Canton-potsdam Hospital — procedure prices

Published prices for 332 procedures at Canton-potsdam Hospital (Potsdam, NY), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $55 $85 $18 $51
Abdominal fluid drain (paracentesis) $1,197 $1,841 $236 $284
Abdominal ultrasound $568 $874 $37 $100
Abscess incision and drainage $321 $405 $178 $174
Achilles tendon repair $11,398 $17,535 $569 $624
ACL knee reconstruction $6,856 $10,117 $947 $889
Adenoid removal (adenoidectomy) $5,882 $9,049 $210 $204
Albumin blood test $51 $78 $5 $5
Aldosterone test $151 $232 $41 $41
Alkaline phosphatase test $54 $83 $5 $5
Allergy shots $52 $80 $11 $11
Allergy testing $11 $11 $4 $4
Alpha-fetoprotein (AFP) test $318 $490 $16 $17
ALT liver enzyme test $59 $90 $5 $5
Ammonia blood test $83 $127 $15 $15
Amniocentesis $2,281 $3,510 $120
Amylase test $62 $95 $6 $6
Ankle fracture repair $8,930 $13,455 $624 $608
Annual physical (established patient) $201 $201 $115
Annual physical (new patient) $185 $228 $123
Anoscopy $184 $229 $40 $129
Antinuclear antibody (ANA) test $90 $138 $12 $12
Arterial blood gas (ABG) $64 $99 $26 $26
AST liver enzyme test $59 $90 $5 $5
Barium swallow study $245 $376 $18 $107
Bartholin cyst removal $332 $511 $173 $182
Basic metabolic panel $101 $155 $8 $8
Benign skin lesion removal $627 $965 $149 $171
Bilirubin blood test $100 $154 $5 $5
Bladder scope (cystoscopy) $484 $657 $79 $216
Bladder tumor removal (TURBT) $610 $610 $269 $236
Blood clotting test (PT/INR) $27 $40 $4 $4
Blood crossmatch $267 $411 $43
Blood glucose test $48 $74 $4 $5
Blood transfusion $1,588 $2,443 $51 $47
Blood type and screen $53 $82 $10 $10
Blood type test $58 $89 $4 $3
BNP (heart failure) test $171 $263 $39 $39
Bone density scan (DEXA) $463 $712 $76 $39
Bone marrow biopsy $443 $682 $168 $172
Bone scan (nuclear) $1,241 $1,909 $37 $259
Breast biopsy $1,871 $2,879 $469 $478
Breast MRI $3,307 $5,088 $309 $216
Breast reconstruction $38,562 $59,326 $1,227
Breast reduction $10,002 $15,387 $980
Breast ultrasound $915 $1,407 $36 $92
Breathing tube insertion (intubation) $460 $708 $136 $133
Bronchoscopy $3,063 $4,712 $325 $303
Bunion surgery (bunionectomy) $1,632 $1,632 $898 $883
Burn treatment $373 $574 $75 $129
C-reactive protein (CRP) $83 $128 $5 $5
CA 19-9 tumor marker test $183 $282 $21 $21
CA-125 ovarian marker test $193 $296 $21 $21
Calcium blood test $51 $78 $5 $5
Capsule endoscopy $1,907 $2,933 $684 $802
Cardiac stress test $276 $418 $14 $39
Cardioversion $506 $689 $152 $155
Carotid artery surgery $9,436 $14,517 $1,043 $1,026
Carotid artery ultrasound $586 $901 $67 $156
Carpal tunnel release $1,885 $2,634 $432 $483
Cataract surgery $2,351 $3,614 $705 $547
CEA tumor marker test $118 $182 $19 $19
Celiac disease test $24 $38 $12 $12
Central line placement $784 $1,186 $189 $238
Cervical cerclage $6,093 $9,374 $137
Cesarean section (C-section) $9,587 $14,749 $7,791 $7,552
Chemotherapy infusion $209 $322 $62 $81
Chest fluid drain (thoracentesis) $505 $505 $228 $311
Chest tube insertion $1,015 $1,487 $149 $143
Chest X-ray $306 $470 $12 $37
Chickenpox (varicella) vaccine $255 $393 $25
Circumcision $248 $248 $137 $167
CK-MB heart enzyme test $54 $83 $12 $12
Clotting time test (PTT) $59 $90 $6 $6
Colon resection (colectomy) $449 $449 $1,296 $1,238
Colonoscopy $1,056 $1,056 $334 $480
Colposcopy $237 $246 $156 $161
Complete blood count (CBC) $61 $94 $6 $7
Complex wound repair $126 $126 $355 $390
Comprehensive eye exam $144 $218 $118 $138
Comprehensive metabolic panel $165 $253 $11 $11
