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 |
|---|---|---|---|---|
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $402.63 – $635.66 | 2 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $573.02 – $870.01 | 2 |
| Genome re-evaluation CPT 81427 | not published | not published | $0.01 – $2,805.18 | 8 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.01 – $6,037.44 | 8 |
| Genome sequence analysis CPT 81426 | not published | not published | $0.01 – $3,251.94 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $2.28 | $3.51 | $1.38 – $2.86 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $59.27 | $91.18 | $10.61 – $23.87 | 10 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.81 – $19.15 | 4 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $340.69 – $515.05 | 3 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $99.66 – $152.87 | 2 |
| Ghs abscess perianal iandd CPT 46050 | $2,052.24 | $3,157.30 | $84.63 – $124.17 | 2 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $143.21 – $196.65 | 2 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $6.54 – $11.77 | 8 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $58.19 | $89.52 | $11.40 – $20.53 | 8 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $61.97 – $122.71 | 8 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $13.39 – $20.02 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $52.10 | $80.15 | $9.58 – $17.27 | 8 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $28.01 – $44.38 | 2 |
| Ghs bladder cath - complex-foley CPT 51703 | $367.00 | $564.61 | $55.83 – $87.73 | 2 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $3.03 – $6.82 | 10 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $41.43 – $64.71 | 2 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $66.24 – $97.80 | 2 |
| Ghs change cysto/gastrost CPT 43762 | $259.28 | $398.89 | $28.09 – $48.27 | 2 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $108.69 – $160.90 | 3 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $141.63 – $199.23 | 3 |
| Ghs chemo IV push, ea addtl CPT 96411 | $61.08 | $93.97 | $46.74 – $64.38 | 3 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $127.02 | $195.41 | $20.87 – $48.69 | 10 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $580.85 | $893.61 | $250.84 – $284.75 | 2 |
| Ghs closed reduction ankle dislocation CPT 27840 | $544.83 | $838.20 | $369.05 – $417.34 | 2 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,478.79 | $5,351.99 | $378.46 – $470.36 | 2 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $363.83 – $472.83 | 2 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,188.88 | $4,905.97 | $408.32 – $547.30 | 2 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,313.36 | $3,559.02 | $607.22 – $890.16 | 2 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $580.85 | $893.61 | $261.46 – $339.37 | 2 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $399.94 – $480.41 | 2 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,478.79 | $5,351.99 | $391.10 – $550.95 | 2 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $426.28 – $534.99 | 2 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $580.85 | $893.61 | $284.08 – $340.31 | 2 |
| Ghs community re-entry 15 minutes CPT 97537 | $99.94 | $153.75 | $14.79 – $27.26 | 4 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $25.20 – $46.26 | 2 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $266.86 | $410.55 | $20.47 – $37.02 | 2 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $335.39 | $515.99 | $31.19 – $49.02 | 2 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $255.27 | $392.72 | $35.00 – $61.43 | 2 |
| Ghs cricothyroidotomy CPT 31605 | $548.29 | $843.52 | $246.54 – $371.73 | 2 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $27.44 – $45.38 | 2 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $37.37 – $52.43 | 2 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $55.02 | $84.65 | $10.14 – $18.25 | 8 |
| Ghs dislocation elbow closed treatment CPT 24600 | $580.85 | $893.61 | $327.44 – $373.78 | 2 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $77.86 – $120.16 | 2 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $24.72 – $37.48 | 2 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $76.22 – $126.40 | 2 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $272.16 – $272.16 | 1 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $7.29 – $12.55 | 3 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $79.54 – $124.13 | 3 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $3.92 – $11.22 | 3 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $48.04 – $82.00 | 2 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $73.93 – $105.42 | 2 |
| Ghs eye exam CPT 92002 | not published | not published | $31.96 – $82.56 | 2 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $83.38 – $136.67 | 2 |
| Ghs fat & muscle CPT 89160 | $14.21 | $21.86 | $3.23 – $5.82 | 8 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,619.96 | $5,569.17 | $243.29 – $354.45 | 2 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $190.75 – $275.75 | 2 |
| Ghs fb removal - incisional CPT 10121 | $3,812.63 | $5,865.59 | $141.40 – $207.45 | 2 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $116.72 – $164.04 | 2 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $4.66 – $8.38 | 8 |
| Ghs fish cytogen CPT 88271 | $77.51 | $119.24 | $14.27 – $48.20 | 10 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $150.05 | $230.85 | $34.11 – $115.18 | 10 |
| Ghs flow volume loop CPT 94375 | not published | not published | $22.58 – $28.85 | 3 |
| Ghs gastric intub aspiration lavage CPT 43753 | $662.54 | $1,019.29 | $16.71 – $27.99 | 2 |
| Ghs hcv amplificaiton CPT 87521 | $127.02 | $195.41 | $23.38 – $78.95 | 10 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $15.30 – $27.56 | 8 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $10.32 – $34.85 | 10 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $6.31 – $11.36 | 8 |
| Ghs histoplasma antigen CPT 87385 | $43.39 | $66.75 | $8.83 – $28.19 | 10 |
| Ghs HIV antibody CPT 86703 | $49.61 | $76.32 | $9.13 – $30.85 | 10 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $70.72 – $127.37 | 8 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,583.25 | $5,512.69 | $164.90 – $241.30 | 2 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,424.88 | $3,730.58 | $354.31 – $528.00 | 2 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $137.91 – $190.26 | 2 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,385.56 | $2,131.63 | $86.25 – $114.39 | 2 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $19.94 – $62.30 | 10 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $223.29 | $343.52 | $87.91 – $136.02 | 2 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $96.14 – $147.30 | 2 |
| Ghs inf midline insertion CPT 36140 | $488.39 | $751.37 | $64.24 – $100.65 | 2 |
| Ghs inhibitor screen CPT 85335 | $94.04 | $144.68 | $8.59 – $28.96 | 10 |
| Ghs init tx 1st degree burn CPT 16000 | $467.28 | $718.89 | $34.57 – $51.75 | 2 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $138.21 – $197.45 | 2 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $92.36 – $126.18 | 2 |
| Ghs inj tendon origin/insertion CPT 20551 | $252.04 | $387.76 | $27.49 – $45.26 | 2 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $897.08 | $1,380.12 | $44.29 – $70.98 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $97.02 – $148.55 | 2 |
| Ghs insertion of needle - bone CPT 36680 | $417.72 | $642.64 | $47.26 – $65.80 | 2 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $886.07 | $1,363.19 | $183.88 – $268.30 | 2 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,287.20 | $1,980.30 | $220.30 – $311.67 | 2 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $250.74 – $363.42 | 2 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $140.94 | $216.83 | $10.61 – $10.61 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $406.89 | $625.99 | $106.22 – $151.50 | 2 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $133.11 | $204.79 | $15.73 – $22.44 | 2 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $823.15 | $1,266.38 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $823.15 | $1,266.38 | not published | 0 |
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.