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 |
|---|---|---|---|---|
| Breast reconstruction 19357 CPT 19357 | not published | not published | $877.99 – $1,339.69 | 2 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,276.95 – $1,992.19 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,131.48 – $1,755.01 | 2 |
| Breast reduction CPT 19318 | not published | not published | $802.36 – $1,225.87 | 2 |
| Breath hydrogen test 91065 CPT 91065 | $381.27 | $586.57 | $25.25 – $99.37 | 5 |
| Breathing response hypoxia CPT 94450 | not published | not published | $40.03 – $74.08 | 3 |
| Breath recording infant CPT 94772 | not published | not published | $110.00 – $110.00 | 1 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $81.19 – $113.29 | 8 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $9.51 – $13.27 | 8 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $136.86 – $279.21 | 4 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $489,450.20 – $510,103.92 | 3 |
| Brief alcohol misuse counsel HCPCS G0443 | not published | not published | $22.14 – $30.87 | 2 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $9.02 – $23.30 | 2 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $18.71 – $44.77 | 2 |
| Brief comunicaj tech-bsd svc CPT 98016 | $31.87 | $49.03 | $10.93 – $23.51 | 2 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.74 – $0.74 | 1 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $107.31 – $161.56 | 2 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $49.89 – $76.85 | 2 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $165.02 – $252.61 | 2 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $182.63 – $279.98 | 2 |
| Bronchial allergy tests CPT 95070 | not published | not published | $32.26 – $35.15 | 2 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $80.56 – $122.16 | 2 |
| Bronchial challenge CPT 94070 | $662.54 | $1,019.29 | $31.17 – $40.26 | 3 |
| Bronchial valve addl insert CPT 31651 | not published | not published | $55.99 – $84.63 | 2 |
| Bronchial valve init insert CPT 31647 | not published | not published | $154.30 – $238.37 | 2 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $51.51 – $77.08 | 2 |
| Bronchial valve remov init CPT 31648 | not published | not published | $147.53 – $227.35 | 2 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $162.53 – $249.55 | 2 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $110.86 – $166.45 | 2 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $146.56 – $224.14 | 2 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $165.89 – $257.47 | 2 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $36.07 – $55.99 | 2 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $132.25 – $200.71 | 2 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $46.84 – $72.54 | 2 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $140.24 – $212.88 | 2 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $182.44 – $283.43 | 2 |
| Bronchoscopy stent add-on CPT 31637 | not published | not published | $55.99 – $87.70 | 2 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $186.93 – $291.04 | 2 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $117.11 – $177.70 | 2 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | not published | not published | $131.58 – $199.42 | 2 |
| Bronchoscopy w/markers CPT 31626 | $12,246.23 | $18,840.35 | $147.80 – $224.88 | 2 |
| Bronchoscopy w/tumor excise CPT 31640 | $6,764.52 | $10,406.95 | $181.98 – $284.35 | 2 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $141.81 – $223.06 | 2 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $149.38 – $235.53 | 2 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $141.87 – $217.86 | 2 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $537.02 | $826.19 | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | not published | not published | $14.97 – $24.32 | 2 |
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $198.27 – $198.27 | 5 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | not published | not published | $1,545.09 – $2,453.29 | 2 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | not published | not published | $1,438.11 – $2,277.17 | 2 |
| Brst rcnstj free flap CPT 19364 | not published | not published | $1,939.21 – $3,073.95 | 2 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $6.24 – $6.24 | 5 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,028.03 – $1,429.89 | 2 |
| Btk gene common variants CPT 81233 | not published | not published | $106.29 – $239.15 | 10 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.29 – $0.36 | 3 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $6.25 – $6.25 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $1.05 – $4.19 | 4 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.36 – $0.57 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $450.57 | $693.19 | $13.31 – $85.23 | 5 |
| Bundled special stain group 2 CPT 88313 | $391.85 | $602.85 | $9.98 – $68.65 | 5 |
| Bundle his recording CPT 93600 | not published | not published | $80.09 – $105.78 | 2 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.01 | 2 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.80 – $1.00 | 2 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $4.23 – $6.76 | 2 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $1.19 – $3.38 | 2 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $1.73 – $6.76 | 2 |
| Buprenorphine and metabolite - sendout CPT 80348 | $215.21 | $331.09 | $5.05 – $11.36 | 3 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.29 – $5.45 | 4 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $0.50 – $0.65 | 3 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,925.23 – $2,275.05 | 5 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,925.23 – $2,275.05 | 5 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $13.80 – $19.10 | 3 |
| Bur hol/trph drg brn abs/cst CPT 61150 | not published | not published | $1,063.23 – $1,477.69 | 2 |
| Burr hol aspir hmtm/cst icer CPT 61156 | not published | not published | $974.04 – $1,356.75 | 2 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $617.57 – $812.91 | 2 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $265.52 – $401.31 | 2 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,010.19 – $1,376.92 | 2 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,025.46 – $1,384.97 | 2 |
| Burr hole treph ittl uni/bi CPT 61253 | not published | not published | $795.23 – $1,077.83 | 2 |
| Burr hole/treph sbsq tapping CPT 61151 | not published | not published | $795.23 – $1,085.16 | 2 |
| Burr hole/treph sttl expl CPT 61250 | not published | not published | $704.04 – $942.47 | 2 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.89 – $4.25 | 4 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $2.63 – $10.51 | 4 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $58.21 – $67.68 | 3 |
| Buttock fasciotomy CPT 27027 | not published | not published | $661.06 – $987.07 | 2 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $751.30 – $1,125.60 | 2 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $122.44 – $186.14 | 2 |
| Bx bone trocar/ndl deep CPT 20225 | $3,486.44 | $5,363.76 | $94.09 – $136.91 | 2 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $126.23 – $209.48 | 2 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,486.44 | $5,363.76 | $115.10 – $190.73 | 2 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $63.01 – $104.75 | 2 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $57.87 – $95.77 | 2 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $998.20 | $1,535.69 | $54.25 – $89.81 | 2 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $50.14 – $77.47 | 2 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $742.46 | $1,142.25 | $97.57 – $140.91 | 2 |
| Bx/exc idrl imed lesn cervl CPT 63285 | not published | not published | $2,004.37 – $2,849.27 | 2 |
| Bx/exc idrl imed lesn thrc CPT 63286 | not published | not published | $1,981.40 – $2,810.11 | 2 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | not published | not published | $2,096.83 – $2,977.53 | 2 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $1,640.36 – $2,304.10 | 2 |
| Bx/exc idrl spine lesn scrl CPT 63283 | not published | not published | $1,489.08 – $2,060.63 | 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.