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 |
|---|---|---|---|---|
| Ciliary transsleral therapy CPT 66710 | not published | not published | $278.33 – $461.06 | 2 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $558,000.00 – $587,977.76 | 3 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $1.23 | $1.89 | $0.02 – $0.06 | 3 |
| Cine/video x-rays CPT 76120 | not published | not published | $54.73 – $101.21 | 3 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $30.03 – $35.04 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $1.12 – $2.91 | 4 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $27.18 – $33.98 | 2 |
| Circum 28 days or older CPT 54161 | not published | not published | $149.58 – $223.76 | 2 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $109.27 – $164.02 | 2 |
| Circumcision (newborn) CPT 54150 | not published | not published | $69.72 – $111.02 | 2 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $1.71 – $4.33 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $965.89 | $1,485.99 | $199.68 – $395.41 | 8 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $7.42 – $42.00 | 4 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $1,268.81 – $1,882.16 | 2 |
| Clamp neck artery CPT 61703 | not published | not published | $1,075.37 – $1,460.88 | 2 |
| Claviculectomy partial CPT 23120 | not published | not published | $461.30 – $649.94 | 2 |
| Claviculectomy total CPT 23125 | not published | not published | $545.90 – $786.11 | 2 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $103.42 – $149.81 | 2 |
| Clearance of airways CPT 31720 | $401.62 | $617.88 | $37.95 – $57.10 | 2 |
| Clearance of airways CPT 31725 | not published | not published | $58.99 – $89.99 | 2 |
| Clearance of tear duct CPT 68530 | not published | not published | $177.02 – $301.31 | 2 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $30.42 – $54.98 | 2 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $15.02 – $25.96 | 2 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $22.44 – $39.11 | 2 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $15.02 – $25.96 | 2 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $41.68 – $41.68 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.61 – $1.97 | 3 |
| Clip ligating vesolock lg HCPCS C1760 | $741.25 | $1,140.39 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $840.45 – $1,232.37 | 2 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $315.67 – $315.67 | 5 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $1,582.16 – $2,330.82 | 2 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $14.37 – $120.31 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $12.70 – $31.75 | 4 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $572.82 – $867.81 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,130.53 – $3,096.17 | 2 |
| Close chest after drainage CPT 32810 | not published | not published | $708.84 – $992.18 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $596.31 | $917.40 | $313.50 – $403.13 | 2 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $319.70 – $435.64 | 2 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $567.85 – $829.14 | 2 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $492.70 | $758.00 | $318.61 – $477.51 | 2 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $359.63 – $471.56 | 2 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $494.49 | $760.75 | $271.13 – $342.56 | 2 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $386.06 – $498.30 | 2 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $91.00 – $123.48 | 2 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $467.71 – $699.27 | 2 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $141.95 – $178.74 | 2 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $258.35 – $358.78 | 2 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,478.79 | $5,351.99 | $455.13 – $647.02 | 2 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $231.52 – $328.03 | 2 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $85.02 – $114.69 | 2 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $623.11 | $958.63 | $177.58 – $234.32 | 2 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $613.68 – $852.05 | 2 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $886.39 – $1,283.34 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $114.16 – $186.91 | 2 |
| Close mastoid fistula CPT 69700 | not published | not published | $491.87 – $753.02 | 2 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $536.36 – $754.54 | 2 |
| Close mult vsd CPT 33675 | not published | not published | $1,487.13 – $2,162.54 | 2 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,525.24 – $2,244.38 | 2 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,115.50 – $1,628.10 | 2 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,191.66 – $1,745.18 | 2 |
| Close tear duct opening CPT 68760 | not published | not published | $105.75 – $171.19 | 2 |
| Close tear duct opening CPT 68761 | not published | not published | $86.07 – $138.77 | 2 |
| Close tear system fistula CPT 68770 | not published | not published | $444.50 – $738.27 | 2 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $9.49 – $21.35 | 10 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $44.15 – $168.45 | 2 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $655.47 – $1,098.05 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,184.72 – $2,023.62 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $762.23 – $1,288.38 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,044.34 – $1,772.03 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $159.19 – $255.25 | 2 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $67.42 – $113.44 | 2 |
| Closure of salivary fistula CPT 42600 | not published | not published | $262.83 – $390.50 | 2 |
| Closure of valve CPT 33600 | not published | not published | $1,317.79 – $1,890.61 | 2 |
| Closure of valve CPT 33602 | not published | not published | $1,281.16 – $1,834.59 | 2 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $246.92 – $364.41 | 2 |
| Closure paravalvlr leak pq CPT 33999 | $21,540.15 | $33,138.69 | not published | 0 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $815.89 – $1,253.57 | 2 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $657.55 – $999.35 | 2 |
| Clot factor fletcher fact CPT 85292 | $68.51 | $105.40 | $12.60 – $42.59 | 10 |
| Clot factor viii reltd antgn CPT 85244 | $73.90 | $113.69 | $9.49 – $24.50 | 10 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $12.60 – $42.59 | 10 |
| Clot factor xii hageman CPT 85280 | $70.02 | $107.72 | $12.90 – $43.54 | 10 |
| Clot factor xiii fibrin scrn CPT 85291 | $32.19 | $49.52 | $6.07 – $16.13 | 10 |
| Clot factor xiii fibrin stab CPT 85290 | $59.13 | $90.97 | $8.01 – $19.61 | 10 |
| Clotting assay whole blood CPT 85396 | not published | not published | $12.74 – $13.20 | 3 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.62 – $0.78 | 3 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.67 – $2.56 | 6 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $2.12 – $3.43 | 6 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $580.85 | $893.61 | $299.57 – $323.11 | 2 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $654.26 | $1,006.56 | $261.54 – $334.95 | 2 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $580.85 | $893.61 | $291.24 – $345.24 | 2 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $201.26 – $260.69 | 2 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $209.68 – $255.07 | 2 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $281.77 – $368.71 | 2 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $463.22 | $712.65 | $200.19 – $247.63 | 2 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $163.92 – $209.23 | 2 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $529.65 | $814.84 | $170.19 – $205.86 | 2 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $580.85 | $893.61 | $337.84 – $427.62 | 2 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $567.91 | $873.71 | $259.54 – $338.32 | 2 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $580.85 | $893.61 | $59.65 – $88.45 | 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.