Clifton Springs Hospital and Clinic
2 Coulter Road, Clifton Springs, NY · Rochesterregional · · NPI 1366505463
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 |
|---|---|---|---|---|
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,606.41 – $2,236.17 | 2 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,763.35 – $2,331.88 | 2 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $949.29 – $1,338.26 | 2 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $461.59 – $709.68 | 2 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $348.90 – $540.28 | 2 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $347.65 – $425.18 | 2 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $427.93 – $600.67 | 2 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $386.23 – $486.68 | 2 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $197.89 – $304.33 | 2 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $371.62 – $478.78 | 2 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $277.58 – $363.23 | 2 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $801.95 – $872.92 | 2 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,858.31 – $2,683.78 | 2 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,266.36 – $3,182.01 | 2 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,602.90 – $2,216.93 | 2 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $5,116.10 – $5,116.10 | 1 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $3,736.21 – $3,736.21 | 1 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $119.38 – $119.38 | 5 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.79 – $4.42 | 3 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.71 – $38.02 | 4 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $10.52 – $11.62 | 3 |
| Romiplostim injection HCPCS J2796 | not published | not published | $65.02 – $108.10 | 2 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $26.44 | $40.68 | $11.49 – $12.73 | 4 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.06 | $0.10 | $0.04 – $0.22 | 4 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $651.11 – $651.11 | 5 |
| Rotavirus antibody CPT 86759 | not published | not published | $12.15 – $33.14 | 10 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $96.11 – $96.11 | 5 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $16.12 – $30.28 | 2 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.84 – $23.59 | 3 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $463.08 – $625.88 | 2 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,571.66 – $3,755.22 | 2 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $405.56 – $1,245.63 | 2 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $492.80 – $696.34 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,929.15 | $2,967.92 | $47.50 – $75.45 | 2 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $812.30 | $1,249.69 | $168.90 – $261.55 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,146.40 | $3,302.15 | $290.20 – $590.52 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,219.59 | $4,953.21 | $568.87 – $1,157.59 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,929.15 | $2,967.92 | $42.23 – $68.39 | 2 |
| Rpl tun-cvad w subq port CPT 36582 | $5,787.93 | $8,904.51 | $212.87 – $325.53 | 2 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $255.36 – $361.18 | 2 |
| Rpl tun cvc wo subq port CPT 36581 | $4,952.88 | $7,619.82 | $136.01 – $208.06 | 2 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $22.15 – $62.08 | 2 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $22.15 – $49.43 | 2 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $757.75 – $1,018.73 | 2 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $570.41 – $766.95 | 2 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $551.87 – $742.37 | 2 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $424.82 – $570.43 | 2 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $255.65 – $340.39 | 2 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $353.46 – $473.38 | 2 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $915.91 – $1,234.25 | 2 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $654.45 – $881.18 | 2 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $633.67 – $854.63 | 2 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $472.40 – $636.51 | 2 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $423.99 – $569.07 | 2 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $313.46 – $419.74 | 2 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,110.34 – $1,652.61 | 2 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $744.56 – $1,111.56 | 2 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $681.52 – $1,030.82 | 2 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,074.12 – $1,531.48 | 2 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,132.68 – $1,617.46 | 2 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,202.89 – $1,788.58 | 2 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $1,268.00 – $1,926.34 | 2 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,112.77 – $1,593.48 | 2 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,368.65 – $1,981.35 | 2 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $552.66 – $774.44 | 2 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $741.63 – $1,059.01 | 2 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $871.15 – $1,214.29 | 2 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $719.42 – $1,042.77 | 2 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $657.84 – $944.93 | 2 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $493.48 – $700.78 | 2 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $618.51 – $880.72 | 2 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,402.11 – $1,998.11 | 2 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,078.78 – $1,500.89 | 2 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $750.96 – $1,153.10 | 2 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $430.37 – $647.60 | 2 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $482.83 – $680.48 | 2 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $323.57 – $453.78 | 2 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $474.99 – $671.14 | 2 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $334.47 – $451.32 | 2 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $737.51 – $1,061.58 | 2 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $120.06 – $175.78 | 2 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $106.74 – $151.33 | 2 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $555.10 – $740.75 | 2 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $689.01 – $914.26 | 2 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,295.31 – $1,904.06 | 2 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $19.32 – $19.32 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $13.31 – $13.31 | 1 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $452.54 – $638.60 | 2 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $1,775.07 – $2,605.12 | 2 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,499.24 – $2,124.29 | 2 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,415.85 – $2,054.65 | 2 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,380.74 – $1,993.89 | 2 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,432.44 – $2,097.01 | 2 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $1,771.69 – $2,567.46 | 2 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $1,735.88 – $2,580.16 | 2 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $1,722.00 – $2,565.44 | 2 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,587.27 – $2,347.86 | 2 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,623.65 – $2,416.31 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $282.66 – $405.31 | 2 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $702.65 – $1,077.50 | 2 |
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.