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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Canton-Potsdam Hospital

Saint Lawrence Health System · Potsdam, NY

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

2 of 5

CMS star rating

94

Beds

4,478

Inpatient discharges a year

$310.5M

Net patient revenue a year

32

In-network payers

About this hospital

Canton-Potsdam Hospital is a 94-bed voluntary non-profit - private hospital in Potsdam, NY, affiliated with Saint Lawrence Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 179 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
CCN
330197
NPI
1568548782
Health system
Saint Lawrence Health System
Teaching
No Medicare-funded residents
County
St. Lawrence County
Metro area
Massena-Ogdensburg, NY MicroSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1973
Last CMS survey
2026

Prices for common services

The 24 services Canton-Potsdam Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,413 - $8,064

from 3 insurers · median $3,742

Blue Cross$3,413
Insurer A*$3,742
Insurer B*$8,064

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$5,164 - $11,468

from 3 insurers · median $5,705

Blue Cross$5,164
Insurer A*$5,705
Insurer B*$11,468

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$340 - $4,742

from 2 insurers · median $2,541

Blue Cross$4,742
Insurer A*$340
Medicare $1,094Nearby hospitals $2,14019% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$109 - $3,757

from 3 insurers · median $483

Aetna$483
Insurer A*$109
Insurer B*est.$3,757
Medicare $421Nearby hospitals $54612% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Canton-Potsdam Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
499%
154
Insurer B*16
142%
43
Insurer C*18
121%
58

How we chose these services: 2 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Canton-Potsdam Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    2 of 5 stars

    • 142 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.33%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 35 services, including trauma care
    • 415 affiliated clinicians
    See doctors and services
  • Finances

    $310.5M net patient revenue

    • Operating margin on patient care -8.9%
    • $12.1M unreimbursed and uncompensated care
    • $18.5M net income
    See finances
  • Ownership and leadership

    Other

    • Donna Mcgregor, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Canton-Potsdam Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
16-1012691(multi-state) Canton Potsdam Hospital61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 56 more1568548782 Canton-Potsdam Hospital1770703522 Canton Potsdam Hospital1841621000 Canton-Potsdam Hospitaland 12 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

50 Leroy Street, Potsdam, NY 13676

(315) 265-3300

Get directions

Frequently asked questions

About Canton-Potsdam Hospital's rates and hospital price transparency.

How much does an MRI cost at Canton-Potsdam Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Canton-Potsdam Hospital range from $505 to $4,815 across 3 insurers. Aetna's rate is $853. The median at nearby comparable hospitals is $535. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Canton-Potsdam Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Canton-Potsdam Hospital range from $109 to $3,757 across 3 insurers. Aetna's rate is $483. The median at nearby comparable hospitals is $546. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Canton-Potsdam Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Canton-Potsdam Hospital range from $3,413 to $8,064 across 3 insurers. Blue Cross Blue Shield's rate is $3,413. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Canton-Potsdam Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Canton-Potsdam Hospital range from $98 to $513 across 3 insurers. Aetna's rate is $197. The median at nearby comparable hospitals is $114. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Canton-Potsdam Hospital's CMS star rating?

Canton-Potsdam Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Canton-Potsdam Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Canton-Potsdam Hospital for fiscal year 2027.

Does Medicare penalize Canton-Potsdam Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Canton-Potsdam Hospital's base inpatient payments by an estimated 0.33% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Canton-Potsdam Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (165 discharges), heart failure and shock with mcc (69 discharges), respiratory infections and inflammations with mcc (47 discharges).

What is Canton-Potsdam Hospital's case mix index?

Canton-Potsdam Hospital's Medicare case mix index is 1.44 for fiscal year 2027, higher than 21% of hospitals paid under the inpatient prospective payment system.

How many patients does Canton-Potsdam Hospital admit?

Canton-Potsdam Hospital reported 4,478 inpatient discharges and 26,556 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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