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 |
|---|---|---|---|---|
| Cold agglutinin titer CPT 86157 | $29.17 | $44.88 | $5.25 – $11.81 | 10 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,242.73 – $2,101.66 | 2 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,407.91 – $2,360.74 | 2 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,564.02 – $2,633.97 | 2 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,014.74 – $1,694.18 | 2 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,432.05 – $2,454.42 | 2 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,234.33 – $2,097.22 | 2 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,579.94 – $2,680.40 | 2 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $940.04 – $1,568.94 | 2 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,372.70 – $2,304.74 | 2 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,327.57 – $2,235.47 | 2 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $1,652.29 – $2,761.96 | 2 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $1,691.96 – $2,833.78 | 2 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $11.44 – $33.59 | 4 |
| Collagenase, clost hist inj HCPCS J0775 | $173.35 | $266.69 | $42.30 – $78.30 | 4 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $18.75 – $44.14 | 6 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $29.97 – $29.97 | 5 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $29.97 – $29.97 | 5 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $8.81 – $8.81 | 5 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.00 – $3.25 | 6 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $834.57 | $1,283.96 | $534.60 – $534.60 | 5 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $201.75 | $310.38 | $19.42 – $25.07 | 3 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $47.60 | $73.23 | $30.50 – $30.50 | 5 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $114.85 | $176.69 | $73.56 – $73.56 | 5 |
| Collar cerv ascend 172 reg HCPCS L0172 | $262.55 | $403.92 | $168.17 – $168.17 | 5 |
| Collar cerv patriot adlt HCPCS L0150 | $221.85 | $341.31 | $142.11 – $142.11 | 5 |
| Collar extrication adult univ HCPCS L0200 | $938.39 | $1,443.68 | $601.10 – $601.10 | 5 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $255.27 | $392.72 | $24.76 – $28.13 | 2 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $255.27 | $392.72 | $27.49 – $31.78 | 2 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $103.97 – $103.97 | 1 |
| Collj & interpj data ea 30 d CPT 99091 | not published | not published | $39.84 – $60.53 | 2 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $101.76 – $178.54 | 2 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $136.19 – $278.34 | 2 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $181.05 – $381.05 | 2 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $167.56 – $342.81 | 2 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $168.35 – $299.06 | 2 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $154.06 – $274.45 | 2 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $147.57 – $257.12 | 2 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $220.73 – $395.39 | 2 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $165.21 – $292.53 | 2 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $147.18 – $302.62 | 2 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $116.06 – $201.48 | 2 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $197.42 – $407.64 | 2 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $155.26 – $319.41 | 2 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $172.73 – $303.88 | 2 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $188.26 – $391.10 | 2 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $169.14 – $302.06 | 2 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $134.87 – $238.78 | 2 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $187.76 – $389.69 | 2 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $220.59 – $459.87 | 2 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $210.07 – $437.36 | 2 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $174.16 – $360.41 | 2 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $126.44 – $223.20 | 2 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $176.84 – $314.18 | 2 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $147.18 – $302.62 | 2 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $126.91 – $222.58 | 2 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $185.35 – $383.98 | 2 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $200.22 – $359.37 | 2 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $240.99 – $502.70 | 2 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $190.23 – $340.79 | 2 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $167.72 – $299.30 | 2 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $912.57 – $1,519.00 | 2 |
| Colostomy with biopsies CPT 44322 | not published | not published | $797.68 – $1,263.86 | 2 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $746.50 – $1,242.94 | 2 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $56.54 – $84.58 | 2 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $389.11 – $559.00 | 2 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $704.28 – $1,020.69 | 2 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $505.67 – $661.60 | 2 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $508.15 – $737.38 | 2 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $249.38 – $345.81 | 2 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $89.35 – $127.76 | 2 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $132.62 – $194.47 | 2 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $435.22 | $669.57 | $67.66 – $95.40 | 2 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $61.85 – $88.63 | 2 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $82.86 – $119.12 | 2 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $742.46 | $1,142.25 | $79.09 – $114.82 | 2 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $335.02 – $481.24 | 2 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $146.40 – $211.39 | 2 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $2,319.54 – $2,319.54 | 5 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $557.15 – $557.15 | 5 |
| Comm hlth intg svs sdoh 60mn HCPCS G0019 | not published | not published | $36.96 – $79.53 | 2 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $318.32 | $489.72 | $10.22 – $46.55 | 2 |
| Compatibility test each unit electronic CPT 86923 | $599.07 | $921.65 | $14.54 – $33.82 | 2 |
| Compatibility test each unit immediate spin technique CPT 86920 | $599.07 | $921.65 | $7.09 – $20.06 | 2 |
| Compatibility test incubate CPT 86921 | not published | not published | $10.74 – $46.55 | 2 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $189.78 – $285.04 | 3 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $1,482.50 | $2,280.77 | $186.16 – $285.41 | 3 |
| Complement antigen each component c3 CPT 86160 | $43.41 | $66.79 | $8.00 – $23.87 | 10 |
| Complement fixation each CPT 86171 | not published | not published | $6.25 – $12.01 | 8 |
| Complete removal of vulva CPT 56625 | not published | not published | $507.07 – $697.41 | 2 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $1,814.63 – $2,640.44 | 2 |
| Complex body section x-ray CPT 76101 | not published | not published | $135.62 – $135.62 | 1 |
| Complex body section x-rays CPT 76102 | not published | not published | $192.43 – $192.43 | 1 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $152.40 – $235.48 | 3 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,256.37 | $1,932.88 | $163.92 – $264.28 | 2 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,256.37 | $1,932.88 | $173.70 – $283.38 | 2 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $366.43 | $563.74 | $5.38 – $26.40 | 3 |
| Compl oph exam general anes CPT 92018 | not published | not published | $95.24 – $172.23 | 2 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $1,548.23 – $2,278.34 | 2 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | not published | not published | $193.00 – $320.26 | 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.