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 |
|---|---|---|---|---|
| Transurethral rf treatment CPT 53860 | not published | not published | $166.98 – $254.82 | 2 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $323.71 | $498.02 | $69.44 – $95.49 | 3 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $323.71 | $498.02 | $46.86 – $64.26 | 3 |
| Transvrs a-arch grf hypthrm CPT 33871 | not published | not published | $2,434.60 – $3,658.51 | 2 |
| Trapezius sling HCPCS L1070 | not published | not published | $103.41 – $103.41 | 5 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $70.24 – $124.67 | 4 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $51.44 – $108.81 | 3 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $8.21 – $96.89 | 3 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $4.54 – $4.54 | 5 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $28.23 – $59.51 | 8 |
| Treat ankle dislocation CPT 27842 | $3,413.24 | $5,251.14 | $400.90 – $545.55 | 2 |
| Treat ankle dislocation CPT 27846 | not published | not published | $552.34 – $803.48 | 2 |
| Treat ankle dislocation CPT 27848 | not published | not published | $603.91 – $891.41 | 2 |
| Treat ankle fracture CPT 28445 | not published | not published | $800.00 – $1,175.53 | 2 |
| Treat big toe fracture CPT 28505 | not published | not published | $388.17 – $561.64 | 2 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $385.55 – $569.78 | 2 |
| Treat chest lining CPT 32215 | not published | not published | $635.82 – $878.90 | 2 |
| Treat clavicle dislocation 23545 CPT 23545 | not published | not published | $347.11 – $347.25 | 2 |
| Treat each add spine fx CPT 22328 | not published | not published | $201.68 – $310.03 | 2 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $572.57 – $767.95 | 2 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $557.47 – $749.21 | 2 |
| Treat ectopic pregnancy CPT 59140 | not published | not published | $305.73 – $405.20 | 2 |
| Treat elbow dislocation CPT 24605 | not published | not published | $390.97 – $525.84 | 2 |
| Treat elbow dislocation CPT 24615 | not published | not published | $542.89 – $794.11 | 2 |
| Treat elbow fracture CPT 24586 | not published | not published | $808.11 – $1,206.92 | 2 |
| Treat elbow fracture CPT 24620 | not published | not published | $463.45 – $615.85 | 2 |
| Treat elbow fracture CPT 24635 | not published | not published | $522.83 – $750.14 | 2 |
| Treat eyelid by injection CPT 68200 | not published | not published | $24.15 – $40.84 | 2 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $93.34 – $157.69 | 2 |
| Treat finger fracture each CPT 26727 | not published | not published | $373.52 – $524.12 | 2 |
| Treat finger fracture each CPT 26742 | not published | not published | $278.25 – $371.67 | 2 |
| Treat foot bone lesion CPT 28005 | not published | not published | $443.30 – $655.72 | 2 |
| Treat foot dislocation CPT 28540 | not published | not published | $141.51 – $197.47 | 2 |
| Treat foot dislocation CPT 28545 | not published | not published | $226.39 – $292.99 | 2 |
| Treat foot dislocation CPT 28546 | not published | not published | $292.06 – $379.24 | 2 |
| Treat foot dislocation CPT 28570 | not published | not published | $167.40 – $213.43 | 2 |
| Treat foot dislocation CPT 28576 | not published | not published | $315.36 – $435.54 | 2 |
| Treat foot dislocation CPT 28600 | not published | not published | $130.69 – $209.19 | 2 |
| Treat foot dislocation CPT 28605 | not published | not published | $255.02 – $329.01 | 2 |
| Treat foot dislocation CPT 28606 | not published | not published | $316.87 – $437.32 | 2 |
| Treat fracture of radius CPT 25505 | $3,478.79 | $5,351.99 | $399.98 – $506.52 | 2 |
| Treat fracture of radius CPT 25520 | not published | not published | $434.31 – $596.41 | 2 |
| Treat fracture of ulna CPT 25535 | $544.83 | $838.20 | $370.15 – $503.47 | 2 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $986.35 – $1,418.16 | 2 |
| Treat hand bone lesion CPT 26034 | not published | not published | $430.13 – $605.24 | 2 |
| Treat hand dislocation CPT 26675 | not published | not published | $342.00 – $465.04 | 2 |
| Treat hand dislocation CPT 26685 | not published | not published | $438.88 – $639.36 | 2 |
| Treat hand dislocation CPT 26686 | not published | not published | $483.55 – $691.49 | 2 |
| Treat heel fracture CPT 28415 | not published | not published | $860.31 – $1,249.46 | 2 |
| Treat hip dislocation CPT 27252 | $2,923.29 | $4,497.37 | $585.67 – $842.37 | 2 |
| Treat hip dislocation CPT 27257 | not published | not published | $268.93 – $403.58 | 2 |
