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 |
|---|---|---|---|---|
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $93.49 | $143.83 | $15.49 – $25.49 | 4 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $78.65 | $121.00 | $22.25 – $45.71 | 2 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $66.87 | $102.87 | $18.58 – $38.54 | 2 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $105.54 – $176.07 | 2 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $89.53 – $133.66 | 2 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $336.54 | $517.76 | $81.69 – $171.61 | 3 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $16.27 – $20.73 | 2 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $140.22 – $285.34 | 3 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $89.54 – $182.21 | 3 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $58.36 – $118.76 | 3 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $1.60 – $5.33 | 4 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $5.94 – $5.94 | 1 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $201.75 | $310.38 | $21.16 – $27.58 | 3 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $401.09 – $401.09 | 5 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $496.28 – $496.28 | 5 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $351.83 – $351.83 | 5 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $362.52 – $362.52 | 5 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $36.64 – $38.55 | 2 |
| Thiotepa injection HCPCS J9340 | not published | not published | $245.05 – $900.00 | 2 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,105.62 – $1,902.15 | 2 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,176.03 – $1,939.09 | 2 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $225.04 – $225.04 | 5 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $242.10 – $242.10 | 5 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,562.18 | $2,403.35 | $78.29 – $127.04 | 2 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,056.11 – $3,042.17 | 2 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $214.17 – $214.17 | 5 |
| Thoracic duct procedure CPT 38380 | not published | not published | $425.93 – $636.12 | 2 |
| Thoracic duct procedure CPT 38381 | not published | not published | $626.33 – $887.93 | 2 |
| Thoracic duct procedure CPT 38382 | not published | not published | $546.25 – $744.88 | 2 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $6,393.71 – $6,393.71 | 5 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | $10,282.70 | $15,819.54 | $158.17 – $237.79 | 2 |
| Thoracic pad HCPCS L1060 | not published | not published | $109.90 – $109.90 | 5 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,665.45 – $4,007.77 | 2 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $946.49 – $1,352.85 | 2 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,216.23 – $1,770.50 | 2 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $11,803.64 | $18,159.45 | $233.90 – $340.75 | 2 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,156.89 – $1,684.54 | 2 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $158.17 – $238.17 | 2 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,345.24 – $1,955.28 | 2 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $843.51 – $1,208.86 | 2 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,027.61 – $1,482.91 | 2 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $817.64 – $1,171.60 | 2 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $742.88 – $1,054.94 | 2 |
| Thoracoscopy surgical 32650 CPT 32650 | $3,409.02 | $5,244.65 | $528.32 – $735.69 | 2 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $916.00 – $1,282.34 | 2 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $662.09 – $935.11 | 2 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,272.90 – $1,834.23 | 2 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $347.32 – $510.47 | 2 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $361.33 – $530.82 | 2 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,069.07 – $1,545.76 | 2 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $698.26 – $985.42 | 2 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $625.91 – $877.72 | 2 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $632.22 – $884.02 | 2 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $581.41 – $807.86 | 2 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $564.19 – $786.41 | 2 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $933.34 – $1,340.02 | 2 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $680.54 – $960.89 | 2 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $114.73 – $173.31 | 2 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $115.01 – $173.31 | 2 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $628.62 – $858.37 | 2 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $590.58 – $797.83 | 2 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $729.70 – $1,022.38 | 2 |
| Thoracotomy w/expl CPT 32100 | $3,529.88 | $5,430.59 | $630.78 – $894.84 | 2 |
| Thoracotomy with cardiac massage CPT 32160 | not published | not published | $627.26 – $879.82 | 2 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,008.97 – $1,392.80 | 2 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $154.32 – $239.30 | 2 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $194.79 – $286.05 | 2 |
| Thor rib belt custom fabrica HCPCS L0220 | not published | not published | $177.38 – $177.38 | 5 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $234.58 – $340.35 | 2 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $286.17 – $417.58 | 2 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $812.30 | $1,249.69 | $209.77 – $333.55 | 3 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $62.11 – $83.26 | 3 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | not published | $66.20 – $211.96 | 2 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $9,623.59 | $14,805.52 | $264.45 – $420.62 | 2 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $15,408.82 | $23,705.87 | $318.64 – $504.60 | 2 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $19,656.21 | $30,240.33 | $367.70 – $582.28 | 2 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $829.63 – $1,251.59 | 2 |
| Thrombin time CPT 85670 | $20.87 | $32.11 | $3.85 – $12.04 | 10 |
| Thrombin time titer CPT 85675 | not published | not published | $4.57 – $8.22 | 8 |
| Thromboendarterectomy common femoral CPT 35371 | $11,729.85 | $18,045.93 | $598.92 – $905.18 | 2 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $668.71 – $988.04 | 2 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $946.40 – $1,416.17 | 2 |
| Thromboendarterectomy sfa CPT 35302 | $11,729.85 | $18,045.93 | $819.42 – $1,240.95 | 2 |
| Thrombomodulin CPT 85337 | not published | not published | $11.05 – $31.10 | 10 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $5.95 – $17.30 | 10 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $23.40 | $36.00 | $4.31 – $14.06 | 10 |
| Thromboxane urine CPT 84431 | not published | not published | $10.03 – $42.13 | 8 |
| Thumb fusion with graft CPT 26820 | not published | not published | $664.44 – $879.48 | 2 |
| Thumb fusion with graft CPT 26842 | not published | not published | $666.06 – $882.24 | 2 |
| Thumb tendon transfer CPT 26510 | not published | not published | $513.14 – $680.05 | 2 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | not published | not published | $787.09 – $787.09 | 5 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | not published | not published | $1,612.22 – $1,612.22 | 5 |
| Th/wght bear quad-lat brim c HCPCS L2520 | not published | not published | $652.24 – $652.24 | 5 |
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $971.53 – $971.53 | 5 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,055.06 – $1,512.09 | 2 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $798.25 – $1,156.44 | 2 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $876.98 – $1,240.27 | 2 |
| Thyroglobulin antibody CPT 86800 | $57.57 | $88.57 | $10.61 – $30.33 | 10 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,003.16 – $1,520.75 | 2 |
| Thyroid imaging CPT 78013 | $812.30 | $1,249.69 | $121.77 – $195.51 | 3 |
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.