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 |
|---|---|---|---|---|
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.86 – $5.76 | 4 |
| Fo nontorsion joint cf HCPCS L3935 | $428.01 | $658.48 | $241.15 – $241.15 | 5 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $91.55 – $91.55 | 5 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $56.45 – $56.45 | 5 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $92.67 – $92.67 | 5 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $248.63 – $248.63 | 5 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $193.73 – $193.73 | 5 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $158.66 – $158.66 | 5 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $209.04 – $209.04 | 5 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $146.92 – $146.92 | 5 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $209.04 – $209.04 | 5 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $237.97 – $237.97 | 5 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $61.04 – $61.04 | 5 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $408.31 – $408.31 | 5 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $285.29 – $285.29 | 5 |
| Foot X-ray CPT 73630 | $201.75 | $310.38 | $21.22 – $27.22 | 3 |
| Foot X-ray (2 views, both feet) CPT 73620 | $201.75 | $310.38 | $17.12 – $21.84 | 3 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $2,063.76 | $3,175.02 | $1,321.98 – $1,321.98 | 5 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $980.65 – $980.65 | 5 |
| Forearm X-ray (both sides) CPT 73090 | $201.75 | $310.38 | $17.40 – $22.19 | 3 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $721.82 – $1,119.89 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $4.92 – $8.26 | 3 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $41.71 – $65.58 | 2 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $2.36 – $2.36 | 1 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.55 – $19.28 | 4 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.11 – $0.66 | 4 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $8.36 – $94.55 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $2.58 – $5.76 | 3 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $11.56 – $34.20 | 10 |
| Fracture assessment via dxa CPT 77086 | $201.75 | $310.38 | $21.76 – $29.05 | 3 |
| _fragile x methylation-sendout CPT 81244 | $131.57 | $202.42 | $16.87 – $53.87 | 8 |
| Fragmenting of kidney stone CPT 50590 | $9,119.56 | $14,030.09 | $430.66 – $646.41 | 2 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $667.32 – $667.32 | 5 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $718.66 – $718.66 | 5 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $1,099.86 – $1,099.86 | 5 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $946.01 – $946.01 | 5 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $1,597.03 – $2,570.30 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $827.30 – $1,381.06 | 2 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $1,261.41 – $1,261.41 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $1,612.87 – $2,573.46 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,243.60 – $1,764.67 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $1,601.06 – $2,549.04 | 2 |
| Frenectomy 41115 CPT 41115 | not published | not published | $109.62 – $162.65 | 2 |
| Frenotomy 40806 CPT 40806 | not published | not published | $23.47 – $32.92 | 2 |
| Frenulotomy of penis CPT 54164 | not published | not published | $152.85 – $219.57 | 2 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $277.37 | $426.72 | $51.20 – $51.20 | 1 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $291.25 | $448.07 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $518.28 | $797.36 | $2.54 – $2.54 | 1 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $17.10 – $71.92 | 2 |
| Frozen cell preparation CPT 88241 | not published | not published | $8.06 – $14.51 | 8 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $1.02 – $1.02 | 1 |
| Fructosamine glycated protein CPT 82985 | $54.55 | $83.93 | $10.75 – $24.19 | 10 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $56.45 – $56.45 | 5 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $92.95 – $156.15 | 2 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $53.16 – $87.43 | 2 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $376.80 – $376.80 | 5 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $31.55 – $1,784.84 | 10 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $42.13 – $125.53 | 10 |
| Ftl cgen abnor four anal CPT 81511 | $388.69 | $597.98 | $43.30 – $184.20 | 10 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $33.66 – $82.64 | 10 |
| Ftl cgen abnor two proteins CPT 81508 | $137.50 | $211.54 | $24.99 – $65.16 | 10 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $357.27 – $357.27 | 5 |
| Full field erg w/i&r CPT 92273 | not published | not published | $72.45 – $110.85 | 2 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $28.73 – $47.35 | 3 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $65.62 – $65.62 | 5 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $275.16 | $423.33 | $42.71 – $57.39 | 3 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $601.36 – $961.42 | 2 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $442.73 – $687.23 | 2 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $47.45 – $79.39 | 2 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $575.47 – $895.60 | 2 |
| Functional brain mapping CPT 96020 | not published | not published | $181.58 – $181.58 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | $261.42 | $402.19 | $13.57 – $50.25 | 3 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,800.47 – $1,800.47 | 5 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $1.07 | $1.64 | $0.02 – $0.02 | 3 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $1.46 – $3.18 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,407.55 – $3,604.81 | 2 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,045.42 – $1,732.78 | 2 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,084.55 – $1,762.24 | 2 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,058.13 – $1,757.21 | 2 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,002.36 – $1,447.91 | 2 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,120.51 – $1,635.44 | 2 |
| Fuse/graft added joint CPT 26863 | not published | not published | $157.11 – $255.01 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,258.45 – $3,361.51 | 2 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,259.52 – $1,843.74 | 2 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $987.26 – $1,448.32 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $836.92 – $1,209.57 | 2 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,032.56 – $1,503.38 | 2 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $603.26 – $811.82 | 2 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $686.24 – $912.17 | 2 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $760.56 – $1,146.23 | 2 |
| Fusion of big toe joint CPT 28750 | not published | not published | $442.20 – $658.19 | 2 |
| Fusion of big toe joint CPT 28755 | not published | not published | $375.60 – $385.81 | 2 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $922.71 – $1,428.59 | 2 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $70.98 – $115.23 | 2 |
| Fusion of finger joint CPT 26860 | not published | not published | $495.94 – $646.53 | 2 |
| Fusion of finger tendons CPT 26471 | not published | not published | $526.52 – $699.68 | 2 |
| Fusion of finger tendons CPT 26474 | not published | not published | $534.72 – $689.57 | 2 |
| Fusion of foot bones CPT 28730 | not published | not published | $557.72 – $824.32 | 2 |
| Fusion of foot bones CPT 28735 | not published | not published | $599.37 – $877.34 | 2 |
| Fusion of foot bones CPT 28740 | not published | not published | $475.67 – $700.22 | 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.