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 |
|---|---|---|---|---|
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.26 – $0.26 | 1 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $22.88 – $35.23 | 2 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $94.90 – $150.98 | 2 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $102.70 | $158.00 | $34.91 – $34.91 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $637.83 | $981.28 | $261.11 – $292.23 | 3 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $57.77 – $92.44 | 2 |
| Eeg during surgery CPT 95955 | not published | not published | $117.69 – $165.70 | 3 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $239.48 – $440.14 | 3 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $196.22 – $298.11 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $643.99 | $990.75 | $237.26 – $325.04 | 3 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $689.36 | $1,060.55 | $268.77 – $342.66 | 3 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $147.56 – $231.46 | 2 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $178.97 – $282.07 | 2 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $180.01 – $286.65 | 2 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $227.48 – $360.04 | 2 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $206.37 – $326.84 | 2 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $289.06 – $455.57 | 2 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $143.53 – $231.06 | 2 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $74.53 – $113.76 | 2 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $93.23 – $150.25 | 2 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $112.01 – $175.77 | 2 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $250.21 – $360.61 | 3 |
| Eeg recording awake and asleep CPT 95819 | not published | not published | $271.33 – $401.02 | 3 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $272.16 – $272.16 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $272.16 – $272.16 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $522.17 – $522.17 | 1 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $522.17 – $522.17 | 1 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $272.16 – $272.16 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $522.17 – $522.17 | 1 |
| E equine encephalitis igg CPT 86652 | $31.06 | $47.79 | $8.11 – $18.25 | 10 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.22 – $35.70 | 4 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $168.04 – $295.69 | 2 |
| Egd control bleeding any CPT 43255 | not published | not published | $146.84 – $261.22 | 2 |
| Egd dilate stricture CPT 43245 | not published | not published | $129.58 – $227.28 | 2 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $196.54 – $351.95 | 2 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $159.26 – $283.29 | 2 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $313.05 – $553.37 | 2 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $130.32 – $179.18 | 2 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $118.04 – $159.55 | 2 |
| Egd guide wire insertion CPT 43248 | $1,574.63 | $2,422.51 | $122.56 – $216.06 | 2 |
| Egd injection varices CPT 43243 | not published | not published | $173.04 – $308.52 | 2 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $105.06 – $184.98 | 2 |
| Egd lesion ablation CPT 43270 | not published | not published | $164.04 – $292.32 | 2 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $124.19 – $219.51 | 2 |
| Egd remove foreign body CPT 43247 | $1,711.15 | $2,632.54 | $130.19 – $229.89 | 2 |
| Egd remove lesion snare CPT 43251 | not published | not published | $143.44 – $255.08 | 2 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $125.90 – $219.76 | 2 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $164.97 – $294.78 | 2 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $169.71 – $303.00 | 2 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $190.89 – $342.34 | 2 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $191.09 – $342.64 | 2 |
| Egd varices ligation CPT 43244 | not published | not published | $178.84 – $319.18 | 2 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $169.63 – $301.69 | 2 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $283.84 – $511.53 | 2 |
| Egfr gene com variants CPT 81235 | $951.44 | $1,463.76 | $116.25 – $389.50 | 8 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $82.65 | $127.16 | $21.26 – $48.69 | 10 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $7.08 – $23.48 | 8 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $12.66 – $25.76 | 3 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $12.66 – $19.32 | 2 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $6.99 – $10.96 | 2 |
| EKG tracing for initial prev HCPCS G0404 | $65.29 | $100.45 | $5.66 – $8.37 | 2 |
| EKG (Tracing Only) CPT 93005 | $146.22 | $224.95 | $5.66 – $10.73 | 3 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $3,798.47 – $3,798.47 | 5 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $3,141.59 – $3,141.59 | 5 |
| Elbow arthroscopy CPT 29830 | not published | not published | $358.34 – $507.31 | 2 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $382.91 – $543.02 | 2 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $397.48 – $561.59 | 2 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $448.34 – $639.71 | 2 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $413.49 – $585.45 | 2 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $456.37 – $656.00 | 2 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $3,464.57 – $3,464.57 | 5 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $3,619.94 – $3,619.94 | 5 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $3,339.85 – $3,339.85 | 5 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $3,332.19 – $3,332.19 | 5 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $681.70 – $681.70 | 5 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $818.06 – $818.06 | 5 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $3,917.63 – $3,917.63 | 5 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $201.75 | $310.38 | $17.40 – $21.84 | 3 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $201.75 | $310.38 | $20.12 – $24.71 | 3 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $24.45 – $39.78 | 2 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $28,715.00 – $28,715.00 | 5 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $28,981.98 – $28,981.98 | 5 |
| Elec stim unattend for press HCPCS G0281 | $40.70 | $62.62 | $9.74 – $14.54 | 3 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $17.78 – $28.37 | 2 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $24.72 – $39.78 | 2 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $41.20 – $56.07 | 2 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $46.34 | $71.29 | $9.21 – $12.35 | 4 |
| Electrical stimulation/unattended 97014 CPT 97014 | not published | not published | $7.58 – $11.96 | 3 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $38.32 – $60.44 | 3 |
| Electrocochleography CPT 92584 | not published | not published | $87.15 – $131.16 | 2 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $83.45 – $189.58 | 4 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $1,186.62 – $1,637.43 | 3 |
| Electrodes, pair HCPCS A4556 | not published | not published | $17.31 – $17.31 | 5 |
| Electrode stimulation brain CPT 95961 | not published | not published | $99.30 – $159.50 | 3 |
| Electroejaculation CPT 55870 | not published | not published | $105.52 – $161.24 | 2 |
| Electrogastrography CPT 91132 | not published | not published | $113.26 – $476.52 | 3 |
| Electrogastrography w/test CPT 91133 | not published | not published | $136.43 – $496.00 | 3 |
| Electrolyte panel CPT 80051 | $25.38 | $39.05 | $4.68 – $13.72 | 10 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $8.75 – $12.07 | 2 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $13,374.00 – $13,374.00 | 5 |
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.