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 |
|---|---|---|---|---|
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $116.90 | $179.85 | $30.94 – $47.41 | 2 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $233.80 | $359.70 | $35.12 – $54.04 | 2 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $48,155.50 – $48,155.50 | 5 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $44,008.89 – $44,008.89 | 5 |
| Electron microscopy diagnostic CPT 88348 | $1,488.55 | $2,290.08 | $330.92 – $406.70 | 3 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $46.50 – $71.02 | 3 |
| Electrophysiologic study CPT 93624 | not published | not published | $77.71 – $121.54 | 2 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $315.94 – $416.69 | 2 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $220.34 – $466.76 | 2 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $39.88 – $2,390.46 | 2 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $58.45 – $2,544.48 | 2 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $299.07 – $378.37 | 2 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $68.01 – $171.52 | 3 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $41.13 – $104.93 | 3 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $110.12 – $376.13 | 3 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $7.08 – $21.95 | 8 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $7.58 – $11.64 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $205.06 – $319.52 | 4 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $7.73 – $8.24 | 4 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $182.98 – $192.48 | 3 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $144.15 – $205.61 | 2 |
| Emboli detcj wo IV mbubb njx CPT 93897 | not published | not published | $163.25 – $258.48 | 2 |
| Embolization s&i CPT 75894 | $1,288.76 | $1,982.71 | $154.24 – $1,067.69 | 3 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $341.06 – $541.57 | 2 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $470.94 – $763.60 | 2 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $401.27 – $646.65 | 2 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $306.42 – $498.49 | 2 |
| Embryo hatching CPT 89253 | not published | not published | $518.22 – $518.22 | 1 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $829.14 – $829.14 | 1 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $8,391.79 | $12,910.44 | $750.46 – $1,136.77 | 2 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $8,391.79 | $12,910.44 | $698.10 – $1,051.60 | 2 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $29.01 – $43.00 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | $436.20 | $671.08 | $45.23 – $67.39 | 2 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $51.95 – $94.50 | 3 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $63.19 – $127.37 | 3 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $48.54 – $85.23 | 3 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $40.71 – $72.88 | 3 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $72.39 – $149.66 | 3 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $39.35 – $83.51 | 3 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $257.90 – $257.90 | 5 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $304.77 – $304.77 | 5 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $107.01 – $107.01 | 5 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $1,328.48 – $1,328.48 | 5 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $845.03 – $845.03 | 5 |
| Encephalitis, california igg/igm CPT 86651 | $31.06 | $47.79 | $8.11 – $18.25 | 10 |
| Encephalitis, st louis igg/igm CPT 86653 | $31.06 | $47.79 | $8.11 – $18.25 | 10 |
| Encephalitis, western equine igg/igm CPT 86654 | $31.06 | $47.79 | $8.11 – $18.25 | 10 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $201.35 – $310.90 | 2 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $200.66 – $311.69 | 2 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $649.58 – $649.58 | 5 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $164.12 – $164.12 | 5 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $1,081.49 – $1,081.49 | 5 |
| Endo assay seven anal CPT 81506 | not published | not published | $25.20 – $82.70 | 8 |
| Endo below knee alignable sy HCPCS L5910 | $757.20 | $1,164.93 | $485.06 – $485.06 | 5 |
| Endo bk ultra-light material HCPCS L5940 | not published | not published | $667.12 – $667.12 | 5 |
| Endo cath bile duct s&i CPT 74328 | $561.74 | $864.22 | $77.40 – $141.59 | 2 |
| Endo cath panc duct s&i CPT 74329 | $561.74 | $864.22 | $61.66 – $134.93 | 2 |
| Endocerv curettage w/scope 57456 CPT 57456 | $742.46 | $1,142.25 | $73.10 – $106.63 | 2 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $81.49 – $107.46 | 2 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $245.37 – $441.44 | 2 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $258.46 – $465.71 | 2 |
| Endo hip ultra-light materia HCPCS L5960 | not published | not published | $1,566.73 – $1,566.73 | 5 |
| Endo knee-shin fluid swg/sta HCPCS L5828 | not published | not published | $4,224.62 – $4,224.62 | 5 |
| Endo knee-shin fluid swing p HCPCS L5824 | not published | not published | $2,324.52 – $2,324.52 | 5 |
| Endo knee-shin frct swg & st HCPCS L5812 | not published | not published | $692.06 – $692.06 | 5 |
| Endo knee-shin frct swg & st HCPCS L5818 | not published | not published | $1,259.99 – $1,259.99 | 5 |
| Endo knee-shin hydral swg ph HCPCS L5814 | not published | not published | $4,463.43 – $4,463.43 | 5 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | not published | not published | $892.86 – $892.86 | 5 |
| Endo knee-shin pneum swg frc HCPCS L5822 | not published | not published | $2,584.97 – $2,584.97 | 5 |
| Endo knee-shin pneum/swg pha HCPCS L5830 | not published | not published | $2,492.97 – $2,492.97 | 5 |
| Endo knee-shin polyc mch sta HCPCS L5816 | not published | not published | $1,041.16 – $1,041.16 | 5 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $102.29 – $166.17 | 2 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $2,003.77 | $3,082.72 | $104.46 – $174.48 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $174.16 – $230.33 | 2 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $88.10 – $117.64 | 2 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $167.18 – $243.19 | 2 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $250.86 – $375.48 | 2 |
| Endo poly hip, pneu/hyd/rot HCPCS L5961 | not published | not published | $5,299.60 – $5,299.60 | 5 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $145.56 – $226.37 | 2 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $84.73 – $155.39 | 2 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $143.52 – $254.96 | 2 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $11.67 – $17.97 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $67.13 – $115.34 | 2 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $698.74 – $698.74 | 1 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $184.97 – $298.45 | 2 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $55.60 – $92.69 | 2 |
| Endoscopy of ureter CPT 50951 | not published | not published | $223.00 – $349.50 | 2 |
| Endoscopy of ureter CPT 50953 | not published | not published | $238.07 – $371.98 | 2 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $25.27 – $44.22 | 2 |
| Endoscopy swallow (fees) vid CPT 92612 | $613.05 | $943.16 | $45.63 – $80.17 | 3 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $118.96 – $187.30 | 2 |
| Endoskeletal axial rotation HCPCS L5984 | not published | not published | $697.41 – $697.41 | 5 |
| Endoskel knee-shin mnl lock HCPCS L5810 | not published | not published | $615.87 – $615.87 | 5 |
| Endoskel posit rotat unit HCPCS L5926 | not published | not published | $697.41 – $697.41 | 5 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $778.35 – $1,060.16 | 2 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $1,113.39 – $1,697.17 | 2 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $416.52 – $628.95 | 2 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $1,610.45 – $1,610.45 | 1 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $2,027.68 – $2,027.68 | 1 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $2,444.87 – $2,444.87 | 1 |
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.