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 |
|---|---|---|---|---|
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $112.42 – $185.80 | 2 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $497.48 – $723.58 | 2 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $584.09 – $856.78 | 2 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $675.63 – $956.99 | 2 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $754.73 – $1,084.13 | 2 |
| Treatment of ankle fracture 27786 CPT 27786 | $529.65 | $814.84 | $240.26 – $317.81 | 2 |
| Treatment of choroid lesion CPT 67220 | not published | not published | $355.07 – $586.51 | 2 |
| Treatment of corneal lesion CPT 65450 | not published | not published | $239.05 – $376.87 | 2 |
| Treatment of eyelid lesions CPT 68040 | not published | not published | $33.39 – $58.61 | 2 |
| Treatment of fibula fracture CPT 27784 | not published | not published | $550.21 – $796.53 | 2 |
| Treatment of fibula fracture 27780 CPT 27780 | not published | not published | $243.41 – $310.30 | 2 |
| Treatment of foot infection CPT 28002 | $3,251.90 | $5,002.93 | $106.10 – $362.64 | 2 |
| Treatment of foot infection CPT 28003 | $6,055.06 | $9,315.47 | $192.13 – $633.62 | 2 |
| Treatment of head injury 62010 CPT 62010 | not published | not published | $1,207.48 – $1,665.11 | 2 |
| Treatment of heel fracture 28400 CPT 28400 | not published | not published | $191.90 – $254.14 | 2 |
| Treatment of miscarriage CPT 59821 | $6,164.57 | $9,483.95 | $276.91 – $364.24 | 2 |
| Treatment of mouth lesion physical 40820 CPT 40820 | not published | not published | $126.07 – $191.33 | 2 |
| Treatment of penis lesion CPT 54110 | not published | not published | $470.10 – $709.61 | 2 |
| Treatment of penis lesion CPT 54115 | not published | not published | $327.14 – $482.36 | 2 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $31.11 – $51.40 | 2 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $408.22 – $678.09 | 2 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $355.27 – $586.51 | 2 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $960.94 – $1,628.30 | 2 |
| Treatment of thigh fracture CPT 27501 | not published | not published | $391.53 – $553.29 | 2 |
| Treatment of thigh fracture CPT 27503 | not published | not published | $612.22 – $890.08 | 2 |
| Treatment of thigh fracture CPT 27506 | not published | not published | $998.23 – $1,490.15 | 2 |
| Treatment of thigh fracture CPT 27508 | $495.44 | $762.22 | $398.84 – $549.06 | 2 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $532.85 – $721.68 | 2 |
| Treatment of thigh fracture CPT 27510 | not published | not published | $548.21 – $760.04 | 2 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $735.06 – $1,110.54 | 2 |
| Treatment of thigh fracture CPT 27507 | not published | not published | $720.84 – $1,082.36 | 2 |
| Treatment of thigh fracture CPT 27513 | not published | not published | $903.21 – $1,381.74 | 2 |
| Treatment of thigh fracture CPT 27514 | not published | not published | $714.13 – $1,078.03 | 2 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $460.74 – $642.93 | 2 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $680.18 – $994.06 | 2 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $749.33 – $1,112.45 | 2 |
| Treatment of toe fracture 28510 CPT 28510 | not published | not published | $102.63 – $134.40 | 2 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $343.61 – $513.35 | 2 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $136.53 – $203.95 | 2 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $140.34 – $211.26 | 2 |
| Treatment radiation delivery level 2 CPT 77407 | $545.14 | $838.67 | $252.81 – $273.03 | 3 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $211.05 – $360.38 | 2 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $379.49 – $532.05 | 2 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $447.99 – $640.25 | 2 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $317.96 – $405.05 | 2 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $446.06 – $613.27 | 2 |
| Treat midfoot fracture each CPT 28455 | not published | not published | $183.34 – $290.48 | 2 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $508.88 – $708.92 | 2 |
| Treat neck spine fracture CPT 22326 | not published | not published | $1,180.44 – $1,637.16 | 2 |
| Treat odontoid fx w/graft CPT 22319 | not published | not published | $1,440.16 – $1,970.46 | 2 |