| Treat hip dislocation CPT 27258 | not published | not published | $831.47 – $1,235.56 | 2 |
| Treat hip dislocation CPT 27253 | not published | not published | $709.53 – $1,049.43 | 2 |
| Treat hip dislocation CPT 27254 | not published | not published | $943.92 – $1,408.22 | 2 |
| Treat hip dislocation CPT 27259 | not published | not published | $1,142.51 – $1,727.80 | 2 |
| Treat hip fracture(s) CPT 27227 | not published | not published | $1,215.05 – $1,849.73 | 2 |
| Treat hip fracture(s) CPT 27228 | not published | not published | $1,374.98 – $2,097.48 | 2 |
| Treat hip socket fracture CPT 27222 | not published | not published | $746.67 – $1,083.07 | 2 |
| Treat hip wall fracture CPT 27226 | not published | not published | $789.09 – $1,176.54 | 2 |
| Treat humerus fracture CPT 24515 | not published | not published | $671.30 – $976.70 | 2 |
| Treat humerus fracture CPT 24516 | not published | not published | $650.99 – $956.87 | 2 |
| Treat humerus fracture CPT 24535 | not published | not published | $460.97 – $631.15 | 2 |
| Treat humerus fracture CPT 24545 | not published | not published | $702.42 – $1,034.83 | 2 |
| Treat humerus fracture CPT 24546 | not published | not published | $778.69 – $1,157.21 | 2 |
| Treat humerus fracture CPT 24565 | not published | not published | $397.66 – $543.66 | 2 |
| Treat humerus fracture CPT 24575 | not published | not published | $567.44 – $815.00 | 2 |
| Treat humerus fracture CPT 24579 | not published | not published | $637.16 – $930.25 | 2 |
| Treat humerus fracture CPT 24582 | not published | not published | $638.95 – $901.38 | 2 |
| Treat kneecap dislocation CPT 27562 | $529.65 | $814.84 | $388.64 – $537.53 | 2 |
| Treat kneecap dislocation CPT 27566 | not published | not published | $674.52 – $992.17 | 2 |
| Treat kneecap fracture CPT 27524 | not published | not published | $575.61 – $836.86 | 2 |
| Treat knee dislocation CPT 27552 | not published | not published | $494.83 – $698.01 | 2 |
| Treat knee dislocation CPT 27556 | not published | not published | $651.53 – $975.43 | 2 |
| Treat knee dislocation CPT 27557 | not published | not published | $769.41 – $1,162.82 | 2 |
| Treat knee dislocation CPT 27558 | not published | not published | $870.72 – $1,324.76 | 2 |
| Treat knee fracture CPT 27535 | not published | not published | $665.37 – $1,000.33 | 2 |
| Treat knee fracture CPT 27536 | not published | not published | $890.06 – $1,323.69 | 2 |
| Treat knee fracture CPT 27540 | not published | not published | $622.30 – $905.77 | 2 |
| Treat knee fracture 27530 CPT 27530 | not published | not published | $245.81 – $312.51 | 2 |
| Treat knee fracture(s) CPT 27538 | not published | not published | $367.73 – $494.08 | 2 |
| Treat knuckle dislocation CPT 26705 | not published | not published | $323.59 – $424.40 | 2 |
| Treat knuckle dislocation CPT 26715 | not published | not published | $445.82 – $637.62 | 2 |
| Treat lower jaw fracture 21462 CPT 21462 | not published | not published | $908.06 – $1,246.61 | 2 |
| Treat lower leg bone lesion CPT 27607 | not published | not published | $463.72 – $680.57 | 2 |
| Treat lower leg dislocation CPT 27830 | not published | not published | $294.37 – $393.18 | 2 |
| Treat lower leg dislocation CPT 27831 | not published | not published | $328.62 – $447.57 | 2 |
| Treat lower leg dislocation CPT 27832 | not published | not published | $584.89 – $839.55 | 2 |
| Treat lower leg fracture CPT 27826 | not published | not published | $664.92 – $939.63 | 2 |
| Treat lower leg fracture CPT 27827 | not published | not published | $860.26 – $1,227.27 | 2 |
| Treat lower leg fracture CPT 27828 | not published | not published | $1,005.02 – $1,463.83 | 2 |
| Treat lower leg joint CPT 27829 | not published | not published | $550.62 – $775.10 | 2 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $630.74 – $917.83 | 2 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $10,599.52 | $16,306.96 | $791.72 – $1,168.41 | 2 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $569.84 – $818.24 | 2 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $224.91 – $298.51 | 2 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $255.27 | $392.72 | $50.89 – $71.64 | 2 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | not published | not published | $13.57 – $19.47 | 2 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $6,164.57 | $9,483.95 | $283.22 – $371.04 | 2 |
| Treatment mouth roof lesion CPT 42160 | not published | not published | $106.36 – $164.20 | 2 |
| Treatment of anal fissure CPT 46942 | not published | not published | $101.82 – $167.19 | 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.