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 |
|---|---|---|---|---|
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.33 – $1.10 | 5 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $509.97 – $772.63 | 2 |
| Filtered speech hearing test CPT 92571 | not published | not published | $25.31 – $30.14 | 2 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $36.71 – $36.71 | 5 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $2,374.55 | $3,653.16 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $3,178.56 | $4,890.10 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $594.51 – $869.57 | 2 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.14 – $0.19 | 3 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,631.47 | $2,509.95 | $66.11 – $105.95 | 2 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $815.72 | $1,254.95 | $39.06 – $67.60 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $815.72 | $1,254.96 | $30.21 – $48.83 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $815.72 | $1,254.96 | $35.83 – $56.41 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $38.10 – $62.92 | 2 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $412.46 – $412.46 | 5 |
| Finger tendon transfer CPT 26497 | not published | not published | $717.98 – $959.40 | 2 |
| Finger tendon transfer CPT 26498 | not published | not published | $913.95 – $1,254.44 | 2 |
| Finger X-ray (both hands) CPT 73140 | $201.75 | $310.38 | $23.27 – $31.89 | 3 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $822.60 – $1,130.21 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $519.54 – $696.51 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $22.20 – $22.20 | 1 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $30.00 – $30.00 | 1 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $65.18 – $119.06 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $15.41 – $15.41 | 1 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $24.07 – $24.07 | 1 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $28.30 – $28.30 | 1 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $22.20 – $22.20 | 1 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $32.09 – $32.09 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $33.98 – $50.55 | 2 |
| Fixation of ankle joint CPT 27860 | not published | not published | $127.21 – $191.55 | 2 |
| Fixation of knee joint CPT 27570 | $3,413.24 | $5,251.14 | $122.41 – $167.68 | 2 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $733.24 – $1,069.22 | 2 |
| Fix g/colon tube w/device CPT 49460 | $1,574.62 | $2,422.49 | $35.43 – $54.77 | 2 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $523.85 – $737.21 | 2 |
| Flebogamma injection HCPCS J1572 | not published | not published | $43.29 – $63.53 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | $41.32 | $63.57 | $10.61 – $23.87 | 10 |
| Fl exam g/colon tube w contrast CPT 49465 | $666.26 | $1,025.01 | $21.45 – $35.28 | 2 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,748.98 – $2,748.98 | 5 |
| Flex foot system HCPCS L5980 | not published | not published | $5,960.65 – $5,960.65 | 5 |
| Flexible keel foot HCPCS L5972 | $673.54 | $1,036.22 | $431.46 – $431.46 | 5 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $203.83 – $203.83 | 5 |
| Flexible Sigmoidoscopy CPT 45330 | $1,821.08 | $2,801.66 | $44.26 – $72.28 | 2 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $371.20 – $371.20 | 5 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $552.38 – $797.21 | 2 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $599.03 – $864.32 | 2 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $249.97 – $249.97 | 5 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,799.04 – $3,799.04 | 5 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $69.24 – $100.47 | 2 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $2,968.00 – $3,360.00 | 2 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $3,710.00 – $3,710.00 | 1 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $607.90 – $671.22 | 2 |
| Flow cytometry interp 16 or more CPT 88189 | $251.27 | $386.57 | $30.30 – $69.82 | 5 |
| Flow cytometry marker each additional CPT 88185 | $85.22 | $131.10 | $4.19 – $35.10 | 4 |
| Flow cytometry one marker technical component CPT 88184 | $351.60 | $540.93 | $4.19 – $52.65 | 4 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $180.00 – $190.80 | 2 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $89.41 – $225.00 | 2 |
| #flow interp 9 - 15 markers CPT 88188 | $187.91 | $289.09 | $25.25 – $56.81 | 5 |
| Floxuridine injection HCPCS J9200 | not published | not published | $76.55 – $4,396.49 | 4 |
| Flt3 gene CPT 81245 | $485.16 | $746.40 | $47.57 – $372.40 | 10 |
| Flt3 gene analysis CPT 81246 | $243.30 | $374.31 | $50.30 – $186.75 | 10 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $3.58 – $9.00 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $59.53 – $206.30 | 4 |
| Fluidotherapy charges pt CPT 97022 | $55.41 | $85.25 | $10.56 – $14.82 | 4 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $68.43 – $100.80 | 2 |
| Fluocinol acet intravit imp HCPCS J7313 | $1,023.45 | $1,574.54 | $490.77 – $555.79 | 4 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $338.80 – $386.95 | 4 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $22.39 – $39.59 | 2 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $85.33 – $98.44 | 3 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $229.88 – $230.79 | 2 |
| Fluorescent antibody titer dna CPT 86256 | $43.62 | $67.10 | $8.03 – $14.46 | 8 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $528.80 – $598.64 | 2 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $766.50 – $4,891.90 | 2 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $393.18 | $604.89 | $30.98 – $79.67 | 3 |
| Fluoroguide needle placement CPT 77002 | $393.18 | $604.89 | $45.42 – $93.68 | 3 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $8.32 – $23.76 | 10 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $579.34 | $891.29 | $23.40 – $47.62 | 3 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $1.94 – $6.17 | 4 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $17.10 | $26.31 | $5.78 – $29.04 | 4 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $530.00 – $530.00 | 1 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $1.57 – $2.83 | 3 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $3,392.00 – $3,960.00 | 2 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $30.47 | $46.87 | not published | 0 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $262.50 – $612.50 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $228.39 – $399.80 | 3 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,631.47 | $2,509.95 | $77.67 – $129.06 | 2 |
| Fna bx w/ct gdn ea addl CPT 10010 | $815.72 | $1,254.95 | $54.58 – $93.89 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,631.47 | $2,509.95 | not published | 0 |
| Fna bx w/mr gdn ea addl CPT 10012 | $815.72 | $1,254.95 | not published | 0 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $28.40 – $28.40 | 5 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $13.84 – $13.84 | 5 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $14.68 – $14.68 | 5 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $41.86 – $41.86 | 5 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $10.65 – $10.65 | 5 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $12.75 – $12.75 | 5 |
| Foam stability fetal lung CPT 83662 | not published | not published | $12.59 – $42.55 | 10 |
| Folic acid CPT 82746 | $53.21 | $81.86 | $9.79 – $28.42 | 10 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.05 – $0.05 | 2 |
| Follow-up angiography CPT 75898 | not published | not published | $54.04 – $136.03 | 3 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $14.68 – $28.26 | 2 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $396.54 – $653.45 | 2 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $10.62 – $18.00 | 3 |
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.