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 |
|---|---|---|---|---|
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $758.85 – $1,103.54 | 2 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $97.89 – $151.21 | 2 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $751.36 – $1,121.71 | 2 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $276.53 – $404.18 | 2 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $235.07 – $322.02 | 2 |
| Excise ileoanal reservior CPT 45136 | not published | not published | $1,348.28 – $2,351.96 | 2 |
| Excise inferior turbinate CPT 30130 | not published | not published | $322.64 – $434.91 | 2 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $648.47 – $1,075.19 | 2 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,287.81 – $1,819.38 | 2 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $1,607.48 – $2,249.46 | 2 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,060.25 – $1,500.25 | 2 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $1,458.32 – $2,064.76 | 2 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,160.44 – $1,547.03 | 2 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $1,455.15 – $2,025.92 | 2 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $1,600.54 – $2,250.43 | 2 |
| Excise lesion testis CPT 54512 | not published | not published | $405.22 – $612.58 | 2 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $155.78 – $235.58 | 2 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $889.10 – $1,462.56 | 2 |
| Excise mandible lesion CPT 21040 | not published | not published | $278.58 – $433.03 | 2 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $277.76 – $429.52 | 2 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $813.80 – $1,284.64 | 2 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $202.87 – $309.46 | 2 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $458.29 – $696.70 | 2 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $758.02 – $1,181.58 | 2 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $845.29 – $1,327.56 | 2 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $601.82 – $934.85 | 2 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $959.68 – $1,512.10 | 2 |
| Excise pharynx lesion CPT 42808 | not published | not published | $121.97 – $182.15 | 2 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $138.80 – $217.67 | 2 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $1,632.37 – $2,470.00 | 2 |
| Excise sublingual gland CPT 42450 | not published | not published | $271.02 – $400.15 | 2 |
| Excise submaxillary gland CPT 42440 | not published | not published | $304.92 – $461.10 | 2 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $269.30 – $366.33 | 2 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $414.00 – $599.47 | 2 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $302.44 – $424.47 | 2 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $116.54 – $178.48 | 2 |
| Excision aural polyp CPT 69540 | not published | not published | $98.71 – $140.07 | 2 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $1,385.57 | $2,131.64 | $99.03 – $146.70 | 2 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $3,168.00 | $4,873.85 | $102.38 – $152.02 | 2 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,496.14 | $2,301.76 | $84.52 – $128.03 | 2 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $186.49 – $274.54 | 2 |
| Excision breast lesion CPT 19125 | not published | not published | $367.20 – $506.79 | 2 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,035.75 – $1,459.11 | 2 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $165.53 – $245.79 | 2 |
| Excision graft abdomen CPT 35907 | not published | not published | $1,394.45 – $2,107.83 | 2 |
| Excision graft extremity CPT 35903 | not published | not published | $419.77 – $624.89 | 2 |
| Excision graft neck CPT 35901 | not published | not published | $355.55 – $518.40 | 2 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,234.78 – $1,889.43 | 2 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $680.29 – $907.02 | 2 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $123.62 – $193.09 | 2 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $251.08 – $387.14 | 2 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $98.69 – $143.98 | 2 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $109.81 – $172.20 | 2 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $1,014.78 – $1,471.96 | 2 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,173.76 – $1,726.66 | 2 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,498.76 – $2,212.24 | 2 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $738.59 – $1,245.95 | 2 |
| Excision of brain tumor CPT 61545 | not published | not published | $2,436.50 – $3,456.08 | 2 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $459.87 – $797.41 | 2 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $785.54 – $1,262.57 | 2 |
| Excision of gum lesion CPT 41822 | not published | not published | $154.23 – $210.55 | 2 |
| Excision of gum lesion CPT 41823 | not published | not published | $291.90 – $381.71 | 2 |
| Excision of gum lesion CPT 41826 | not published | not published | $147.58 – $237.21 | 2 |
| Excision of gum lesion CPT 41827 | not published | not published | $217.87 – $339.78 | 2 |
| Excision of gum lesion CPT 41828 | not published | not published | $164.16 – $235.22 | 2 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $91.29 – $137.34 | 2 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $654.21 – $1,057.33 | 2 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $450.20 – $663.76 | 2 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $600.67 – $968.74 | 2 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $230.49 – $351.21 | 2 |
| Excision of neck cyst CPT 42815 | not published | not published | $393.56 – $615.30 | 2 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $212.08 – $320.00 | 2 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $101.22 – $147.47 | 2 |
| Excision of rectal lesion CPT 45160 | not published | not published | $790.36 – $1,289.68 | 2 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $986.31 – $1,670.42 | 2 |
| Excision of rectal stricture CPT 45150 | not published | not published | $339.12 – $523.77 | 2 |
| Excision of salivary cyst CPT 42408 | not published | not published | $266.88 – $397.90 | 2 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,470.60 – $2,051.15 | 2 |
| Excision of skull/sutures CPT 61559 | not published | not published | $1,863.15 – $2,516.69 | 2 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,532.86 – $2,142.96 | 2 |
| Excision of skull tumor CPT 61564 | not published | not published | $1,853.29 – $2,628.51 | 2 |
| Excision of stomach lesion CPT 43610 | not published | not published | $745.53 – $1,239.24 | 2 |
| Excision of stomach lesion CPT 43611 | not published | not published | $932.08 – $1,546.07 | 2 |
| Excision of tongue lesion CPT 41112 | not published | not published | $185.73 – $281.21 | 2 |
| Excision of tongue lesion CPT 41114 | not published | not published | $451.49 – $705.05 | 2 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $201.58 – $310.66 | 2 |
| Excision of tonsil tags CPT 42860 | not published | not published | $147.62 – $210.30 | 2 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $461.89 – $654.60 | 2 |
| Excision of uvula CPT 42140 | not published | not published | $124.92 – $173.93 | 2 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $126.27 – $180.51 | 2 |
| Excision olecranon bursa CPT 24105 | not published | not published | $292.51 – $391.84 | 2 |
| Excision perinephric cyst CPT 50290 | not published | not published | $670.03 – $1,021.68 | 2 |
| Excision radial head CPT 24130 | not published | not published | $396.77 – $567.72 | 2 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $97.84 – $147.00 | 2 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $368.44 – $520.67 | 2 |
| Excis partial tal calc CPT 28120 | not published | not published | $386.29 – $561.18 | 2 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $843.81 – $1,352.61 | 2 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $509.77 – $756.14 | 2 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $358.05 – $519.18 | 2 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $106.88 – $174.13 | 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.