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 |
|---|---|---|---|---|
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $103.97 – $985.00 | 2 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $5.45 – $9.83 | 8 |
| Hematocrit CPT 85014 | $8.57 | $13.19 | $1.58 – $4.54 | 10 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $56.48 – $90.51 | 3 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $485.68 – $732.62 | 2 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $521.14 – $746.95 | 2 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $23.95 – $35.82 | 4 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $6,233.46 – $6,233.46 | 5 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $6,233.68 – $6,233.68 | 5 |
| Hemodialysis access study CPT 90940 | not published | not published | $34.81 – $34.81 | 1 |
| Hemodialysis one evaluation CPT 90935 | $1,417.36 | $2,180.56 | $51.71 – $80.95 | 3 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $74.35 – $116.39 | 3 |
| Hemoglobin CPT 85018 | $8.57 | $13.19 | $1.58 – $4.54 | 10 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $2.68 – $4.81 | 8 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $5.33 – $9.60 | 8 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $3.79 – $12.89 | 10 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $26.53 | $40.82 | $3.79 – $9.84 | 10 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $8.89 – $22.90 | 10 |
| Hemoglobin plasma CPT 83051 | $26.46 | $40.71 | $3.79 – $8.77 | 10 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $6.00 – $10.80 | 8 |
| Hemoglobin urine CPT 83069 | $9.31 | $14.32 | $1.92 – $4.74 | 8 |
| Hemolysin acid CPT 85475 | not published | not published | $5.92 – $19.96 | 10 |
| Hemolysins/agglutinins auto CPT 86940 | $24.49 | $37.67 | $5.85 – $16.22 | 10 |
| Hemolysins and agglutinins incubated CPT 86941 | $43.81 | $67.40 | $8.07 – $23.33 | 10 |
| Hemoperfusion CPT 90997 | not published | not published | $64.01 – $99.90 | 2 |
| Hemophilus influenza antibdy CPT 86684 | $57.32 | $88.19 | $10.55 – $35.64 | 10 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $364.10 – $562.88 | 2 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $161.75 – $243.93 | 2 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $309.14 – $485.18 | 2 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $61.39 – $106.79 | 4 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $63.28 – $106.79 | 4 |
| Heparin assay CPT 85520 | $47.37 | $72.88 | $8.73 – $29.45 | 10 |
| Heparin bolus from bag HCPCS J1644 | $0.49 | $0.76 | $0.18 – $0.50 | 4 |
| Heparin neutralization CPT 85525 | not published | not published | $7.90 – $14.21 | 8 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.27 | $0.41 | $0.02 – $0.40 | 4 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $8.73 – $15.71 | 8 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $1,757.21 – $2,590.67 | 2 |
| Hepatitis a antibody igm CPT 86709 | $40.74 | $62.68 | $7.50 – $22.72 | 10 |
| Hepatitis b core antibody igm CPT 86705 | $42.62 | $65.57 | $7.84 – $22.95 | 10 |
| Hepatitis b core antibody total CPT 86704 | $43.62 | $67.10 | $8.03 – $22.95 | 10 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $136.95 – $170.28 | 3 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $9.12 – $30.38 | 8 |
| Hepatitis b surface antibody CPT 86706 | $38.86 | $59.79 | $7.15 – $22.95 | 10 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $130.74 | $201.14 | $145.93 – $170.94 | 3 |
| Hepatitis c antibody CPT 86803 | $51.62 | $79.41 | $9.51 – $22.72 | 10 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $20.80 – $37.46 | 8 |
| Hepatitis d quantification CPT 87523 | $89.18 | $137.20 | $25.96 – $96.39 | 10 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $20.87 – $47.11 | 8 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $19.86 – $35.76 | 8 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $20.87 – $50.11 | 8 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $67.99 – $77.70 | 2 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $271.43 | $417.59 | $170.94 – $211.18 | 3 |