Continuous glucose monitor setup $61 $61 $34 $35
Contraceptive implant (Nexplanon) $254 $306 $109 $115
Copper blood test $98 $151 $12 $12
Coronary CT angiography $1,832 $2,818 $115 $326
Cortisol test $158 $243 $16 $16
COVID-19 PCR test $62 $62 $51 $51
CPAP titration study $182 $280 $57 $69
Creatine kinase (CK) test $55 $84 $7 $7
CT angiography of the chest $2,357 $3,627 $333 $281
CT angiography of the head $2,146 $3,302 $247 $274
CT colonography (virtual colonoscopy) $427 $657 $259 $835
CT scan of the abdomen $1,500 $2,308 $155 $230
CT scan of the abdomen and pelvis $2,873 $4,420 $124 $300
CT scan of the arm $1,080 $1,662 $127 $199
CT scan of the chest $1,500 $2,308 $154 $167
CT scan of the head $1,500 $2,308 $164 $148
CT scan of the leg $1,249 $1,922 $155 $166
CT scan of the lower back (lumbar spine) $1,436 $2,209 $155 $169
CT scan of the neck $1,124 $1,730 $157 $183
CT scan of the neck (cervical spine) $1,224 $1,883 $105 $168
CT scan of the pelvis $1,418 $2,182 $154 $226
CT scan of the sinuses $1,585 $2,438 $149 $152
D-dimer test $218 $336 $10 $10
Developmental screening (child) $19 $19 $16
DHEA-sulfate test $177 $273 $22 $22
Diagnostic mammogram $408 $628 $88 $140
Dialysis fistula creation $6,289 $9,676 $601
Drug screen (urine) $49 $75 $17 $17
Ear tubes (myringotomy) $326 $326 $164 $174
Eardrum repair (tympanoplasty) $864 $864 $874 $799
Elbow replacement $33,236 $51,132 $158 $1,301
Electrocardiogram (EKG) $20 $20 $12 $8
Electroencephalogram (EEG) $614 $614 $165 $448
Electrolyte panel $89 $137 $7 $7
Electromyography (EMG) $285 $438 $77 $141
Emergency department visit $361 $440 $98 $69
Endometrial biopsy $144 $175 $97 $98
Epidural steroid injection $673 $875 $238 $275
ERCP (bile duct endoscopy) $4,820 $7,416 $311
Esophageal dilation $869 $1,338 $522
Estradiol (estrogen) test $299 $460 $28 $28
Eye refraction (glasses prescription) $50 $50 $19
Eyelid surgery (blepharoplasty) $1,947 $1,947 $599 $552
Facet joint injection (spine) $638 $981 $82 $99
Fallopian tube X-ray (HSG) $395 $546 $48 $164
Family therapy session $241 $241 $101 $110
Fecal occult blood (stool) test $80 $123 $4 $10
Femoral hernia repair $6,145 $9,454 $584
Ferritin (iron) test $114 $176 $14 $14
Fibrinogen test $83 $127 $10 $10
Fibroid removal (myomectomy) $12,027 $18,503 $1,107 $914
Flexible sigmoidoscopy $611 $611 $174 $323
Flu test $32 $43 $17 $17
Flu vaccine $28 $43 $25
Folate (folic acid) test $110 $170 $15 $15
Foreign body removal (skin) $546 $840 $102 $157
Free T4 thyroid test $67 $103 $9 $9
FSH hormone test $166 $256 $19 $19
Gallbladder scan (HIDA) $907 $1,395 $86 $334
Ganglion cyst removal $514 $514 $320 $321
GGT liver test $47 $73 $7 $7
Glucose tolerance test $133 $205 $4 $8
Group therapy session $136 $189 $28 $30
Hammertoe repair $523 $523 $518 $548
HDL cholesterol test $43 $67 $8 $8
Hearing test (audiometry) $299 $460 $38 $36
Hematocrit test $35 $53 $2 $2
Hemoglobin A1c (diabetes test) $129 $198 $10 $10
Hemorrhoid removal $475 $475 $298 $338
Hepatitis A vaccine $58 $90 $30
Hepatitis B test $33 $51 $10 $10
Hepatitis B vaccine $104 $161 $47
Hepatitis C test $45 $70 $14 $14
Hip fracture repair $1,198 $1,198 $1,188 $1,120
Hip replacement $10,764 $16,441 $1,242 $1,162
HIV test $103 $158 $24 $19
Holter heart monitor $179 $276 $22 $26
Hydrocele repair $552 $552 $328 $315
Hysterectomy $1,640 $1,640 $960 $933
Hysteroscopy $4,432 $6,223 $227 $1,270
Incisional hernia repair $7,392 $11,372 $9
Inguinal hernia repair $1,009 $1,009 $529 $538
Iron blood test $73 $112 $6 $6
IUD insertion $125 $193 $65
