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 |
|---|---|---|---|---|
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $75.85 – $122.38 | 2 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $48.93 – $80.19 | 2 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $57.12 – $91.87 | 2 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $942.35 | $1,449.77 | $84.30 – $131.26 | 2 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $78.14 – $119.62 | 2 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $201.94 – $310.47 | 2 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $88.32 – $130.84 | 2 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $156.26 – $253.88 | 2 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $35.23 – $59.10 | 2 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $27.49 – $46.78 | 2 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $87.42 – $134.64 | 2 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $79.91 – $119.68 | 2 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $87.08 – $114.56 | 2 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $648.41 | $997.55 | $83.99 – $127.79 | 2 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $94.38 – $149.86 | 2 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $295.96 – $295.96 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $61.56 – $87.06 | 3 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $114.36 – $188.20 | 3 |
| Chemo ia push tecnique CPT 96420 | $10.11 | $15.55 | $85.78 – $116.44 | 3 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $31.29 – $118.89 | 3 |
| Chemo intralesional up to 7 96405 CPT 96405 | $39.92 | $61.42 | $19.91 – $86.34 | 3 |
| Chemotaxis assay CPT 86155 | not published | not published | $10.66 – $19.19 | 8 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $29.85 – $127.68 | 3 |
| Chemotx admn pertl cav impl CPT 96446 | $443.44 | $682.21 | $15.23 – $176.77 | 3 |
| Chest 2 vws w oblique CPT 71048 | $275.16 | $423.33 | $24.76 – $50.38 | 3 |
| Chest apical lordotic proj CPT 71047 | $201.75 | $310.38 | $23.13 – $47.06 | 3 |
| Chest CT scan (with and without contrast) CPT 71270 | $799.16 | $1,229.47 | $112.83 – $229.60 | 3 |
| Chest CT scan (with contrast) CPT 71260 | $799.16 | $1,229.47 | $92.10 – $187.41 | 3 |
| Chest CT scan (without contrast) CPT 71250 | $499.36 | $768.24 | $67.88 – $138.13 | 3 |
| Chest Physiotherapy (first session) CPT 94667 | $255.27 | $392.72 | $22.23 – $27.33 | 2 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $255.27 | $392.72 | $31.79 – $38.94 | 2 |
| Chest Ultrasound CPT 76604 | $323.71 | $498.02 | $27.22 – $55.39 | 3 |
| Chest X-ray CPT 71046 | $201.75 | $310.38 | $18.76 – $38.17 | 3 |
| Chest X-ray (single view) CPT 71045 | $201.75 | $310.38 | $13.85 – $28.18 | 3 |
| Chg pr pul rehab for copd patients CPT 94626 | $139.96 | $215.32 | $20.23 – $27.67 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $336.54 | $517.76 | $59.97 – $122.03 | 3 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $144.38 – $144.38 | 1 |
| Chimerism anal no cell selec CPT 81267 | $643.52 | $990.03 | $149.72 – $248.95 | 8 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $148.49 – $312.95 | 8 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $32.39 – $50.47 | 2 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $15.58 – $24.20 | 2 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $23.84 – $37.23 | 2 |
| Chiropract manj xtrspinl 1/> CPT 98943 | not published | not published | $25.18 – $25.18 | 1 |
| Chlamydia culture CPT 87110 | $70.91 | $109.09 | $8.23 – $23.52 | 10 |
| Chlamydia trachomatis ag if CPT 87270 | $28.22 | $43.42 | $7.99 – $18.25 | 10 |
| Chlamydia type CPT 87140 | $20.16 | $31.02 | $3.71 – $6.68 | 8 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $13.36 – $24.06 | 8 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $20.87 – $51.41 | 8 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $19.11 – $29.44 | 2 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $34.91 – $51.57 | 3 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $21.05 – $21.05 | 1 |
| Chloride CPT 82435 | $16.65 | $25.61 | $3.06 – $10.35 | 10 |
| Chloride 24 hour urine CPT 82436 | $18.21 | $28.01 | $3.84 – $11.43 | 10 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.30 – $0.36 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.04 – $0.06 | 4 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.58 – $0.72 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $32.48 – $124.75 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $18.14 – $54.53 | 4 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.34 – $0.42 | 3 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $97.02 – $724.67 | 3 |
| Cholangiogram percutaneous compl CPT 47532 | $6,988.43 | $10,751.43 | $151.74 – $244.12 | 2 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $395.98 | $609.20 | $31.31 – $116.07 | 2 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $963.84 – $1,402.52 | 2 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $860.05 – $1,246.68 | 2 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $887.37 – $1,278.95 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $6,404.64 | $9,853.29 | $246.87 – $376.80 | 2 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $288.75 – $330.00 | 2 |
| Cholesterol CPT 82465 | $15.75 | $24.23 | $2.90 – $9.79 | 10 |
| Cholesterol body fluid CPT 84999 | $7,328.20 | $11,274.15 | $7.56 – $12.35 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $48.45 | $74.54 | $6.10 – $16.07 | 10 |
| Choline c-11 HCPCS A9515 | not published | not published | $5,100.00 – $6,000.00 | 2 |
| Cholinesterase CPT 82480 | $28.50 | $43.84 | $5.25 – $17.71 | 10 |
| Cholinesterase challenge CPT 95857 | not published | not published | $19.84 – $32.15 | 2 |
| Chorion biopsy CPT 59015 | not published | not published | $94.32 – $127.04 | 2 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $12.79 – $18.25 | 4 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | not published | not published | $55.01 – $105.39 | 2 |
| Chrom analysis CPT 88273 | $116.26 | $178.86 | $23.20 – $78.32 | 10 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $25.99 – $61.56 | 10 |
| Chromatography CPT 83021 | $65.34 | $100.53 | $12.04 – $40.64 | 10 |
| Chromogenic substrate assay CPT 85130 | $36.88 | $56.74 | $7.93 – $14.27 | 8 |
| Chromo high res and frag x - sendout CPT 81243 | $167.21 | $257.24 | $34.57 – $68.45 | 8 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $75.75 – $208.39 | 10 |
| Chromosome analysis 100 CPT 88249 | $537.18 | $826.43 | $101.00 – $227.25 | 10 |
| Chromosome analysis 15-20 cell count CPT 88262 | $451.07 | $693.96 | $83.62 – $227.25 | 10 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $89.30 – $207.80 | 10 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $100.15 – $227.25 | 10 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $176.14 – $317.21 | 8 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $101.00 – $227.25 | 10 |
| Chromosome analys placenta CPT 88267 | $650.60 | $1,000.93 | $90.90 – $226.28 | 10 |
| Chromosome banding study CPT 88283 | not published | not published | $45.71 – $82.32 | 8 |
| Chromosome count additional CPT 88285 | $78.88 | $121.36 | $5.05 – $32.29 | 10 |
| Chromosome karyotype study CPT 88280 | $98.11 | $150.94 | $10.10 – $40.16 | 10 |
| Chromosome study additional CPT 88289 | not published | not published | $22.95 – $41.32 | 8 |
| Chronic urticaria - sendout CPT 86343 | $40.58 | $62.43 | $8.30 – $14.95 | 8 |
| Chylomicron screen, bf - sendout CPT 82664 | $180.28 | $277.36 | $20.23 – $73.80 | 8 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,486.78 – $1,486.78 | 5 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $8,584.50 – $8,584.50 | 5 |
| Cidofovir injection HCPCS J0740 | not published | not published | $521.83 – $1,037.23 | 4 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $215.18 – $215.18 | 5 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $5.00 – $12.11 | 4 |
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.