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 |
|---|---|---|---|---|
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $198.66 – $287.88 | 2 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $263.15 – $379.55 | 2 |
| Cap trach decann 15mm HCPCS C1750 | $1,130.69 | $1,739.53 | not published | 0 |
| Carbamazepine free CPT 80157 | $47.96 | $73.79 | $8.83 – $23.87 | 10 |
| Carbamazepine free -sendout CPT 80161 | $49.56 | $76.25 | $10.61 – $23.87 | 10 |
| Carbamazepine total therapeutic drug level CPT 80156 | $52.71 | $81.09 | $9.71 – $23.87 | 10 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $1.94 – $253.11 | 4 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $5.25 – $21.67 | 10 |
| Carbohydrate urine - sendout CPT 84377 | $15.36 | $23.63 | $3.67 – $12.38 | 10 |
| Carbon dioxide CPT 82374 | $17.67 | $27.19 | $3.25 – $10.98 | 10 |
| Carbon graphite lamination HCPCS L2755 | not published | not published | $156.68 – $156.68 | 5 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $2.93 – $9.90 | 4 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | not published | not published | $31.80 – $31.80 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $44.59 | $68.60 | $8.21 – $25.00 | 10 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $1,058.06 – $1,058.06 | 1 |
| Carcinoembryonic ag (cea) CPT 82378 | $407.82 | $627.42 | $12.63 – $42.66 | 10 |
| Cardiac drug stress test CPT 93024 | not published | not published | $49.73 – $66.41 | 3 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $199.88 – $370.99 | 3 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $261.75 – $415.75 | 3 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $177.30 – $287.09 | 3 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,384.04 | $3,667.76 | $202.40 – $306.21 | 3 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $365.87 | $562.87 | $10.09 – $18.12 | 2 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $365.87 | $562.87 | $6.47 – $11.38 | 2 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $110.78 – $164.29 | 3 |
| Cardiac Stress Test CPT 93015 | not published | not published | $60.80 – $123.72 | 3 |
| Cardioassist external CPT 92971 | not published | not published | $71.07 – $120.27 | 2 |
| Cardioassist internal CPT 92970 | not published | not published | $132.26 – $226.02 | 2 |
| Cardiokymography HCPCS Q0035 | not published | not published | $7.73 – $13.41 | 3 |
| Cardiolipin antibody iga CPT 86147 | $92.10 | $141.69 | $7.90 – $30.54 | 10 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $1,343.43 – $3,888.00 | 10 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $175.13 – $296.01 | 2 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,353.13 | $2,081.74 | $79.23 – $132.44 | 2 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $27.84 – $56.65 | 3 |
| Caregiver health risk assmt CPT 96161 | $83.12 | $127.88 | $2.73 – $3.94 | 2 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $38.11 | $58.63 | $33.84 – $51.94 | 2 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $18.64 | $28.67 | $17.97 – $25.91 | 2 |
| Care manage beh svs 20mins HCPCS G0323 | not published | not published | $31.89 – $48.38 | 2 |
| Care mgmt svc bhvl hlth cond CPT 99484 | $104.03 | $160.05 | $32.57 – $58.77 | 2 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $33.97 – $60.29 | 4 |
| Carinal reconstruction CPT 31766 | not published | not published | $1,352.56 – $1,964.64 | 2 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $389.75 – $701.88 | 8 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $389.75 – $701.88 | 8 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $145.60 – $1,186.82 | 4 |
| Carotene CPT 82380 | $33.39 | $51.37 | $6.14 – $11.06 | 8 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $666.26 | $1,025.02 | $123.68 – $206.58 | 3 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $72.98 – $72.98 | 1 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $345.69 – $476.51 | 2 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $17.12 – $28.69 | 2 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | not published | $5.90 – $10.01 | 2 |
