Canton-Potsdam Hospital

50 Leroy Street, Potsdam, NY 13676 · (315) 265-3300

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Massena, NY metro Website ↗

Price file

Prices published

File dated 2026-04-01

958 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $119

$119

cash

$7 to $80

13 negotiated rates

$183

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,873

$2,873

cash

$109 to $216

12 negotiated rates

$4,420

list

CT scan of the head, no contrast

CPT 70450 · metro median $1,215

$1,215

cash

$57 to $126

12 negotiated rates

$1,869

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,491

$1,491

cash

$147 to $189

12 negotiated rates

$2,293

list

Cataract surgery with lens implant

CPT 66984 · metro median $1,507

$1,507

cash

$402 to $469

9 negotiated rates

$2,318

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,080 to $2,427

9 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$4,374 to $11,468

4 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $132

$132

cash

$22 to $332

13 negotiated rates

$203

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$143 to $166

9 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$154 to $180

9 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$194 to $226

9 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $93

$93

cash

$3 to $74

13 negotiated rates

$144

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $194

$194

cash

$10 to $100

13 negotiated rates

$299

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $535

$535

cash

$94 to $424

13 negotiated rates

$823

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $62

$62

cash

$13 to $15

11 negotiated rates

$96

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 6 lines · metro median $159

$159

cash

$110 to $199

12 negotiated rates

$245

list

Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $209

$209

cash

$92 to $107

12 negotiated rates

$322

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $213

$213

cash

$88 to $104

12 negotiated rates

$328

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$536 to $625

9 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · metro median $132

$132

cash

$22 to $332

13 negotiated rates

$203

list

Group psychotherapy

CPT 90853 · lowest of 3 lines · metro median $111

$111

cash

$22 to $30

12 negotiated rates

$170

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$8,800 to $23,072

4 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$3,557 to $9,325

4 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$5,660 to $14,840

4 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$431 to $503

9 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$441 to $514

9 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $1,543

$1,543

cash

$238 to $278

9 negotiated rates

$2,373

list

Left heart catheterization

CPT 93452

—

cash

$551 to $643

9 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $160

$160

cash

$6 to $127

13 negotiated rates

$247

list

Liver function panel

CPT 80076 · metro median $129

$129

cash

$7 to $77

13 negotiated rates

$198

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $3,682

$3,682

cash

$181 to $510

12 negotiated rates

$5,664

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $2,131

$2,131

cash

$121 to $505

12 negotiated rates

$3,278

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $2,233

$2,233

cash

$105 to $505

12 negotiated rates

$3,436

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,148

$2,148

cash

$105 to $505

12 negotiated rates

$3,304

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$5,644 to $29,200

18 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $2,419

$2,419

cash

$87 to $101

9 negotiated rates

$3,722

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $116

$116

cash

$62 to $142

12 negotiated rates

$179

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $21

$21

cash

$102 to $216

12 negotiated rates

$33

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $127

$127

cash

$140 to $272

12 negotiated rates

$195

list

PSA test (prostate)

CPT 84153 · metro median $69

$69

cash

$17 to $174

13 negotiated rates

$106

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $69

$69

cash

$5 to $57

13 negotiated rates

$106

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $99

$99

cash

$25 to $78

12 negotiated rates

$152

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $312

$312

cash

$56 to $151

12 negotiated rates

$480

list

Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $129

$129

cash

—

$198

list

Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $157

$157

cash

—

$242

list

Prostate biopsy

CPT 55700 · metro median $4,641

$4,641

cash

—

$7,140

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$937 to $1,093

9 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $56

$56

cash

$4 to $41

13 negotiated rates

$87

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $213

$213

cash

$34 to $73

12 negotiated rates

$328

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines · metro median $192

$192

cash

$73 to $96

12 negotiated rates

$296

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $200

$200

cash

$80 to $141

12 negotiated rates

$308

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$347 to $404

9 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $463

$463

cash

$78 to $350

13 negotiated rates

$712

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$126 to $147

9 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $3,279

$3,279

cash

$473 to $551

9 negotiated rates

$5,044

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$65 to $75

9 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $1,612

$1,612

cash

$78 to $91

9 negotiated rates

$2,480

list

TSH test (thyroid)

CPT 84443 · metro median $180

$180

cash

$9 to $159

13 negotiated rates

$277

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$225 to $262

9 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $609

$609

cash

$61 to $85

12 negotiated rates

$937

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $690

$690

cash

$61 to $106

12 negotiated rates

$1,062

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$96 to $112

9 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$107 to $125

9 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $77

$77

cash

$3 to $30

12 negotiated rates

$119

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,959 to $2,285

9 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,076 to $8,064

4 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,871 to $2,183

9 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $535

$535

cash

$30 to $41

12 negotiated rates

$823

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/161012691_canton-potsdam-hospital_standardcharges.csv
Canton-Potsdam Hospital · parsed · tall v3.0.0 · file dated 2026-04-01 · 33.6 MB · 958 price rows read · read Nov 2026
https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/160743134_rochester-general-hospital_standardcharges.csv
Rochester General Hospital · unmatched · tall v3.0.0 · file dated 2026-04-01 · 29.6 MB · read Oct 2026
https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/843134268_massena-hospital-inc_standardcharges.csv
Massena Hospital · unmatched · tall v3.0.0 · file dated 2026-04-01 · 10.3 MB · read Oct 2026
https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/464249555_gouverneur-hospital_standardcharges.csv
Gouverneur Hospital · unmatched · tall v3.0.0 · file dated 2026-04-01 · 8.6 MB · read Oct 2026