IUD removal $340 $523 $63 $112
IV infusion therapy $112 $172 $32 $44
Kidney biopsy $2,075 $3,193 $467 $492
Kidney removal (nephrectomy) $19,071 $29,340 $1,271 $1,164
Kidney scan (nuclear) $1,019 $1,567 $76 $172
Kidney stone shock-wave (lithotripsy) $8,807 $13,550 $733 $760
Kidney ultrasound $477 $708 $43 $84
Knee replacement $29,673 $45,650 $18,337 $18,054
Lactate test $126 $194 $12 $12
Laminectomy (spine) $9,821 $15,109 $158 $1,157
Laryngoscopy $244 $376 $123 $189
LDH test $46 $70 $6 $6
LDL cholesterol test $104 $160 $11 $11
Leg artery angioplasty $55,381 $85,202
Leg vein ultrasound (Doppler) $714 $1,099 $85 $150
LH hormone test $221 $340 $19 $19
Lipase test $59 $91 $7 $7
Lipid (cholesterol) panel $136 $209 $13 $13
Liver biopsy $2,075 $3,193 $134 $288
Liver function panel $109 $168 $8 $8
Lumbar discectomy $8,006 $12,317 $898
Lumpectomy (breast) $2,109 $2,109 $629 $750
Lung function test (PFT) $42 $59 $15 $37
Lung scan (V/Q) $934 $1,437 $92 $291
Magnesium blood test $51 $78 $7 $7
Mastectomy $1,010 $1,010 $939 $1,021
Meniscus repair (knee) $1,248 $1,248 $797 $714
Mohs skin cancer surgery $1,783 $2,744 $535
MRA of the brain $2,185 $3,362 $455 $226
MRA of the neck $1,957 $3,011 $309 $245
MRI of the abdomen $2,552 $3,926 $309 $300
MRI of the ankle $2,388 $3,673 $408 $261
MRI of the brain $2,388 $3,673 $399 $269
MRI of the chest $1,964 $3,021 $455 $371
MRI of the knee $3,278 $5,043 $530 $315
MRI of the lower back (lumbar spine) $2,388 $3,673 $408 $270
MRI of the mid-back (thoracic spine) $2,294 $3,530 $455 $271
MRI of the neck (cervical spine) $2,294 $3,530 $431 $274
MRI of the pelvis $2,388 $3,673 $309 $268
MRI of the shoulder $2,781 $4,278 $309 $313
MRI of the wrist $2,216 $3,410 $525 $330
Nebulizer breathing treatment $406 $625 $14 $9
Neck (cervical) spinal fusion $17,720 $27,261 $158 $1,410
Nerve conduction study $211 $211 $82 $118
Newborn hospital care $112 $112 $62 $58
Nuchal translucency ultrasound $201 $309 $44 $116
Nuclear cardiac stress test $771 $771 $148 $428
Occupational therapy evaluation $124 $190 $107 $101
Office visit (new patient) $161 $248 $128 $177
Orthopedic hardware removal $991 $991 $412 $632
Ovarian cyst removal $1,203 $1,203 $742 $698
Ovary removal (oophorectomy) $1,898 $1,898 $1,155 $822
Pap smear (cervical screening) $81 $125 $20 $20
Parathyroid hormone (PTH) test $183 $282 $41 $41
Parathyroid removal $10,113 $15,559 $891
Pelvic ultrasound $392 $602 $36 $78
PET scan $3,821 $5,879 $1,024
Phosphorus blood test $43 $67 $5 $5
Physical therapy evaluation $124 $190 $127 $98
Platelet count $20 $31 $4 $4
Pneumonia vaccine $39 $60 $44
Pregnancy blood test (hCG) $86 $133 $8 $8
Pregnancy ultrasound $341 $525 $50 $126
Procalcitonin test $168 $259 $27 $27
Prolactin test $249 $382 $19 $19
Prostate biopsy $2,430 $3,645 $127
Prostate removal (prostatectomy) $22,324 $34,344 $1,063
Prostate surgery (TURP) $831 $831 $703 $526
Prostate test (PSA) $59 $90 $18 $18
Psychiatric evaluation $226 $348 $170 $188
Psychotherapy session $198 $248 $132 $140
Pterygium removal (eye) $5,085 $7,824 $540
Radiofrequency nerve ablation $677 $677 $200 $462
Retina scan (OCT) $42 $64 $36 $33
Retinal (fundus) photography $82 $82 $36 $37
Rotator cuff repair $1,378 $1,378 $1,007 $792
Routine eye exam $245 $377 $44 $88
RSV vaccine $391 $602 $47
Sacroiliac joint injection $948 $1,458 $145 $176
Scoliosis spine X-ray $264 $406 $11 $58
Screening colonoscopy $982 $982 $319 $378
Screening mammogram $392 $603 $87 $126
Scrotal ultrasound $516 $794 $19 $99
