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 les conjunctiva >1 cm CPT 68115 | not published | not published | $130.28 – $215.84 | 2 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $296.56 – $483.98 | 2 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $94.51 – $141.81 | 2 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $802.22 – $1,052.80 | 2 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $95.10 – $131.42 | 2 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $645.97 – $832.70 | 2 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $91.52 – $140.70 | 2 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $127.88 – $206.27 | 2 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $197.82 – $319.31 | 2 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $274.09 – $442.27 | 2 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $90.04 – $135.94 | 2 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $1,537.43 | $2,365.27 | $106.82 – $168.23 | 2 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $146.83 – $237.49 | 2 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $89.48 – $134.51 | 2 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $105.99 – $167.18 | 2 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $113.15 – $183.16 | 2 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $135.05 – $219.28 | 2 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $149.50 – $240.83 | 2 |
| Exc mandible 21025 CPT 21025 | not published | not published | $506.04 – $772.76 | 2 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $401.65 – $587.62 | 2 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $554.77 – $810.91 | 2 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $340.50 – $501.64 | 2 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $823.76 – $1,386.33 | 2 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $574.20 – $837.65 | 2 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $316.60 – $453.63 | 2 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $147.29 – $204.56 | 2 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $263.46 – $376.80 | 2 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $651.13 – $1,035.14 | 2 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $500.24 – $769.18 | 2 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $670.08 – $948.59 | 2 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $855.67 – $1,221.90 | 2 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $547.14 – $766.33 | 2 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $727.44 – $1,047.59 | 2 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $426.41 – $600.80 | 2 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $260.54 – $361.28 | 2 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $207.61 – $282.38 | 2 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $257.84 – $363.95 | 2 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $119.14 – $191.99 | 2 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $167.58 – $268.94 | 2 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $208.72 – $328.80 | 2 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $243.70 – $341.72 | 2 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $349.11 – $494.29 | 2 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $242.86 – $339.17 | 2 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $261.00 – $390.37 | 2 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $250.30 – $351.27 | 2 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $320.81 – $459.61 | 2 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $331.20 – $464.80 | 2 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $331.87 – $463.62 | 2 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $321.39 – $464.16 | 2 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $368.79 – $519.73 | 2 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $252.46 – $365.76 | 2 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $251.79 – $347.17 | 2 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $480.68 – $692.67 | 2 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $581.40 – $836.04 | 2 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,424.88 | $3,730.58 | $88.73 – $141.68 | 2 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $261.88 – $362.81 | 2 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $208.42 – $316.96 | 2 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $674.33 – $983.50 | 2 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $682.06 – $1,009.21 | 2 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $751.64 – $1,112.87 | 2 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $890.77 – $1,290.00 | 2 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $886.12 – $1,318.64 | 2 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $481.78 – $668.18 | 2 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $225.92 – $357.84 | 2 |
| Exc/unroofing cyst kidney CPT 50280 | not published | not published | $703.78 – $1,083.94 | 2 |
| Excursion amplifier lever ty HCPCS L6642 | not published | not published | $354.94 – $354.94 | 5 |
| Excursion amplifier pulley t HCPCS L6641 | not published | not published | $261.86 – $261.86 | 5 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $138.05 – $196.20 | 2 |
| Exemestane, 25 mg HCPCS S0156 | not published | not published | $1.60 – $4.00 | 3 |
| Exercise tst brncspsm w/ecg CPT 94617 | $255.27 | $392.72 | $50.27 – $71.95 | 2 |
| Exercise tst brncspsm wo ecg CPT 94619 | $143.86 | $221.32 | $36.97 – $58.92 | 2 |
| Exercise w/hemodynamic meas CPT 93464 | not published | not published | $110.72 – $197.28 | 3 |
| Exhaled breath condensate CPT 83987 | not published | not published | $2.38 – $4.30 | 8 |
| Exome re-evaluation CPT 81417 | not published | not published | $0.01 – $384.00 | 8 |
| Exome sequence analysis CPT 81415 | $10,596.93 | $16,302.97 | $1,000.00 – $5,736.00 | 8 |
| Exome sequence analysis CPT 81416 | not published | not published | $1,000.00 – $14,400.00 | 8 |
| Exoskeletal ak ultra-light m HCPCS L5790 | not published | not published | $880.26 – $880.26 | 5 |
| Exoskeletal axial rotation u HCPCS L5982 | not published | not published | $707.75 – $707.75 | 5 |
| Exoskeletal bk ultralt mater HCPCS L5785 | $992.96 | $1,527.63 | $636.06 – $636.06 | 5 |
| Exoskel hip ultra-light mate HCPCS L5795 | not published | not published | $1,314.46 – $1,314.46 | 5 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $100.96 – $155.03 | 2 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $1,193.43 | $1,836.04 | $764.47 – $764.47 | 5 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $591.65 – $855.54 | 2 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $314.54 – $517.52 | 2 |
| Exploration for testis CPT 54550 | not published | not published | $373.13 – $559.14 | 2 |
| Exploration for testis CPT 54560 | not published | not published | $515.51 – $781.04 | 2 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $390.38 – $584.13 | 2 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $126.01 – $202.55 | 2 |
| Exploration of ankle joint CPT 27612 | not published | not published | $444.90 – $636.94 | 2 |
| Exploration of bile ducts CPT 47700 | not published | not published | $816.44 – $1,170.59 | 2 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $400.57 – $552.01 | 2 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $618.92 – $870.69 | 2 |
| Exploration of foot joint CPT 28020 | not published | not published | $289.05 – $407.27 | 2 |
| Exploration of foot joint CPT 28022 | not published | not published | $259.35 – $366.67 | 2 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $363.61 – $495.15 | 2 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $616.16 – $876.68 | 2 |
| Exploration of knee joint CPT 27310 | not published | not published | $562.42 – $813.30 | 2 |
| Exploration of middle ear CPT 69440 | not published | not published | $512.95 – $762.74 | 2 |
| Exploration of sinuses CPT 31090 | not published | not published | $830.66 – $1,161.67 | 2 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $638.76 – $899.36 | 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.