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 |
|---|---|---|---|---|
| Catheter without bag 2-way latex HCPCS A4311 | not published | not published | $19.29 – $19.29 | 5 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $1.49 – $2.87 | 6 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $0.78 – $9.15 | 6 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $581.10 | $894.00 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $5,617.22 | $8,641.88 | not published | 0 |
| Cath indw foley 3 way HCPCS A4346 | not published | not published | $25.30 – $25.30 | 5 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $0.67 – $2.19 | 6 |
| Cath insertion tray w/bag HCPCS A4354 | not published | not published | $14.31 – $14.31 | 5 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $61.03 – $77.53 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $37.87 – $61.33 | 2 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $526.59 – $873.40 | 3 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $143.76 – $266.49 | 2 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $107.52 – $171.05 | 2 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,087.69 | $1,673.37 | not published | 0 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $45.25 – $45.25 | 5 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $112.17 – $176.95 | 2 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $112.70 – $193.63 | 2 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $757.03 – $1,285.55 | 3 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $645.57 – $1,078.91 | 3 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $695.98 – $1,172.93 | 3 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $590.85 – $943.27 | 3 |
| Cath right hrt mnpul art CPT 36013 | $252.39 | $388.29 | $92.38 – $138.19 | 2 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $91.08 | $140.13 | $42.81 – $59.90 | 2 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $123.14 – $195.76 | 2 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $135.30 – $225.78 | 3 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $3.20 – $3.20 | 5 |
| Cath w/drainage 2-way latex HCPCS A4314 | not published | not published | $34.76 – $34.76 | 5 |
| Cath w/drainage 2-way silcne HCPCS A4315 | not published | not published | $37.59 – $37.59 | 5 |
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $21.85 – $21.85 | 5 |
| Cauterization chemical granulation tissue CPT 17250 | $1,306.21 | $2,009.56 | $29.14 – $39.93 | 2 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $83.75 – $119.01 | 2 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $5.18 – $9.32 | 8 |
| CBC without platelet HCPCS G0307 | not published | not published | $4.31 – $7.76 | 8 |
| #cbg+cort-cbg CPT 84449 | $65.13 | $100.20 | $12.00 – $40.50 | 10 |
| Cciiv4 vacc abx free im CPT 90756 | $48.98 | $75.36 | $29.95 – $36.26 | 3 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $60.07 | $92.42 | $31.61 – $33.98 | 2 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $125.63 – $282.67 | 10 |
| Cdna analysis for variants CPT 81403 | $542.87 | $835.19 | $60.00 – $222.24 | 8 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $11.66 – $76.82 | 3 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $15.76 – $20.44 | 2 |
| Cebpa gene full sequence CPT 81218 | $875.41 | $1,346.78 | $199.68 – $449.30 | 10 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $0.49 | $0.76 | $0.80 – $2.16 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $3.00 | $4.62 | $1.20 – $3.54 | 4 |
| Cefotaxime sodium injection HCPCS J0698 | $5.32 | $8.19 | $3.45 – $11.76 | 3 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $11.62 – $12.64 | 2 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $7.29 | $11.21 | $4.28 – $7.66 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $2.49 – $6.67 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $2.96 | $4.56 | $1.44 – $2.56 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $68.40 – $109.77 | 4 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $4.56 – $4.56 | 1 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $0.90 | $1.39 | $0.40 – $1.64 | 4 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $2.01 – $3.59 | 4 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $46.24 – $113.69 | 8 |
| #celiac hla-dq8 CPT 81383 | $394.93 | $607.59 | $41.65 – $130.96 | 8 |
| Cell count body fluid CPT 89050 | $17.08 | $26.28 | $2.53 – $6.37 | 10 |
| Cell count w differential body fluid CPT 89051 | $19.93 | $30.66 | $2.83 – $6.72 | 10 |
| Cell cryopreserve/storage CPT 88240 | $38.31 | $58.94 | $8.72 – $15.68 | 8 |
| Cell enumeration & id CPT 86152 | $666.77 | $1,025.80 | $128.68 – $300.94 | 8 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $22.75 – $22.75 | 1 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $80.04 – $589.00 | 2 |
| Cell function assay w/stim CPT 86352 | $491.67 | $756.42 | $41.99 – $163.03 | 8 |
| Cell marker study CPT 88182 | $783.65 | $1,205.61 | $46.14 – $92.70 | 3 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $28.69 – $32.95 | 4 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $713.79 – $1,050.50 | 2 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $3,628.80 – $5,995.55 | 3 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $3.00 – $5.94 | 8 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $172.69 – $232.71 | 2 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $261.10 – $358.02 | 2 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $211.68 – $334.31 | 3 |
| Cerebrospinal fluid scan CPT 78647 | not published | not published | $286.49 – $286.49 | 1 |
| Cer post col occ/man sup adj HCPCS L0180 | $727.54 | $1,119.29 | $466.05 – $466.05 | 5 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.44 – $15.30 | 4 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $974.47 | $1,499.18 | $624.21 – $624.21 | 5 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $741.08 – $741.08 | 5 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $1,126.98 – $1,647.62 | 2 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $980.09 – $1,498.67 | 2 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $208.94 | $321.44 | $20.33 – $27.91 | 2 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $192.56 – $192.56 | 5 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $660.56 – $939.15 | 2 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $59.19 – $87.42 | 4 |
| #cf-97variants CPT 81220 | $1,631.55 | $2,510.08 | $328.25 – $738.56 | 10 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $263.65 – $522.08 | 8 |
| Cftr gene intron poly t CPT 81224 | $494.66 | $761.01 | $35.08 – $202.50 | 8 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $49.98 – $116.66 | 8 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,496.23 | $2,301.89 | $60.45 – $90.37 | 2 |
| Change cystostomy tube simple CPT 51705 | $223.29 | $343.52 | $38.89 – $58.94 | 2 |
| Change gastric port open CPT 43888 | not published | not published | $374.02 – $580.98 | 2 |
| Change g-tube to g-j perc CPT 49446 | $3,379.28 | $5,198.90 | $104.95 – $170.19 | 2 |
| Change nephroureteral cath CPT 50387 | $4,210.22 | $6,477.26 | $59.78 – $96.25 | 2 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $58.88 – $88.68 | 2 |
| Change of windpipe airway 31502 CPT 31502 | $526.81 | $810.47 | $25.17 – $39.59 | 2 |
| Change stent via transureth CPT 50385 | not published | not published | $157.05 – $249.95 | 2 |
| Change ureter stent percut CPT 50382 | not published | not published | $180.41 – $295.12 | 2 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $226.97 – $226.97 | 5 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $40.81 – $170.95 | 3 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $64.35 – $105.64 | 2 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $161.28 – $259.95 | 2 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $262.14 – $381.45 | 2 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $158.02 – $275.63 | 2 |
| Chemo adm cns w/lmbr punct CPT 96450 | $728.29 | $1,120.44 | $55.50 – $199.38 | 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.