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 |
|---|---|---|---|---|
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | not published | not published | $230.74 – $386.42 | 2 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | not published | not published | $93.56 – $157.66 | 2 |
| Complx repair fccmnaxghf 13131 CPT 13131 | not published | not published | $168.91 – $278.82 | 2 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,256.37 | $1,932.88 | $208.28 – $347.76 | 2 |
| Complx repair fccmnaxghf 13133 CPT 13133 | not published | not published | $84.66 – $145.10 | 2 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $84.18 | $129.51 | $55.92 – $95.43 | 2 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $141.64 – $230.04 | 2 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $49.17 – $83.01 | 2 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,693.03 | $2,604.66 | $1,084.52 – $1,084.52 | 5 |
| Composite byp grft 2 veins CPT 35682 | not published | not published | $255.04 – $390.05 | 2 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $298.46 – $450.75 | 2 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $58.08 – $89.37 | 2 |
| Composite drsg >16<=48 sq in HCPCS A6204 | not published | not published | $8.86 – $8.86 | 5 |
| Composite drsg <= 16 sq in HCPCS A6203 | not published | not published | $2.37 – $4.80 | 6 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $503.74 – $789.91 | 2 |
| Comprehensive hearing test CPT 92557 | not published | not published | $21.80 – $37.09 | 2 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $52.51 – $121.30 | 2 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $65.91 – $144.30 | 2 |
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $39.07 – $39.07 | 5 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $1,465.43 – $2,170.18 | 2 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $554.00 | $852.30 | $211.00 – $429.36 | 2 |
| Concentration infection agents any type CPT 87015 | $24.15 | $37.16 | $1.72 – $8.02 | 10 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $70.88 – $81.54 | 2 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $208.54 – $208.54 | 1 |
| Condylomata destruction 56420 CPT 56420 | $456.72 | $702.65 | $82.17 – $107.66 | 2 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | not published | not published | $0.40 – $0.40 | 5 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.55 – $0.55 | 5 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $0.97 – $0.97 | 5 |
| Congo red blood test HCPCS P2029 | not published | not published | $3.00 – $5.94 | 8 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $53.48 – $53.48 | 1 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $189.71 – $267.78 | 2 |
| Conization of cervix CPT 57520 | not published | not published | $223.65 – $309.05 | 2 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $251.21 – $408.37 | 4 |
| Connect omega .5mm HCPCS L8613 | $640.58 | $985.51 | $410.34 – $410.34 | 5 |
| Connector tis 2x10mm HCPCS C9352 | not published | not published | $548.63 – $548.63 | 1 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $403.37 – $593.71 | 2 |
| Construct bladder opening CPT 51980 | not published | not published | $535.05 – $810.69 | 2 |
| Construct bowel bladder CPT 50820 | not published | not published | $973.67 – $1,492.58 | 2 |
| Construct bowel bladder CPT 50825 | not published | not published | $1,211.97 – $1,886.48 | 2 |
| Construction of absent anus CPT 46730 | not published | not published | $1,544.60 – $2,478.70 | 2 |
| Construction of absent anus CPT 46735 | not published | not published | $1,762.44 – $2,859.04 | 2 |
| Construction of absent anus CPT 46740 | not published | not published | $1,677.65 – $2,708.12 | 2 |
| Construction of vagina CPT 57291 | not published | not published | $400.62 – $580.25 | 2 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,255.34 – $1,806.62 | 2 |
| Construct vagina with graft CPT 57292 | not published | not published | $600.28 – $876.81 | 2 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $23.57 – $36.38 | 3 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $177.40 | $272.92 | $23.36 – $33.42 | 3 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $152.93 | $235.28 | $7.41 – $23.75 | 3 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $497.61 | $765.56 | $21.30 – $41.71 | 3 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $660.15 | $1,015.62 | $24.22 – $39.30 | 3 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $56.91 – $85.91 | 3 |
| Consultation with family CPT 90887 | not published | not published | $42.00 – $96.15 | 2 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $95.18 – $143.49 | 3 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $10.47 – $10.47 | 5 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $35.82 – $65.78 | 2 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $41.81 – $75.96 | 2 |
| Contact lens fitting for tx CPT 92071 | not published | not published | $21.99 – $39.78 | 2 |
| Contact lens fitting ou CPT 92310 | not published | not published | $70.41 – $70.41 | 1 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $663.82 – $663.82 | 5 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $29.27 – $48.46 | 2 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $22.88 – $36.75 | 2 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $550.79 – $826.76 | 2 |
| Contour of face bone lesion CPT 21029 | not published | not published | $468.80 – $710.86 | 2 |
| Contrast baths charges CPT 97034 | not published | not published | $8.48 – $12.58 | 4 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $5,491.15 | $8,447.92 | $48.50 – $98.70 | 3 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $125.39 – $231.91 | 3 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $9,536.59 | $14,671.68 | $56.07 – $114.10 | 3 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $49.92 – $76.06 | 3 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $72.06 – $114.51 | 3 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $40.68 – $83.98 | 3 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $83.30 – $118.45 | 3 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $58.05 – $94.03 | 3 |
| Contrast x-ray of hip CPT 73525 | not published | not published | $68.53 – $111.27 | 3 |
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $69.79 – $124.21 | 3 |
| Contrast x-ray of wrist CPT 73115 | $732.28 | $1,126.58 | $76.88 – $114.85 | 3 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $17,463.78 – $17,463.78 | 5 |
| Control nosebleed pack+caut 30905 CPT 30905 | $255.27 | $392.72 | $81.04 – $117.60 | 2 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $329.29 – $509.08 | 2 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $366.18 – $569.96 | 2 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $299.98 – $460.34 | 2 |
| Control of nosebleed ant comp 30903 CPT 30903 | $255.27 | $392.72 | $57.20 – $87.78 | 2 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $255.27 | $392.72 | $40.85 – $63.31 | 2 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $119.69 – $188.17 | 2 |
| Control throat bleeding CPT 42961 | not published | not published | $306.80 – $467.52 | 2 |
| Control throat bleeding CPT 42962 | not published | not published | $376.97 – $578.44 | 2 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $134.01 – $134.01 | 1 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $140.83 – $226.54 | 2 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $138.52 – $221.48 | 2 |
| Conv gtube to jtube CPT 44373 | not published | not published | $140.88 – $249.24 | 2 |
| Coombs direct CPT 86880 | $70.52 | $108.50 | $3.59 – $10.66 | 10 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $3.82 – $6.86 | 8 |
| Coombs indirect titer reference CPT 86886 | $383.21 | $589.55 | $3.45 – $6.22 | 8 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $925.01 – $1,110.00 | 3 |
| Copper intrauterine device HCPCS J7300 | $2,406.14 | $3,701.75 | $739.00 – $1,195.95 | 3 |
| Cor artery disease mrna CPT 81493 | not published | not published | $631.66 – $1,260.00 | 8 |
| Core ndl bx lng/med perq CPT 32408 | $3,740.87 | $5,755.19 | $108.74 – $161.98 | 2 |
| Corf related serv 15 mins ea HCPCS G0409 | not published | not published | $15.62 – $19.57 | 2 |
| Corf skilled nursing service HCPCS G0128 | not published | not published | $8.94 – $9.67 | 2 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $465.35 – $661.41 | 2 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $401.41 – $585.20 | 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.