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 |
|---|---|---|---|---|
| Culture mycobacteria definitive id each isolate CPT 87118 | $42.84 | $65.90 | $9.74 – $32.87 | 10 |
| Culture mycoplasma any source CPT 87109 | $55.69 | $85.68 | $8.23 – $18.52 | 10 |
| Culture of specimen by kit CPT 87084 | not published | not published | $13.06 – $32.48 | 8 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $5.33 – $11.87 | 8 |
| Culture screening strep group a CPT 87081 | $23.98 | $36.89 | $4.41 – $11.81 | 10 |
| Culture type pulse field gel CPT 87152 | not published | not published | $5.16 – $9.29 | 8 |
| Culture typing added method CPT 87158 | $19.60 | $30.15 | $5.16 – $9.29 | 8 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $8.34 – $15.02 | 8 |
| Culture typing immunologic CPT 87147 | $18.74 | $28.83 | $3.45 – $6.22 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $513.64 | $790.22 | $132.14 – $261.67 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $108.84 | $167.45 | $23.38 – $42.11 | 8 |
| Culture urine each isolate CPT 87088 | $29.28 | $45.05 | $5.39 – $18.20 | 10 |
| Culture virus isolation CPT 87250 | not published | not published | $13.03 – $44.01 | 10 |
| Curette/treat cornea CPT 65435 | not published | not published | $50.19 – $81.85 | 2 |
| Curette/treat cornea CPT 65436 | not published | not published | $263.84 – $435.53 | 2 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,580.90 – $1,580.90 | 5 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,580.90 – $1,580.90 | 5 |
| Custom glove for term device HCPCS L6895 | not published | not published | $683.61 – $683.61 | 5 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,276.60 – $1,276.60 | 5 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $696.33 – $696.33 | 5 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,672.88 – $1,672.88 | 5 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,245.17 – $1,245.17 | 5 |
| Cv line/pic reposition CPT 36597 | not published | not published | $43.20 – $69.68 | 2 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $11.53 – $23.47 | 3 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $17.48 – $35.58 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $51.81 | $79.71 | $9.54 – $32.22 | 10 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $4.80 | $7.39 | $0.64 – $4.24 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $46.85 | $72.07 | $8.64 – $15.54 | 8 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $53.54 – $82.60 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.57 – $0.80 | 3 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.14 – $3.82 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $46.93 – $75.65 | 4 |
| Cyclosporine 2 hour CPT 80158 | $65.30 | $100.46 | $10.61 – $23.87 | 10 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.53 – $1.32 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $1.56 – $5.28 | 4 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $103.97 – $474.00 | 2 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $39.31 – $242.25 | 2 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $278.27 – $278.27 | 1 |
| Cyp2c19 gene com variants CPT 81225 | $854.05 | $1,313.92 | $80.23 – $349.63 | 8 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $92.73 – $238.61 | 10 |
| Cyp2d6 gene com variants CPT 81226 | $1,321.75 | $2,033.46 | $122.98 – $541.09 | 8 |
| Cyp3a4 gene common variants CPT 81230 | $411.77 | $633.49 | $105.93 – $209.77 | 8 |
| Cyp3a5 gene common variants CPT 81231 | $411.77 | $633.49 | $105.93 – $209.77 | 8 |
| Cystatin c CPT 82610 | $54.28 | $83.51 | $12.34 – $22.22 | 8 |
| Cystic fibrosis cftr CPT 81223 | $1,462.70 | $2,250.31 | $302.39 – $598.80 | 8 |
| Cystine urine quantitative CPT 82131 | $67.37 | $103.64 | $14.14 – $31.82 | 10 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $354.27 – $543.68 | 2 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $732.28 | $1,126.58 | $21.76 – $42.85 | 3 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $460.60 – $460.60 | 1 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $120.55 – $154.78 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $183.78 – $278.93 | 3 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $668.20 – $1,015.31 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $560.76 – $839.92 | 2 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $120.82 – $156.75 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $122.27 – $189.90 | 2 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $175.33 – $274.00 | 2 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $126.01 – $202.77 | 2 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $145.74 – $233.89 | 2 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $179.52 – $281.59 | 2 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $210.73 – $330.56 | 2 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $285.11 – $449.22 | 2 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $153.58 – $241.35 | 2 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $119.03 – $186.47 | 2 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $193.35 – $303.23 | 2 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $236.07 – $370.34 | 2 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $147.89 – $231.44 | 2 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $143.19 – $224.64 | 2 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $178.39 – $279.56 | 2 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $204.68 – $321.42 | 2 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $211.36 – $332.63 | 2 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $202.77 – $319.16 | 2 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $111.35 – $173.37 | 2 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $200.65 – $315.07 | 2 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $179.28 – $282.41 | 2 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $191.48 – $302.13 | 2 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $58.85 – $92.33 | 2 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $123.13 – $194.26 | 2 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $121.87 – $189.28 | 2 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $245.51 – $384.57 | 2 |
| Cystoscopy inject material CPT 52327 | not published | not published | $186.64 – $302.38 | 2 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $256.11 – $256.11 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $209.36 – $329.40 | 2 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $134.01 – $208.84 | 2 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $181.46 – $284.35 | 2 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $233.13 – $367.20 | 2 |
| Cystoscopy & ureter catheter CPT 52005 | $3,949.98 | $6,076.90 | $98.95 – $151.98 | 2 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $225.27 – $328.38 | 2 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $359.66 – $530.87 | 2 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $582.63 – $886.19 | 2 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $220.78 – $346.58 | 2 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $268.79 – $422.74 | 2 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $303.32 – $478.44 | 2 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $339.42 – $535.65 | 2 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $302.23 – $473.81 | 2 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $284.70 – $449.22 | 2 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $324.18 – $511.79 | 2 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $258.03 – $405.65 | 2 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $286.81 – $452.05 | 2 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $191.33 – $304.09 | 2 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $112.90 – $174.12 | 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.