Sedimentation rate (ESR) test $27 $41 $3 $3
Semen analysis $83 $127 $12 $12
Septoplasty (deviated septum) $1,079 $1,079 $663 $613
Sex hormone binding globulin test $173 $267 $22 $22
Shingles vaccine $278 $428 $144
Shoulder arthroscopy $1,011 $1,011 $1,016 $962
Shoulder replacement $12,893 $19,708 $1,379 $1,300
Simple wound stitches $209 $299 $57 $127
Sinus surgery (endoscopic) $966 $1,400 $175 $224
Skin biopsy $223 $223 $105 $121
Skin cancer lesion removal $423 $423 $234 $240
Skin graft $6,860 $10,553 $898
Skin lesion freezing (cryotherapy) $106 $106 $61 $36
Skin tag removal $272 $393 $76 $92
Sleep study (polysomnography) $2,381 $3,663 $181 $691
Small bowel resection $1,229 $1,229 $1,156 $1,136
Soft tissue ultrasound $275 $412 $32 $64
Speech therapy $170 $262 $115 $76
Spinal cord stimulator $25,182 $38,742 $622 $2,388
Spinal tap (lumbar puncture) $811 $1,179 $116 $165
Spleen removal (splenectomy) $31,390 $48,292 $1,036
Strep throat test $29 $40 $17 $17
Stress echocardiogram $431 $431 $175 $209
Swallow study $209 $322 $71 $85
T3 thyroid test $147 $226 $13 $14
Tdap (tetanus) vaccine $16 $25 $29
Testosterone test $181 $279 $26 $26
Thyroid removal (thyroidectomy) $965 $965 $1,162 $1,004
Thyroid test (TSH) $152 $235 $17 $17
Thyroid ultrasound $551 $848 $19 $109
Thyroid uptake scan $619 $953 $63 $145
Tilt table test $1,171 $1,802 $141 $168
Tonsillectomy $478 $478 $283 $252
Total IgE allergy test $122 $188 $16 $16
Total protein test $83 $127 $4 $4
Transesophageal echocardiogram (TEE) $1,645 $2,531 $189 $239
Transvaginal ultrasound $516 $794 $37 $118
Trigger finger release $885 $885 $564 $630
Triglycerides test $35 $53 $6 $6
Troponin (heart) test $132 $203 $12 $12
Tubal ligation $382 $587 $358 $333
Turbinate reduction $3,883 $5,714 $271 $294
Turning a breech baby (version) $798 $798 $97 $94
Ulnar nerve surgery (elbow) $2,139 $3,240 $586 $575
Umbilical hernia repair $6,656 $10,240 $684
Upper GI endoscopy (EGD) $960 $960 $270 $371
Upper GI series (barium) $468 $720 $30 $128
Ureteral stent placement $775 $775 $373 $373
Ureteroscopy (stone removal) $684 $684 $394 $365
Uric acid (gout) test $51 $78 $5 $5
Urinalysis $50 $77 $2 $3
Urine microalbumin test $48 $73 $6 $5
Urine pregnancy test $17 $24 $9 $9
Vaginal delivery $4,101 $6,308 $5,567 $5,487
Varicose vein ablation $4,238 $6,520 $773 $1,018
Vasectomy $369 $369 $325 $347
Visual field test $67 $76 $56 $64
Vitamin B12 test $118 $182 $15 $15
Vitamin D test $276 $424 $30 $30
Vocal cord injection $7,274 $11,191 $211
Wart removal $192 $192 $97 $121
Well-child visit $87 $133 $100
Wound debridement $135 $187 $183 $186
Wrist fracture repair $4,356 $6,344 $761 $735
X-ray of the abdomen $307 $472 $11 $36
X-ray of the ankle $218 $335 $8 $37
X-ray of the collarbone $107 $160 $12 $33
X-ray of the facial bones $275 $424 $15 $39
X-ray of the forearm $236 $352 $12 $29
X-ray of the hand $326 $502 $13 $38
X-ray of the hip $232 $356 $10 $49
X-ray of the knee $395 $608 $20 $42
X-ray of the lower back (lumbar spine) $362 $557 $18 $47
X-ray of the lower leg $325 $499 $6 $31
X-ray of the mid-back (thoracic spine) $232 $356 $18 $36
X-ray of the neck (cervical spine) $231 $355 $12 $47
X-ray of the pelvis $259 $398 $12 $36
X-ray of the ribs $293 $452 $15 $42
X-ray of the shoulder $380 $585 $16 $36
X-ray of the skull $287 $442 $15 $40
X-ray of the upper arm $172 $261 $13 $32
X-ray of the wrist $326 $502 $11 $43
YAG laser capsulotomy (eye) $895 $1,377 $461 $335
Zinc blood test $80 $123 $11 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.