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 |
|---|---|---|---|---|
| Crh stimulation panel CPT 80412 | not published | not published | $348.70 – $961.94 | 8 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $383.75 – $659.88 | 2 |
| Cricotracheal resection CPT 31592 | not published | not published | $1,260.67 – $1,911.19 | 2 |
| Crisis psychotherapy 90839 CPT 90839 | $294.41 | $452.94 | $83.85 – $159.38 | 4 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $100.26 | $154.25 | $4.25 – $75.60 | 4 |
| Critical care each additional 30 minutes CPT 99292 | $511.82 | $787.41 | $83.46 – $151.87 | 2 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,830.98 | $2,816.89 | $165.84 – $343.14 | 2 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $129.50 – $145.72 | 4 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $1,644.03 – $2,299.80 | 2 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $1,557.60 – $2,181.33 | 2 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $1,422.49 – $1,984.43 | 2 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $966.73 – $1,444.34 | 2 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $1,627.27 – $2,291.13 | 2 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $1,560.75 – $2,188.44 | 2 |
| Crnec stpl sctj cmprn/dcmprn CPT 61450 | not published | not published | $1,482.16 – $2,083.44 | 2 |
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $1,477.25 – $2,080.05 | 2 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $1,449.05 – $2,028.05 | 2 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $891.59 – $1,244.63 | 2 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $989.51 – $1,306.33 | 2 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $1,086.34 – $1,570.25 | 2 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.29 – $3.26 | 4 |
| Cross-over vein graft CPT 34520 | not published | not published | $730.90 – $1,082.62 | 2 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,755.81 – $3,837.60 | 4 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $2,785.63 | $4,285.59 | $600.63 – $881.17 | 2 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | not published | not published | $11.01 – $11.01 | 5 |
| Cryoablate prostate CPT 55873 | not published | not published | $569.47 – $868.93 | 2 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $107.84 – $151.32 | 2 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $41.45 | $63.77 | $9.09 – $16.97 | 8 |
| Cryoprecipitate each unit HCPCS P9012 | $91.63 | $140.97 | $35.50 – $35.50 | 1 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $285.02 – $285.02 | 1 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $412.50 – $570.03 | 2 |
| Cryopreservation sperm CPT 89259 | not published | not published | $207.29 – $207.29 | 1 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $51.94 – $51.94 | 1 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $171.50 – $207.29 | 2 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $156.49 – $233.86 | 2 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $81.93 – $124.16 | 2 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $34.97 – $53.92 | 2 |
| Cryptococcus abs qn - sendout CPT 86641 | $52.14 | $80.22 | $8.11 – $18.25 | 10 |
| Cryptosporidium antigen CPT 87272 | $43.39 | $66.75 | $7.99 – $26.96 | 10 |
| Crystal identification light microscopy CPT 89060 | $25.88 | $39.82 | $4.88 – $13.64 | 10 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $1,987.43 – $2,229.77 | 2 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $981.90 – $1,255.41 | 2 |
| Csf leakage imaging CPT 78650 | not published | not published | $180.50 – $282.31 | 3 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $38.51 – $45.14 | 3 |
| Csf ventriculography CPT 78635 | not published | not published | $217.41 – $346.42 | 3 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $83.02 – $188.62 | 10 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $166.55 – $374.74 | 10 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $94.17 – $222.24 | 10 |
| CT 3d report other modality w/workstation CPT 76377 | $312.06 | $480.10 | $33.97 – $51.72 | 3 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $799.16 | $1,229.47 | $191.56 – $322.80 | 3 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $799.16 | $1,229.47 | $226.48 – $424.50 | 3 |