| Hereditary colon ca dsordrs CPT 81435 | $2,714.34 | $4,175.90 | $354.45 – $1,564.74 | 8 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $350.00 – $354.45 | 2 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $292.48 – $1,564.74 | 8 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $364.87 – $717.49 | 8 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $364.87 – $364.87 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $411.66 – $577.30 | 2 |
| Herpes simplex 1 ag if CPT 87274 | $43.39 | $66.75 | $7.99 – $26.96 | 10 |
| Herpes simplex 2 ag if CPT 87273 | $30.34 | $46.68 | $7.99 – $26.96 | 10 |
| Herpes simplex type 1 antibody igg CPT 86695 | $47.72 | $73.41 | $8.79 – $15.83 | 8 |
| Herpes simplex type 2 antibody igg CPT 86696 | $70.06 | $107.79 | $12.90 – $32.96 | 10 |
| Herpes simplex virus isolation CPT 87255 | $122.56 | $188.55 | $6.83 – $40.63 | 10 |
| Heterophile antibodies screening CPT 86308 | $18.74 | $28.83 | $3.45 – $10.76 | 10 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $4.31 – $14.56 | 10 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $4.91 – $8.84 | 8 |
| Hexa gene CPT 81255 | $150.82 | $232.03 | $31.18 – $61.74 | 8 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $137.22 | $211.11 | $87.90 – $87.90 | 5 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | not published | not published | $87.90 – $87.90 | 5 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $4.02 – $7.79 | 8 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $20.87 – $69.60 | 8 |
| Hhv-6 dna quant CPT 87533 | $151.11 | $232.48 | $20.87 – $50.11 | 8 |
| Hib-hepb vaccine im CPT 90748 | $380.35 | $585.16 | not published | 0 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $170.86 – $252.32 | 2 |
| High activity knee frame HCPCS L5930 | not published | not published | $4,126.49 – $4,126.49 | 5 |
| High compres band w>=3"<5"yd HCPCS A6452 | not published | not published | $8.40 – $8.40 | 5 |
| High inten beh couns std 30m HCPCS G0445 | not published | not published | $22.41 – $26.52 | 2 |
| Hinge extension/flex wrist/f HCPCS L3900 | $2,271.41 | $3,494.48 | $1,455.01 – $1,455.01 | 5 |
| Hinge ext/flex wrist finger HCPCS L3901 | not published | not published | $1,999.21 – $1,999.21 | 5 |
| Hip adj flex ext abduct cont HCPCS L2624 | $636.12 | $978.64 | $407.46 – $407.46 | 5 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $275.16 | $423.33 | $25.31 – $31.53 | 3 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | not published | not published | $31.10 – $40.87 | 3 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $201.75 | $310.38 | $18.50 – $24.00 | 3 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $621.06 – $899.95 | 2 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $619.23 – $900.94 | 2 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $761.99 – $1,134.01 | 2 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $503.27 – $737.76 | 2 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $538.27 – $801.04 | 2 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $748.17 – $1,099.72 | 2 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $760.70 – $1,131.08 | 2 |
| Hip canad sing axi cons fric HCPCS L5250 | not published | not published | $6,784.85 – $6,784.85 | 5 |
| Hip clevis/thrust bearing fr HCPCS L2600 | not published | not published | $236.01 – $236.01 | 5 |
| Hip clevis/thrust bearing lo HCPCS L2610 | $508.40 | $782.16 | $325.67 – $325.67 | 5 |
| Hip clevis type 2 posit jnt HCPCS L2570 | not published | not published | $547.34 – $547.34 | 5 |
| Hip disart canadian sach ft HCPCS L5331 | not published | not published | $5,693.73 – $5,693.73 | 5 |
| Hip disartic sach thermopls HCPCS L5595 | not published | not published | $5,441.81 – $5,441.81 | 5 |
| Hip disart sach laminat mold HCPCS L5600 | not published | not published | $6,020.12 – $6,020.12 | 5 |
| Hip flexible cover system HCPCS L5966 | not published | not published | $1,607.70 – $1,607.70 | 5 |
| Hip flex inner socket ext fr HCPCS L5643 | not published | not published | $1,905.46 – $1,905.46 | 5 |
| Hip joint adjustable flexion HCPCS L2622 | not published | not published | $352.39 – $352.39 | 5 |
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.