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 |
|---|---|---|---|---|
| Treponema pallidum antibody CPT 86780 | $47.89 | $73.68 | $8.83 – $28.71 | 10 |
| Treprostinil injection HCPCS J3285 | not published | not published | $54.48 – $72.58 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $557.08 – $854.12 | 4 |
| Trg gene rearrangement anal CPT 81342 | $729.18 | $1,121.81 | $96.60 – $241.80 | 8 |
| Trh stimulation panel CPT 80439 | not published | not published | $44.79 – $80.65 | 8 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $4.76 | $7.33 | $0.74 – $2.90 | 4 |
| Triamcinolone a inj prs-free HCPCS J3300 | $0.46 | $0.71 | $4.13 – $24.49 | 4 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.22 – $0.22 | 1 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $2.00 – $9.75 | 2 |
| Trichinella antibody CPT 86784 | $45.47 | $69.95 | $8.11 – $18.25 | 10 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $3.79 – $18.35 | 10 |
| #tricyclicantidprssnt CPT 80337 | $134.34 | $206.68 | $5.05 – $11.36 | 3 |
| Triglycerides CPT 84478 | $20.78 | $31.97 | $3.83 – $11.43 | 10 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.39 – $5.87 | 4 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $0.28 – $0.28 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $26.10 – $62.94 | 4 |
| Trim nail(s) HCPCS G0127 | not published | not published | $5.63 – $10.49 | 2 |
| Trim nondyst nails CPT 11719 | $146.22 | $224.95 | $5.63 – $8.80 | 2 |
| Triptorelin pamoate HCPCS J3315 | $1,235.12 | $1,900.18 | $262.87 – $975.89 | 4 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $448.09 – $1,112.76 | 2 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $514.73 – $1,165.68 | 2 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $302.89 – $464.76 | 2 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $139.23 – $217.46 | 2 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $379.38 – $532.92 | 2 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $18,071.58 | $27,802.43 | $1,144.62 – $1,144.62 | 1 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $718.78 – $1,114.48 | 2 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $601.33 – $909.69 | 2 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $152.21 – $237.36 | 2 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $107.50 – $169.87 | 2 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $15,408.82 | $23,705.87 | $220.97 – $342.09 | 2 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $217.06 – $341.55 | 2 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $276.64 – $434.08 | 2 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $165.99 – $263.55 | 2 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $87.75 – $138.77 | 2 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $241.63 – $381.29 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $630.87 – $980.94 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $149.81 – $245.66 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $473.88 – $752.75 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $577.51 – $930.06 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $511.07 – $800.93 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $492.47 – $724.82 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $381.32 – $557.89 | 2 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $388.28 – $768.88 | 8 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $2,106.00 – $3,888.00 | 8 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $829.43 – $1,174.37 | 2 |
| Troponin quantitative CPT 84484 | $36.55 | $56.23 | $7.09 – $18.29 | 10 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $806.27 – $1,369.35 | 2 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $292.24 – $427.18 | 2 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $102.80 – $120.94 | 2 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $65.44 – $65.44 | 5 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $60.44 – $60.44 | 5 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $216.21 – $216.21 | 5 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $103.28 – $103.28 | 5 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,320.81 | $2,032.01 | $267.34 – $267.34 | 1 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $237.14 – $237.14 | 1 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $275.34 – $275.34 | 1 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $183.19 – $183.19 | 1 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $273.10 – $392.68 | 2 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $16.12 – $16.12 | 5 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $67.04 – $67.04 | 5 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $9.34 – $9.34 | 5 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $276.41 | $425.25 | $67.66 – $67.66 | 5 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.08 – $0.08 | 5 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.62 – $1.62 | 5 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $84.23 – $84.23 | 1 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $830.33 – $1,220.18 | 2 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $771.40 – $1,131.25 | 2 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $650.45 – $650.45 | 5 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $655.09 – $1,424.87 | 2 |
| Tx closed hip disl traumatic without anes CPT 27250 | $529.65 | $814.84 | $141.68 – $201.19 | 2 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $453.73 – $641.19 | 2 |
| Tx closed tib shaft fx without manip CPT 27750 | $580.85 | $893.61 | $272.52 – $353.62 | 2 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $78.69 – $124.58 | 2 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $50.93 – $76.95 | 2 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $684.03 – $920.58 | 2 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $648.41 – $873.16 | 2 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $211.81 – $539.51 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $563.23 – $826.99 | 2 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $6,055.06 | $9,315.47 | $397.84 – $557.72 | 2 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $5,940.88 | $9,139.81 | $428.81 – $608.96 | 2 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $339.50 – $516.06 | 2 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $478.99 – $716.84 | 2 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $461.63 – $662.86 | 2 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $337.09 – $448.57 | 2 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $654.26 | $1,006.56 | $159.68 – $213.74 | 2 |
| Tympanic membrane repair CPT 69610 | not published | not published | $205.71 – $322.65 | 2 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $408.28 – $603.71 | 2 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $18.17 – $24.71 | 2 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $98.40 – $146.25 | 2 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,055.50 – $1,553.01 | 2 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $963.22 – $1,378.06 | 2 |
| Tyms gene com variants CPT 81346 | not published | not published | $105.93 – $209.77 | 8 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $28.00 – $113.40 | 2 |
| U2af1 gene common variants CPT 81357 | not published | not published | $117.11 – $263.50 | 10 |
| Ua w/micro/comp poc CPT 81000 | $11.78 | $18.13 | $2.68 – $9.00 | 10 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.66 – $72.24 | 3 |
| Ue triple control harness HCPCS L6677 | not published | not published | $356.52 – $356.52 | 5 |
| Ugt1a1 gene analy common variants CPT 81350 | $685.93 | $1,055.27 | $49.76 – $280.80 | 8 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $4.02 – $7.23 | 3 |
| Ultrasound breast complete CPT 76641 | $323.71 | $498.02 | $54.23 – $77.15 | 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.