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 |
|---|---|---|---|---|
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $108.20 – $176.56 | 2 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.15 – $0.60 | 4 |
| Bk/ak locking mechanism HCPCS L5671 | $950.66 | $1,462.55 | $608.96 – $608.96 | 5 |
| Bk back check HCPCS L5686 | not published | not published | $83.40 – $83.40 | 5 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $976.81 – $976.81 | 5 |
| Bk fork strap HCPCS L5684 | not published | not published | $60.51 – $60.51 | 5 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $48.61 – $48.61 | 5 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $603.62 – $603.62 | 5 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $443.63 – $443.63 | 5 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $128.87 – $128.87 | 5 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $343.70 – $343.70 | 5 |
| Bk mold socket sach ft endo HCPCS L5301 | $4,388.11 | $6,750.94 | $2,810.90 – $2,810.90 | 5 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $365.06 – $365.06 | 5 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $798.12 – $798.12 | 5 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $477.19 – $477.19 | 5 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $126.76 – $126.76 | 5 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $99.71 – $99.71 | 5 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $94.77 – $114.75 | 3 |
| Bladder Catheter Insertion (simple) CPT 51702 | $255.27 | $392.72 | $18.77 – $28.79 | 2 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $223.29 | $343.52 | $21.64 – $34.32 | 2 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $12.71 – $12.71 | 5 |
| Bld exchange truj oth thn nb CPT 36455 | $836.56 | $1,287.01 | $92.54 – $140.32 | 2 |
| Bld prd mix CPT 86965 | $599.07 | $921.65 | $9.52 – $15.12 | 2 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $35.40 – $58.09 | 2 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $21.56 – $53.80 | 4 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $373.49 – $570.60 | 2 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $293.61 – $436.39 | 2 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $398.92 – $611.22 | 2 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $400.11 – $611.12 | 2 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $91.47 – $172.90 | 4 |
| Blink reflex test CPT 95933 | not published | not published | $43.77 – $55.52 | 3 |
| Blm gene CPT 81209 | not published | not published | $23.82 – $47.17 | 8 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $13,650.00 | $21,000.00 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,510.00 | $5,400.00 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $14.86 – $14.86 | 5 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $2,053.63 | $3,159.43 | $60.68 – $75.68 | 2 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $2,053.63 | $3,159.43 | $56.76 – $71.39 | 2 |
| Block paracervical nrv CPT 64435 | $1,276.42 | $1,963.73 | $31.78 – $50.70 | 2 |
| Block plantar digital nerve CPT 64455 | not published | not published | $25.11 – $39.56 | 2 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $47.51 – $80.24 | 2 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $40.61 – $64.00 | 2 |
| Blood clot lysis time CPT 85175 | not published | not published | $4.25 – $24.44 | 8 |
| Blood clot retraction CPT 85170 | not published | not published | $4.80 – $19.56 | 8 |
| Blood Clotting (PT/INR) Test CPT 85610 | $14.21 | $21.86 | $2.86 – $8.89 | 10 |
| Blood Clotting (PTT) Test CPT 85730 | $21.75 | $33.46 | $4.01 – $13.52 | 10 |
| Blood Count (CBC) Test CPT 85025 | $28.12 | $43.26 | $3.20 – $9.32 | 10 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $23.40 | $36.00 | $3.01 – $7.76 | 10 |
| Blood count spun microhematocrit CPT 85013 | $20.51 | $31.56 | $2.02 – $8.40 | 10 |
| Blood Culture Test CPT 87040 | $37.35 | $57.46 | $6.88 – $18.52 | 10 |
| Blood draw capillary 36416 CPT 36416 | $74.46 | $114.55 | $3.43 – $3.43 | 1 |
| Blood Draw (Venipuncture) CPT 36415 | $22.86 | $35.17 | $2.00 – $11.21 | 8 |