| CT Angiogram of the Abdomen CPT 74175 | $799.16 | $1,229.47 | $180.44 – $323.13 | 3 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $799.16 | $1,229.47 | $208.48 – $322.64 | 3 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $799.16 | $1,229.47 | $160.79 – $322.80 | 3 |
| CT Angiogram of the Head CPT 70496 | $799.16 | $1,229.47 | $158.06 – $321.63 | 3 |
| CT Angiogram of the Neck CPT 70498 | $799.16 | $1,229.47 | $158.06 – $321.63 | 3 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $175.46 – $244.98 | 3 |
| CT angio pelvis CPT 72191 | $799.16 | $1,229.47 | $180.71 – $322.80 | 3 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $799.16 | $1,229.47 | $173.89 – $322.80 | 3 |
| CT bone density axial CPT 77078 | not published | not published | $67.12 – $86.46 | 3 |
| CT cerebral perf w cont & prcssng CPT 70473 | $267.13 | $410.97 | $158.06 – $321.63 | 2 |
| CT colonography dx CPT 74261 | not published | not published | $122.03 – $243.47 | 3 |
| CT colonography dx w/dye CPT 74262 | $395.14 | $607.91 | $208.57 – $286.16 | 3 |
| CT colonography screening CPT 74263 | not published | not published | $583.76 – $706.29 | 3 |
| CT guidance for needle placement CPT 77012 | $902.14 | $1,387.90 | $45.50 – $92.59 | 3 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $736.99 | $1,133.83 | $47.41 – $73.77 | 3 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $322.79 – $337.89 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $44.26 – $84.22 | 3 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $155.81 – $244.98 | 3 |
| CT hrt w/3d image CPT 75572 | not published | not published | $121.77 – $199.58 | 3 |
| CT limited or localized follow-up study CPT 76380 | $274.25 | $421.93 | $71.42 – $108.14 | 3 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $2,323.18 – $2,323.18 | 5 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $2,411.62 – $2,411.62 | 5 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $77.12 – $77.12 | 5 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $2,332.97 – $2,332.97 | 5 |
| CT lwr extremity w/o&w/dye CPT 73702 | $799.16 | $1,229.47 | $113.38 – $230.72 | 3 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $97.80 – $152.16 | 2 |
| CT scan for localization CPT 77011 | not published | not published | $131.73 – $268.06 | 3 |
| CT scan for therapy guide CPT 77014 | $411.57 | $633.18 | $86.46 – $142.51 | 2 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $914.36 | $1,406.70 | $200.09 – $316.96 | 3 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $914.36 | $1,406.70 | $176.69 – $266.54 | 3 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $719.44 | $1,106.83 | $84.18 – $125.65 | 3 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $113.92 – $231.82 | 3 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $155.40 – $308.86 | 3 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,482.59 – $1,482.59 | 5 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $233.58 – $233.58 | 1 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $537.99 – $817.38 | 2 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $500.00 – $701.12 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | $29.23 | $44.97 | $5.38 – $18.18 | 10 |
| Culture afb any source CPT 87116 | $39.10 | $60.15 | $7.20 – $24.30 | 10 |
| Culture anaerobic additional method definitive id each CPT 87076 | $29.23 | $44.97 | $5.38 – $18.18 | 10 |
| Culture anaerobic except blood CPT 87075 | $34.26 | $52.70 | $6.31 – $21.31 | 10 |
| Culture bacteria anaerobic CPT 87073 | $34.19 | $52.60 | $5.32 – $11.59 | 8 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $18.14 – $18.14 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $34.19 | $52.60 | $2.98 – $11.33 | 10 |
| Culture body fluid CPT 87070 | $31.19 | $47.98 | $5.74 – $18.52 | 10 |
| Culture fungi definitive id mold CPT 87107 | $37.35 | $57.46 | $6.88 – $22.05 | 10 |
| Culture fungi definitive id yeast CPT 87106 | $37.35 | $57.46 | $5.98 – $22.05 | 10 |
| Culture fungi other (except blood) CPT 87102 | $30.43 | $46.82 | $5.61 – $18.92 | 10 |
| Culture fungi skin/hair/nail CPT 87101 | $27.88 | $42.89 | $5.14 – $17.35 | 10 |
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.