| Treat odontoid fx without graft CPT 22318 | not published | not published | $1,295.49 – $1,782.16 | 2 |
| Treat pelvic fracture(s) CPT 27215 | not published | not published | $701.24 – $701.24 | 1 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $1,038.32 – $1,038.32 | 1 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $976.12 – $976.12 | 1 |
| Treat pelvic ring fracture CPT 27218 | not published | not published | $1,342.26 – $1,342.26 | 1 |
| Treat penis lesion graft CPT 54111 | not published | not published | $596.04 – $909.20 | 2 |
| Treat penis lesion graft CPT 54112 | not published | not published | $697.71 – $1,066.81 | 2 |
| Treat radius fracture CPT 24665 | not published | not published | $508.46 – $727.31 | 2 |
| Treat radius fracture CPT 24666 | not published | not published | $559.65 – $816.04 | 2 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $144.83 – $206.80 | 2 |
| Treat skull fracture CPT 62000 | not published | not published | $829.23 – $1,125.34 | 2 |
| Treat skull fracture CPT 62005 | not published | not published | $1,005.50 – $1,369.98 | 2 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $699.03 – $1,020.25 | 2 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $506.60 – $741.61 | 2 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $837.42 – $1,215.62 | 2 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $699.03 – $1,023.68 | 2 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $842.39 – $1,229.37 | 2 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $113.17 – $184.35 | 2 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $113.64 – $180.74 | 2 |
| Treat spine fracture CPT 22325 | not published | not published | $1,159.53 – $1,589.91 | 2 |
| Treat sternum fracture CPT 21820 | not published | not published | $137.94 – $159.33 | 2 |
| Treat tail bone fracture CPT 27202 | not published | not published | $405.38 – $586.71 | 2 |
| Treat thigh fracture CPT 27230 | $544.83 | $838.20 | $385.88 – $525.67 | 2 |
| Treat thigh fracture CPT 27235 | not published | not published | $682.79 – $1,011.88 | 2 |
| Treat thigh fracture CPT 27236 | not published | not published | $889.47 – $1,331.51 | 2 |
| Treat thigh fracture CPT 27238 | $3,188.88 | $4,905.97 | $373.33 – $513.45 | 2 |
| Treat thigh fracture CPT 27245 | not published | not published | $912.76 – $1,369.98 | 2 |
| Treat thigh fracture CPT 27246 | $494.49 | $760.75 | $307.96 – $429.09 | 2 |
| Treat thigh fracture CPT 27248 | not published | not published | $559.64 – $828.76 | 2 |
| Treat thigh fracture CPT 27240 | not published | not published | $732.33 – $1,065.86 | 2 |
| Treat thigh fracture CPT 27244 | not published | not published | $914.94 – $1,370.60 | 2 |
| Treat thigh fx growth plate CPT 27516 | $494.49 | $760.75 | $389.75 – $531.45 | 2 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $533.32 – $759.28 | 2 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $661.61 – $992.74 | 2 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,206.18 – $1,657.85 | 2 |
| Treat thumb fracture CPT 26650 | not published | not published | $384.62 – $532.57 | 2 |
| Treat thumb fracture CPT 26665 | not published | not published | $473.84 – $696.97 | 2 |
| Treat toe dislocation CPT 28636 | not published | not published | $177.48 – $229.13 | 2 |
| Treat toe dislocation CPT 28665 | not published | not published | $99.37 – $145.67 | 2 |
| Treat toe dislocation CPT 28666 | not published | not published | $136.22 – $183.59 | 2 |
| Treat toe fracture CPT 28525 | not published | not published | $318.16 – $452.64 | 2 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $716.55 – $960.82 | 2 |
| Treat trigeminal tract CPT 61791 | not published | not published | $897.10 – $1,227.85 | 2 |
| Treat ulnar fracture CPT 24675 | $3,583.27 | $5,512.73 | $345.73 – $462.33 | 2 |
| Treat ulnar fracture CPT 24685 | not published | not published | $508.26 – $727.78 | 2 |
| Treat vaginal bleeding CPT 57180 | $436.34 | $671.29 | $87.69 – $121.97 | 2 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $345.38 – $462.26 | 2 |
| Treat wrist dislocation CPT 25675 | not published | not published | $398.61 – $442.27 | 2 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $138.24 – $146.89 | 3 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $8.12 – $14.62 | 8 |
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.