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 |
|---|---|---|---|---|
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $32.60 – $43.19 | 3 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $328.15 | $504.84 | $45.66 – $64.11 | 2 |
| Dx aly aud oi snd prcsr each CPT 92623 | $164.07 | $252.42 | $11.94 – $16.99 | 2 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,409.02 | $5,244.65 | $99.39 – $150.91 | 2 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $100.76 – $152.71 | 2 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,773.32 | $5,805.10 | $99.66 – $148.80 | 2 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $15.76 – $56.16 | 3 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $39.06 – $65.79 | 2 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $58.08 – $99.20 | 2 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $38.87 – $46.18 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $45.71 – $77.38 | 2 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $37.08 – $37.08 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $99.56 – $99.56 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $32.36 – $32.36 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $111.22 – $174.73 | 2 |
| Dx laryngoscopy w/oper scope CPT 31526 | $3,404.45 | $5,237.62 | $111.50 – $175.14 | 2 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $63.30 – $63.30 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $86.77 – $131.99 | 2 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $18.71 – $18.71 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $15.10 – $23.86 | 3 |
| Ear and throat examination CPT 92502 | not published | not published | $72.01 – $112.07 | 2 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $47.35 – $69.86 | 2 |
| Ear cartilage graft CPT 21235 | not published | not published | $416.69 – $632.97 | 2 |
| Ear irrigation 69209 CPT 69209 | $146.22 | $224.95 | $13.85 – $15.58 | 2 |
| Ear protector evaluation CPT 92596 | not published | not published | $63.79 – $73.63 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $445.15 – $626.68 | 4 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $5.87 – $11.95 | 3 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $146.22 | $224.95 | $5.62 – $6.96 | 3 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $112.36 – $210.00 | 3 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $14.66 – $29.84 | 3 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $28.31 – $48.82 | 3 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $89.86 | $138.25 | $9.48 – $19.28 | 3 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $143.86 | $221.32 | $9.48 – $19.28 | 3 |
| Ecg record/review CPT 93268 | not published | not published | $139.07 – $282.99 | 3 |
| Ecg/review interpret only CPT 93272 | not published | not published | $19.97 – $40.64 | 3 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,151.46 | $1,771.47 | $105.39 – $166.99 | 3 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $539.02 | $829.26 | $62.35 – $93.46 | 3 |
| Echocardiography doppler color flow mapping CPT 93325 | $177.74 | $273.44 | $16.65 – $31.85 | 3 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,320.81 | $2,032.01 | $239.19 – $239.19 | 1 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $768.88 | $1,182.90 | $120.53 – $120.53 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $14.73 – $24.47 | 3 |
| Echo exam of eye CPT 76516 | not published | not published | $20.67 – $40.29 | 3 |
| Echo exam of eye CPT 76519 | not published | not published | $32.13 – $45.10 | 3 |
| Echo exam of eye CPT 76529 | not published | not published | $39.32 – $57.76 | 3 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $3.21 – $4.24 | 3 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $128.56 – $210.88 | 3 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $80.09 – $134.52 | 3 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $34.59 – $50.21 | 3 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $18.48 – $27.18 | 3 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $67.33 – $90.44 | 3 |
| Echograp trans r pros study CPT 76873 | not published | not published | $83.64 – $106.24 | 3 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $23.40 – $47.35 | 3 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $21.37 – $131.84 | 2 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $53.77 – $53.77 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $12.75 – $18.14 | 3 |
| Echo guide for artery repair CPT 76936 | not published | not published | $100.63 – $188.23 | 3 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $55.40 – $68.89 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $54.12 – $76.48 | 2 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $18.14 – $50.21 | 3 |
| Echo guide villus sampling CPT 76945 | not published | not published | $55.72 – $71.32 | 2 |
| Echo stress CPT 93350 | not published | not published | $96.18 – $151.92 | 3 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $20.42 – $41.54 | 3 |
| Echo tee guidance CPT 93355 | $1,413.99 | $2,175.37 | $161.02 – $298.10 | 2 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,319.72 | $2,030.34 | $109.49 – $213.76 | 3 |
| Echo transesophageal CPT 93313 | not published | not published | $8.68 – $17.66 | 3 |
| Echo transesophageal CPT 93314 | not published | not published | $116.58 – $222.61 | 3 |
| Echo transesophageal CPT 93315 | not published | not published | $207.24 – $563.58 | 2 |
| Echo transesophageal CPT 93317 | not published | not published | $92.70 – $207.46 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $120.82 – $563.58 | 2 |
| Echo transthoracic CPT 93303 | not published | not published | $130.77 – $215.03 | 3 |
| Echo transthoracic CPT 93304 | not published | not published | $96.23 – $156.56 | 3 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $77.36 – $122.43 | 3 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $27,083.19 | $41,666.44 | $171.96 – $260.37 | 2 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $5,512.53 | $8,480.81 | $178.25 – $268.63 | 2 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $251.15 – $382.21 | 2 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $227.87 – $345.30 | 2 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $615.05 – $924.67 | 2 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $613.54 – $925.43 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $351.65 – $527.72 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $315.77 – $472.11 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $350.69 – $530.01 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $312.87 – $475.38 | 2 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $381.88 – $572.61 | 2 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $386.85 – $579.07 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $203.32 – $304.26 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $138.00 – $205.39 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $209.56 – $315.45 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $9,133.27 | $14,051.18 | $175.29 – $264.23 | 2 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $366.56 – $546.32 | 2 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $347.82 – $521.54 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $175.30 – $260.85 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $138.00 – $205.39 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $175.30 – $259.88 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $138.00 – $205.14 | 2 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $73.95 – $116.42 | 2 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $8.43 – $20.56 | 10 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $369.40 – $633.97 | 2 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.20 – $45.03 | 3 |
| Eculizumab injection HCPCS J1300 | not published | not published | $237.51 – $260.92 | 2 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $6,153.86 – $6,462.56 | 4 |
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.