Supplies, drugs & other prices at Canton-Potsdam Hospital

Potsdam, NY · every code in this section with a posted price and a Medicare benchmark.

54 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,118.99 $3,259.99 2.2×
2d tte w or w/o fol w/con,fu (C8924) $1,622.14 $2,495.60 3.7×
Adm tocilizu covid-19 1st (M0249) $814.53 $1,253.13 1.5×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$21.71–$26.93 $33.40–$41.43 varies
Admin influenza virus vac (G0008) $43.43 $66.82 0.7×
Admin pneumococcal vaccine (G0009) $43.43 $66.82 0.7×
Alcohol/subs interv 15-30mn (G0396) $64.35 $99 1.4×
Annual alcohol screen 15 min (G0442) $111.74 $171.90 2.4×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $82.73 $127.27 1.8×
Brief alcohol misuse counsel (G0443) $264.56 $407.01 2.1×
Ca screen;pelvic/breast exam (G0101) $21.71 $33.40 0.2×
Catheterize for urine spec (P9612) $8.70 $13.39 0.9×
Colon ca scrn not hi rsk ind (G0121) $1,064.06 $1,637.01 0.9×
Direct refer hospital observ (G0379) $196.31 $302.02 0.3×
Drug test def 1-7 classes (G0480) $69.32 $106.65 0.6×
Drug test def 15-21 classes (G0482) $604.39 $929.83 3.0×
Drug test def 8-14 classes (G0481) $392.36 $603.63 2.5×
Elec stim other than wound (G0283) $72.96 $112.25 5.7×
Extrnl counterpulse, per tx (G0166) $896.01 $1,378.48 5.4×
Fecal blood scrn immunoassay (G0328) $86.86 $133.63 4.8×
Home sleep test/type 3 porta (G0399) $470.98 $724.58 1.7×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $114.26 $175.78 2.6×
Initial preventive exam (G0402) $288.84 $444.37 1.7×
Inj for sacroiliac jt anesth (G0260) $1,895.48 $2,916.13 2.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $305.47 $469.95 2.5×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $1,212.82 $1,865.87 2.4×
Mra w/cont, chest (C8909) $2,273.03 $3,496.97 5.2×
Mra w/cont, lwr ext (C8912) $614.33 $945.13 1.4×
Mra w/o cont, abd (C8901)
range across 2 matching MRF lines
$2,273.03–$4,189.21 $3,496.97–$6,444.94 varies
Mra w/o cont, chest (C8910) $2,273.03 $3,496.97 7.6×
Mra w/o cont, lwr ext (C8913) $2,273.03 $3,496.97 7.6×
Mra w/o cont, pelvis (C8919) $2,183.92 $3,359.88 7.3×
Mra w/o fol w/cont, abd (C8902) $3,105.38 $4,777.51 7.1×
Mra w/o fol w/cont, lwr ext (C8914) $614.33 $945.13 1.4×
Mra w/o fol w/cont, pelvis (C8920) $1,860.62 $2,862.50 4.3×
Mra, w/dye, upper extremity (C8934) $614.33 $945.13 1.4×
Mra, w/o dye, upper extr (C8935) $486.02 $747.73 1.6×
Mra, w/o&w/dye, upper extr (C8936) $614.33 $945.13 1.4×
Mri w/cont, breast, uni (C8903) $1,987.67 $3,057.95 9.1×
Mri w/o fol w/cont, breast, (C8908) $3,306.99 $5,087.67 7.6×
Mri w/o fol w/cont, brst, un (C8905) $1,987.67 $3,057.95 4.6×
Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) $334.08 $513.97 1.7×
Obtaining screen pap smear (Q0091) $12.19 $18.75 0.3×
Pathogen test for platelets (P9100) $102.18 $157.20 1.4×
Ppps, subseq visit (G0439) $96.04 $147.76 0.7×
Prostate biopsy, any mthd (G0416) $679.55 $1,045.46 1.5×
Psa screening (G0103) $186.34 $286.67 9.6×
Screen cerv/vag thin layer (G0123) $95.55 $147 4.7×
Tomosynthesis, mammo (G0279) $65.14 $100.22 5.1×
Tpmt and Nudt15 Genotype (0034U) $1,226.45 $1,886.85 2.6×
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines
$4,486.40–$6,728.77 $6,902.15–$10,351.95 varies
Tte w or w/o contr, cont ecg (C8930) $2,268.42 $3,489.88 2.3×
Tte w or wo fol wcon,doppler (C8929) $1,727.24 $2,657.30 1.8×
Visit to determ ldct elig (G0296) $268.34 $412.83 2.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.