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 |
|---|---|---|---|---|
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $309.33 – $466.69 | 2 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $199.50 – $282.38 | 2 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | not published | not published | $2,131.07 – $3,024.24 | 2 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | not published | not published | $1,381.73 – $1,965.01 | 2 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,201.39 – $1,704.51 | 2 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | not published | not published | $1,256.74 – $1,724.79 | 2 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | not published | not published | $1,377.39 – $1,952.55 | 2 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $321.70 – $452.83 | 2 |
| Bx liver with other CPT 47001 | not published | not published | $74.91 – $115.37 | 2 |
| Bx muscle CPT 20200 | not published | not published | $73.09 – $104.30 | 2 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $105.78 – $148.56 | 2 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $175.75 – $245.41 | 2 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $5,900.14 | $9,077.14 | $116.26 – $168.53 | 2 |
| Bx pancreas pq ndl CPT 48102 | not published | not published | $169.56 – $274.80 | 2 |
| Bx pleura pq ndl CPT 32400 | $3,486.44 | $5,363.76 | $60.41 – $97.14 | 2 |
| Bx prostate trnsrctl u/s guid CPT 55707 | not published | not published | $112.63 – $112.63 | 1 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $168.41 – $423.90 | 2 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $298.84 – $401.64 | 2 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $120.53 – $186.95 | 2 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $456.34 | $702.06 | $20.80 – $35.70 | 2 |
| Bx skin punch ea sep/ addl les CPT 11105 | $248.53 | $382.35 | $17.60 – $29.67 | 2 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $248.53 | $382.35 | $14.71 – $25.35 | 2 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $120.12 – $180.93 | 2 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $150.31 – $221.92 | 2 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $535.13 – $777.72 | 2 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $303.71 – $397.25 | 2 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $117.08 – $177.28 | 2 |
| Bx spinal cord pq ndl CPT 62269 | $3,320.41 | $5,108.32 | $185.21 – $303.02 | 2 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $129.94 – $199.82 | 2 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,517.45 | $2,334.54 | $54.46 – $89.63 | 2 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $47.88 – $69.23 | 2 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,491.46 | $2,294.55 | $42.48 – $62.54 | 2 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $403.07 | $620.11 | $20.87 – $30.84 | 2 |
| Bypass graft/av fist patency CPT 35686 | not published | not published | $117.50 – $177.03 | 2 |
| Bypass graft patency/patch CPT 35685 | not published | not published | $144.42 – $219.57 | 2 |
| Bypass temp external fem-fem CPT 37799 | $10,599.52 | $16,306.96 | not published | 0 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $50.95 – $81.98 | 4 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $59.92 – $70.24 | 4 |
| C1 esterase inhibitor func - sendout CPT 86161 | $43.41 | $66.79 | $8.00 – $27.00 | 10 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $162.49 – $256.33 | 4 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $0.30 – $2.69 | 4 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $1,671.63 – $2,433.17 | 2 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $1,853.96 – $2,714.27 | 2 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $1,995.51 – $2,915.37 | 2 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $1,425.78 – $2,069.47 | 2 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $1,472.19 – $2,140.51 | 2 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $386.97 – $582.50 | 2 |
| Cabg vein five CPT 33514 | not published | not published | $1,990.89 – $2,898.48 | 2 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $1,617.81 – $2,350.65 | 2 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $1,831.92 – $2,675.75 | 2 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $1,869.29 – $2,754.07 | 2 |
| Cabg vein six or more CPT 33516 | not published | not published | $2,061.98 – $2,992.71 | 2 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $138.06 – $206.91 | 2 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $302.91 – $455.84 | 2 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $400.41 – $602.91 | 2 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $480.78 – $723.18 | 2 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $539.34 – $812.06 | 2 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $614.00 – $917.60 | 2 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $71.71 | $110.33 | $23.13 – $24.96 | 4 |
| Cacna1a gen detc abnor allel CPT 81184 | $346.90 | $533.70 | $83.02 – $188.62 | 10 |
| Cacna1a gene full gene seq CPT 81185 | $1,761.62 | $2,710.18 | $512.84 – $1,015.52 | 8 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $94.17 – $222.24 | 10 |
| Cadd pump refill CPT 96521 | $50.00 | $76.92 | $117.15 – $160.47 | 3 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $1.00 – $1.36 | 3 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $76.53 – $85.79 | 4 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $848.00 – $3,757.20 | 3 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $53.55 – $180.83 | 10 |
| Calcium 24 hour urine CPT 82340 | $21.81 | $33.56 | $4.02 – $13.57 | 10 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $0.02 | $0.03 | $0.02 – $0.07 | 2 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | not published | not published | $0.03 – $0.03 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $15.75 | $24.23 | $0.03 – $0.05 | 3 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.05 – $0.09 | 3 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $8.99 – $8.99 | 1 |
| Calcium infusion test CPT 82331 | not published | not published | $5.49 – $16.01 | 8 |
| Calcium ionized CPT 82330 | $49.48 | $76.12 | $5.08 – $16.42 | 10 |
| Calcium total CPT 82310 | $18.67 | $28.73 | $3.43 – $11.43 | 10 |
| Calculi urinary-sendout CPT 82360 | $46.58 | $71.66 | $8.59 – $28.96 | 10 |
| Calculus analysis qual CPT 82355 | not published | not published | $7.72 – $26.06 | 10 |
| Caloric vestibular test CPT 92533 | not published | not published | $14.88 – $14.88 | 1 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $4.51 – $8.07 | 3 |
| Calprotectin fecal CPT 83993 | $71.06 | $109.32 | $11.39 – $25.63 | 10 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $30.16 – $45.56 | 2 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $72.05 – $72.05 | 5 |
| Campylobacter antibody CPT 86625 | $47.49 | $73.06 | $8.11 – $18.25 | 10 |
| Canakinumab injection HCPCS J0638 | not published | not published | $101.33 – $156.54 | 4 |
| Candida dna CPT 87480 | $72.57 | $111.65 | $13.36 – $31.70 | 10 |
| Candida dna quant CPT 87482 | not published | not published | $20.87 – $66.89 | 8 |
| Candida skin test CPT 86485 | not published | not published | $20.28 – $20.28 | 1 |
| Cannabinoids synthetic 1-3 CPT 80350 | $65.23 | $100.35 | $5.05 – $11.36 | 3 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | $5.05 – $11.36 | 3 |
| Cannabinoid synthetic 7/more CPT 80352 | $42.54 | $65.45 | $5.05 – $11.36 | 3 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $99.89 – $153.20 | 2 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $163.41 | $251.40 | not published | 0 |
| Cannula nasal HCPCS A4615 | not published | not published | $1.04 – $1.04 | 5 |
| Cantharidin top, applicator HCPCS J7354 | $1,352.27 | $2,080.42 | $656.50 – $695.21 | 3 |
| Canthotomy 67715 CPT 67715 | not published | not published | $84.00 – $126.28 | 2 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.04 – $0.08 | 3 |
| Capsaicin 8% patch HCPCS J7336 | $7.03 | $10.82 | $3.18 – $3.73 | 4 |
| Capsular contracture release CPT 23020 | not published | not published | $531.14 – $767.49 | 2 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $769.42 – $1,126.03 | 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.