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 |
|---|---|---|---|---|
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $2,862.08 – $2,862.08 | 1 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $146.91 – $231.23 | 2 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $97.29 – $152.19 | 2 |
| Endovenous mchnchem 1st vein CPT 36473 | $4,952.88 | $7,619.82 | $128.92 – $198.15 | 2 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $63.61 – $98.66 | 2 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $95.72 – $150.82 | 2 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $10,111.66 | $15,556.40 | $129.20 – $196.84 | 2 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $64.57 – $98.82 | 2 |
| Energy storing foot HCPCS L5976 | not published | not published | $865.11 – $865.11 | 5 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $36.64 – $38.28 | 4 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.56 – $0.80 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.52 – $2.37 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $43.39 | $66.75 | $7.99 – $18.25 | 10 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $8.11 – $19.20 | 10 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $176.45 – $307.39 | 2 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $175.46 – $305.90 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $921.33 – $1,543.27 | 2 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $1,847.81 – $3,098.92 | 2 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $2,124.52 – $3,596.75 | 2 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $998.66 – $1,659.39 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,046.20 – $1,781.19 | 2 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,204.89 – $2,046.96 | 2 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $645.77 – $1,062.61 | 2 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $8.94 – $16.10 | 8 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | $97.02 | $149.26 | $84.00 – $84.00 | 1 |
| Enzyme cell activity ra CPT 82658 | $129.05 | $198.54 | $19.05 – $52.84 | 8 |
| Enzyme histochemistry CPT 88319 | not published | not published | $35.54 – $101.74 | 5 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $852.22 | $1,311.11 | $545.90 – $545.90 | 5 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $145.08 – $145.08 | 5 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $577.78 – $1,061.46 | 2 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $696.40 – $1,420.70 | 2 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $54.86 – $57.99 | 3 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $534.10 – $769.21 | 2 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $99.68 – $169.97 | 2 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $548.33 – $769.18 | 2 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $73.56 – $114.77 | 2 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $36.58 – $59.04 | 2 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $247.43 – $352.61 | 2 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $178.13 – $272.62 | 2 |
| Epidurography CPT 72275 | not published | not published | $69.82 – $69.82 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $610.24 – $919.95 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | $5,519.18 | $8,491.04 | $1,483.83 – $2,938.27 | 8 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,506.71 | $3,856.48 | $161.55 – $211.72 | 2 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $2.56 – $3.00 | 2 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $0.62 | $0.95 | $0.78 – $1.38 | 2 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $0.23 – $0.43 | 2 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $0.67 – $1.11 | 2 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $564.14 – $808.27 | 2 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $481.63 – $685.32 | 2 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.62 – $1.99 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $6,206.72 | $9,548.80 | $107.14 – $142.02 | 2 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $2.95 | $4.54 | $0.69 – $1.99 | 5 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $19.24 | $29.60 | $7.07 – $13.24 | 5 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $29.54 | $45.45 | $6.88 – $19.90 | 4 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.09 – $3.46 | 4 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.09 – $3.46 | 4 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $15.65 – $22.43 | 4 |
| Epstein barr early antigen antibody CPT 86663 | $47.49 | $73.06 | $8.75 – $29.52 | 10 |
| Epstein barr nuclear antigen antibody CPT 86664 | $55.34 | $85.14 | $10.19 – $34.40 | 10 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $65.66 | $101.02 | $12.09 – $40.82 | 10 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $10.20 – $27.00 | 3 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.32 – $21.10 | 4 |
| Ercp biliary & pancreas CPT 74330 | $561.74 | $864.22 | $115.29 – $143.00 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $333.90 – $603.35 | 2 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $273.95 – $493.58 | 2 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $312.46 – $564.34 | 2 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $312.75 – $564.80 | 2 |
| Ercp remove duct calculi 43264 CPT 43264 | $6,272.01 | $9,649.24 | $263.41 – $474.56 | 2 |
| Ercp remove forgn body duct 43275 CPT 43275 | $6,130.98 | $9,432.27 | $272.47 – $491.11 | 2 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $259.01 – $465.82 | 2 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $347.90 – $628.37 | 2 |
| Ercp w/specimen collection CPT 43260 | $6,130.98 | $9,432.27 | $233.28 – $420.55 | 2 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.58 – $4.58 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $59.98 – $155.52 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $10.78 | $16.58 | $6.75 – $63.68 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $214.43 | $329.89 | $9.15 – $99.50 | 3 |
| ER Visit (level 2) CPT 99282 | $1,568.87 | $2,413.65 | $33.57 – $103.00 | 3 |
| ER Visit (level 3) CPT 99283 | $1,568.87 | $2,413.65 | $57.64 – $165.00 | 3 |
| ER Visit (level 4) CPT 99284 | $893.34 | $1,374.37 | $98.06 – $165.00 | 3 |
| ER Visit (level 5, high severity) CPT 99285 | $1,568.87 | $2,413.65 | $142.33 – $213.57 | 3 |
| Erwinaze injection HCPCS J9019 | not published | not published | $386.96 – $483.70 | 2 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $20.16 – $172.48 | 4 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $59.58 – $90.37 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.20 – $0.41 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.21 – $0.28 | 3 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $85.11 – $140.59 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $83.92 – $146.19 | 2 |
| Esophageal motility CPT 78258 | not published | not published | $139.98 – $206.04 | 3 |
| Esophageal recording CPT 93615 | not published | not published | $13.29 – $16.16 | 2 |
| Esophageal recording CPT 93616 | not published | not published | $21.98 – $24.61 | 2 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,013.19 – $1,680.51 | 2 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,039.74 – $1,682.88 | 2 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,191.40 – $3,439.77 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $138.75 – $248.98 | 2 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $67.62 – $126.63 | 2 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $171.61 – $304.75 | 2 |
| Esophagoscop stent placement CPT 43212 | $8,557.63 | $13,165.58 | $139.78 – $243.72 | 2 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $114.71 – $207.33 | 2 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $87.46 – $152.17 | 2 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $121.57 – $214.97 | 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.