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 |
|---|---|---|---|---|
| Sperm evaluation test CPT 89329 | not published | not published | $17.63 – $19.59 | 8 |
| Sperm washing 58323 CPT 58323 | not published | not published | $8.88 – $10.36 | 7 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $546.00 – $637.00 | 7 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $589.95 – $688.28 | 7 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $82.22 – $95.93 | 7 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $64.04 – $74.71 | 7 |
| Spine X-ray (single view, one level) CPT 72020 | $205.92 | $316.80 | $10.10 – $15.91 | 7 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $92.25 – $120.35 | 7 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $60.02 – $73.85 | 7 |
| Spleen imaging CPT 78185 | not published | not published | $70.70 – $137.92 | 7 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $911.14 – $1,063.00 | 7 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,808.72 – $2,110.17 | 7 |
| Splicing of ureters CPT 50770 | not published | not published | $892.43 – $1,041.17 | 7 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $413.23 – $1,855.71 | 7 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $49.95 – $224.31 | 7 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $88.03 – $395.32 | 7 |
| Splint finger frog med HCPCS L3927 | not published | not published | $34.34 – $154.19 | 7 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.41 – $10.83 | 7 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $88.03 – $395.32 | 7 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $528.52 – $616.61 | 7 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $79.35 – $356.36 | 7 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $101.76 – $118.72 | 7 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $69.61 – $81.21 | 7 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $706.78 – $3,173.99 | 7 |
| Sputum specimen collection CPT 89220 | $344.29 | $529.68 | $17.92 – $20.91 | 7 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,500.00 – $4,500.00 | 1 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,114.29 – $1,300.01 | 7 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $844.11 – $984.80 | 7 |
| Srs cran les complex addl CPT 61799 | not published | not published | $228.32 – $266.37 | 7 |
| Srs cran les simple addl CPT 61797 | not published | not published | $165.61 – $193.21 | 7 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $157.86 – $175.40 | 8 |
| Srs linear based CPT 77372 | not published | not published | $64.34 – $929.73 | 7 |
| Srs multisource CPT 77371 | not published | not published | $64.34 – $64.34 | 2 |
| Srs spinal lesion CPT 63620 | not published | not published | $927.17 – $1,081.70 | 7 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $191.02 – $222.85 | 7 |
| Staggered spondaic word test CPT 92572 | not published | not published | $51.62 – $60.22 | 7 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $237.46 – $1,066.40 | 7 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $179.64 | $276.37 | $29.32 – $228.70 | 9 |
| Stance phase only HCPCS L5858 | not published | not published | $20,102.82 – $90,277.31 | 7 |
| Standard control cable extra HCPCS L6655 | not published | not published | $88.08 – $395.56 | 7 |
| Staph a dna amp probe CPT 87640 | not published | not published | $21.64 – $332.35 | 9 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $181.13 – $813.43 | 7 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $55.73 – $250.26 | 7 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $55.73 – $250.26 | 7 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $201.58 | $310.12 | $90.22 – $276.87 | 9 |
| Stem cells total count CPT 86367 | not published | not published | $23.40 – $736.69 | 9 |
| Stenger test pure tone CPT 92565 | not published | not published | $5.05 – $22.24 | 7 |
| Stenger test speech CPT 92577 | not published | not published | $19.34 – $22.56 | 7 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $829.91 – $968.23 | 7 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,153.34 – $1,345.56 | 7 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $101.00 – $431.38 | 7 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.14 – $0.61 | 7 |
| Sterile needle HCPCS A4215 | not published | not published | $0.31 – $0.31 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.50 – $2.22 | 7 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.42 – $15.36 | 7 |
| Sternal debridement CPT 21627 | not published | not published | $473.00 – $551.83 | 7 |
| Sternal pad HCPCS L1050 | not published | not published | $86.11 – $386.71 | 7 |
| St evaluate speech sound production CPT 92522 | $352.99 | $543.06 | $28.12 – $233.95 | 9 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $222.77 | $342.73 | $79.85 – $232.99 | 9 |
| Stimulants synthetic CPT 80371 | $141.65 | $217.92 | not published | 0 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $455.40 – $531.30 | 7 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $16.84 – $75.62 | 7 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.83 – $3.72 | 7 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $793.48 | $1,220.74 | $40.40 – $253.11 | 7 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $357.08 – $416.59 | 7 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $138.53 – $622.10 | 7 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $11.66 – $52.34 | 7 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $4.23 – $19.00 | 7 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $364.69 | $561.06 | $13.48 – $45.59 | 8 |
| Strapping of chest CPT 29200 | not published | not published | $13.64 – $48.48 | 8 |
| Strapping of elbow or wrist 29260 CPT 29260 | $125.87 | $193.64 | $13.84 – $49.97 | 8 |
| Strapping of hand or finger CPT 29280 | $156.36 | $240.55 | $14.84 – $52.97 | 8 |
| Strapping of hip CPT 29520 | not published | not published | $13.64 – $15.91 | 7 |
| Strapping of knee CPT 29530 | $212.81 | $327.40 | $13.64 – $48.48 | 8 |
| Strapping of toes 29550 CPT 29550 | $199.38 | $306.74 | $8.50 – $9.91 | 7 |
| Strep a ag ia CPT 87430 | $64.30 | $98.93 | $5.25 – $159.21 | 9 |
| Strep a dna dir probe CPT 87650 | not published | not published | $18.05 – $20.05 | 8 |
| Strep a dna quant CPT 87652 | not published | not published | $37.58 – $41.76 | 8 |
| Strep b assay w/optic CPT 87802 | not published | not published | $11.46 – $120.57 | 9 |
| Strep b dna amp probe CPT 87653 | not published | not published | $21.64 – $332.35 | 9 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.39 – $12.66 | 8 |
| Streptomycin injection HCPCS J3000 | not published | not published | $93.75 – $93.75 | 1 |
| Streptozocin injection HCPCS J9320 | not published | not published | $419.08 – $419.08 | 1 |
| Stress test pulmonary CPT 94618 | $203.79 | $313.52 | $4.89 – $14.24 | 7 |
| Stress tte complete CPT 93351 | $2,268.42 | $3,489.88 | $129.92 – $151.58 | 7 |
| Str markers spec anal addl CPT 81266 | not published | not published | $274.33 – $304.81 | 8 |
| Str markers specimen anal CPT 81265 | not published | not published | $209.76 – $233.07 | 8 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $92.66 – $108.11 | 7 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $296.31 – $345.69 | 7 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $38.10 – $44.45 | 7 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $75.08 – $87.59 | 7 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $92.60 – $108.03 | 7 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $89.03 – $103.87 | 7 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $84.90 – $99.05 | 7 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $537.51 – $627.09 | 7 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $416.03 – $485.37 | 7 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $514.35 – $600.08 | 7 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $700.16 – $816.86 | 7 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,188.84 – $1,386.98 | 7 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $1.04 – $1.04 | 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.