | $58.72 – $68.50 | 7 |
| Small bowel endoscopy CPT 44384 | not published | not published | $116.88 – $136.36 | 7 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $147.23 – $171.77 | 7 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $139.75 – $163.04 | 7 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $122.13 – $142.49 | 7 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $226.59 – $264.36 | 7 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $46.02 – $53.69 | 7 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $67.02 – $78.19 | 7 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $204.56 – $238.65 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $145.94 | $224.53 | $4.85 – $51.05 | 9 |
| Smear gram stain CPT 87205 | $44.31 | $68.17 | $3.43 – $40.44 | 9 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $4.75 – $54.84 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $85.16 | $131.01 | $5.39 – $56.73 | 9 |
| Smear wet mount CPT 87210 | $93.37 | $143.65 | $3.43 – $55.12 | 9 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $271.21 – $301.35 | 8 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $166.68 – $185.20 | 8 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $42.30 – $47.00 | 8 |
| Snrpn/ube3a gene CPT 81331 | $147.91 | $227.56 | $45.96 – $483.70 | 9 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,161.33 – $5,215.29 | 7 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $885.31 – $3,975.74 | 7 |
| Socket insert above knee HCPCS L5658 | not published | not published | $431.30 – $1,936.86 | 7 |
| Socket insert below knee HCPCS L5655 | not published | not published | $375.99 – $1,688.50 | 7 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $534.17 – $2,398.83 | 7 |
| Socket insert symes HCPCS L5654 | not published | not published | $386.97 – $1,737.81 | 7 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $613.53 – $2,755.23 | 7 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $736.25 – $3,306.35 | 7 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $44.12 – $198.12 | 7 |
| Sock wool above knee HCPCS L8430 | not published | not published | $28.69 – $128.85 | 7 |
| Sodium 24 hour urine CPT 84300 | $77.34 | $118.98 | $4.55 – $47.93 | 9 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $7.63 | $11.74 | $6.30 – $6.30 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $5.32 – $5.32 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $4.80 – $4.80 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.09 – $0.09 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $10.32 | $15.88 | $7.63 – $7.63 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $321.10 | $494.00 | $114.00 – $114.00 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $59.96 | $92.25 | $4.33 – $45.56 | 9 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $103.14 – $463.18 | 7 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,210.78 – $1,345.31 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,076.25 – $1,195.83 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,959.66 – $3,288.51 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $941.72 – $1,046.35 | 8 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.28 – $20.01 | 7 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $8.13 – $36.50 | 7 |
| Somatosensory testing CPT 95927 | not published | not published | $30.30 – $142.25 | 7 |
| Somatropin injection HCPCS J2941 | not published | not published | $182.17 – $182.17 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,690.60 – $28,315.22 | 9 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $807.18 – $8,494.61 | 9 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $21.87 – $21.87 | 1 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $172.42 – $774.31 | 7 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $22.05 – $22.05 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $124.16 – $144.86 | 7 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $136.94 – $159.76 | 7 |
| Special physics consult CPT 77370 | not published | not published | $127.97 – $149.30 | 7 |
| Special radiation dosimetry CPT 77331 | not published | not published | $16.49 – $19.24 | 7 |
| Special radiation treatment CPT 77470 | $1,432.30 | $2,203.54 | $32.98 – $38.47 | 7 |
| Special teletx port plan CPT 77321 | $861.89 | $1,325.98 | $38.20 – $44.56 | 7 |
| Specific gravity body fluid CPT 84315 | not published | not published | $2.95 – $31.07 | 9 |
| Specimen fat stain CPT 89125 | $14.74 | $22.67 | $5.29 – $55.69 | 9 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $179.64 | $276.37 | $58.42 – $491.97 | 9 |
| Speech audiometry complete CPT 92556 | not published | not published | $15.15 – $46.22 | 7 |
| Speech evaluation complex CPT 70371 | not published | not published | $35.35 – $69.88 | 7 |
| Speech recep thresh CPT 92555 | not published | not published | $5.05 – $29.57 | 7 |
| Speech Therapy Session (one-on-one) CPT 92507 | $181.18 | $278.74 | $4.75 – $201.45 | 9 |
| Sperm antibody test CPT 89325 | not published | not published | $9.60 – $10.67 | 8 |
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.