| Car-t admn autologous CPT 38228 | not published | not published | $125.41 – $167.14 | 2 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $91.82 – $91.82 | 1 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $37.13 – $37.13 | 1 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $37.46 – $37.46 | 1 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $44.06 – $56.50 | 2 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $2.88 – $11.75 | 4 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $3.56 – $3.56 | 5 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | $19.93 | $30.66 | $17.19 – $18.48 | 6 |
| Cast sup lng arm splint plst HCPCS Q4017 | $12.51 | $19.24 | $10.79 – $11.60 | 6 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | $11.20 | $17.23 | $8.61 – $9.28 | 6 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | not published | not published | $5.40 – $5.80 | 6 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | not published | not published | $45.03 – $48.46 | 6 |
| Cast sup lng leg ped plaster HCPCS Q4031 | not published | not published | $17.09 – $18.39 | 6 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | $52.52 | $80.80 | $40.41 – $43.49 | 6 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | $23.45 | $36.08 | $20.22 – $21.78 | 6 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | not published | not published | $11.84 – $12.74 | 6 |
| Cast sup long arm adult fbrg HCPCS Q4006 | not published | not published | $34.57 – $37.20 | 6 |
| Cast sup long arm adult plst HCPCS Q4005 | $17.80 | $27.38 | $15.34 – $16.51 | 6 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | not published | not published | $17.29 – $18.59 | 6 |
| Cast sup long arm ped plster HCPCS Q4007 | not published | not published | $7.67 – $8.25 | 6 |
| Cast sup long leg fiberglass HCPCS Q4030 | $155.43 | $239.13 | $90.04 – $96.92 | 6 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | not published | not published | $24.38 – $26.23 | 6 |
| Cast sup shrt leg ped plster HCPCS Q4039 | $11.32 | $17.41 | $9.77 – $10.50 | 6 |
| Cast sup shrt leg plaster HCPCS Q4037 | $35.02 | $53.88 | $19.44 – $20.92 | 6 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | $26.74 | $41.14 | $23.05 – $24.80 | 6 |
| Cast sup sht arm adult plstr HCPCS Q4009 | $11.89 | $18.29 | $10.25 – $11.03 | 6 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | $15.01 | $23.09 | $11.55 – $12.43 | 6 |
| Cast sup sht arm ped plaster HCPCS Q4011 | not published | not published | $5.11 – $5.50 | 6 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | $16.69 | $25.68 | $14.39 – $15.50 | 6 |
| Cast sup sht arm splint plst HCPCS Q4021 | not published | not published | $7.99 – $8.59 | 6 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | not published | not published | $7.22 – $7.76 | 6 |
| Cast sup sht arm splnt ped p HCPCS Q4023 | $4.65 | $7.16 | $4.01 – $4.31 | 6 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | $38.12 | $58.65 | $22.09 – $23.79 | 6 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | $12.82 | $19.72 | $11.06 – $11.90 | 6 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | not published | not published | $6.83 – $7.36 | 6 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | not published | not published | $13.75 – $14.79 | 6 |
| Cataract Surgery CPT 66984 | not published | not published | $384.41 – $682.80 | 2 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $873.56 – $873.56 | 1 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $18.20 – $41.80 | 10 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $833.14 | $1,281.76 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $1,053.00 | $1,620.00 | $30.70 – $30.70 | 1 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $5,538.00 | $8,520.00 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $658.93 – $1,096.58 | 3 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $22.81 – $22.81 | 5 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $965.15 | $1,484.85 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $195.13 | $300.20 | not published | 0 |
| Catheter declot mechanical CPT 36596 | $1,929.15 | $2,967.92 | $33.83 – $50.04 | 2 |
| Catheter insert artery CPT 36625 | not published | not published | $78.66 – $118.57 | 2 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $8.79 | $13.53 | $2.00 – $11.21 | 8 |
| Catheter stripping venous CPT 36595 | not published | not published | $130.85 – $208.56 | 2 |
| Catheter w/bag 3-way HCPCS A4313 | not published | not published | $26.40 – $26.40 | 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.