| Blood gases o2 saturation direct measurement CPT 82805 | $230.91 | $355.24 | $23.69 – $94.52 | 10 |
| Blood gases ph venous CPT 82800 | $32.25 | $49.62 | $7.33 – $13.20 | 8 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $159.09 – $159.09 | 1 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $3.30 – $5.94 | 8 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.57 | $88.57 | $3.43 – $19.10 | 10 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $12.40 | $19.08 | $2.82 – $5.08 | 8 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $12.84 | $19.75 | $2.92 – $7.72 | 10 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $15.60 | $24.00 | $3.55 – $6.38 | 8 |
| Blood smear interpretation CPT 85060 | $72.19 | $111.06 | $15.54 – $45.94 | 5 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $12.43 | $19.12 | $1.44 – $4.56 | 10 |
| Blood split unit HCPCS P9011 | $302.91 | $466.01 | $70.69 – $70.69 | 1 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $3.00 – $5.94 | 8 |
| Blood Transfusion CPT 36430 | $798.20 | $1,228.00 | $38.54 – $39.39 | 2 |
| Blood typing abo CPT 86900 | $249.07 | $383.19 | $1.99 – $6.73 | 10 |
| Blood typing ag donor ea ag CPT 86902 | $595.91 | $916.79 | $2.91 – $7.62 | 8 |
| Blood typing antigen system CPT 86911 | not published | not published | $7.87 – $7.87 | 1 |
| Blood typing paternity test CPT 86910 | not published | not published | $27.68 – $27.68 | 1 |
| Blood typing patient serum CPT 86904 | $74.42 | $114.50 | $10.89 – $19.61 | 8 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $74.42 | $114.50 | $2.56 – $8.62 | 10 |
| Blood typing rh (d) CPT 86901 | $249.07 | $383.19 | $1.99 – $6.73 | 10 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $5.17 – $9.30 | 8 |
| Blood volume CPT 78122 | not published | not published | $65.48 – $85.55 | 3 |
| Bls-emergency HCPCS A0429 | not published | not published | $418.85 – $418.85 | 1 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $2,559.37 – $2,559.37 | 5 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $275.16 | $423.33 | $13.30 – $17.52 | 3 |
| Bone biopsy open superficial CPT 20240 | $5,893.86 | $9,067.48 | $104.95 – $164.97 | 2 |
| Bone Density Scan (DEXA) CPT 77080 | $275.16 | $423.33 | $24.49 – $49.84 | 3 |
| Bone imaging (3d) CPT 78320 | not published | not published | $182.17 – $182.17 | 1 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $166.99 – $269.28 | 3 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $136.91 – $224.15 | 3 |
| Bone marrow;aspiration only 38220 CPT 38220 | $3,486.44 | $5,363.76 | $46.34 – $77.82 | 2 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $49.42 – $75.00 | 2 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $3,486.44 | $5,363.76 | $48.22 – $79.38 | 2 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $141.96 – $229.86 | 2 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $130.78 – $223.60 | 2 |
| Bone marrow imaging body CPT 78104 | not published | not published | $151.17 – $235.71 | 3 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $108.05 – $161.16 | 3 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $115.15 – $205.27 | 3 |
| Bone marrow interpretation CPT 85097 | $791.50 | $1,217.69 | $15.99 – $57.66 | 5 |
| Bone mineral dual photon CPT 78351 | not published | not published | $10.05 – $17.50 | 2 |
| Bone mineral single photon CPT 78350 | not published | not published | $20.71 – $23.67 | 2 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,177.96 – $3,363.29 | 2 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,072.43 – $3,180.04 | 2 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,065.10 – $3,184.29 | 2 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $1,912.60 – $3,080.13 | 2 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $35.95 – $49.03 | 3 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $96.73 – $96.73 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $1.25 – $1.25 | 5 |
| Boot j walker l HCPCS L4386 | $296.89 | $456.75 | $190.16 – $190.16 | 5 |
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.