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 |
|---|---|---|---|---|
| Hip X-ray CPT 73502 | $201.75 | $310.38 | $27.79 – $37.28 | 3 |
| Histamine CPT 83088 | $106.88 | $164.43 | $19.67 – $35.44 | 8 |
| Histochemical stains add-on CPT 88314 | $243.62 | $374.80 | $7.03 – $79.01 | 3 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $4.67 – $6.75 | 2 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $13.02 – $49.77 | 10 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $14.60 – $26.30 | 8 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $14.58 – $26.28 | 8 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $14.60 – $26.30 | 8 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $20.87 – $70.34 | 8 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $6.47 – $13.92 | 2 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.27 – $71.43 | 3 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.45 – $1.34 | 3 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $6.89 – $7.40 | 4 |
| Hizentra injection HCPCS J1559 | not published | not published | $9.32 – $24.75 | 4 |
| Hkafo torsion ball bearing j HCPCS L2060 | not published | not published | $706.38 – $706.38 | 5 |
| Hkafo torsion bil rot straps HCPCS L2040 | not published | not published | $204.02 – $204.02 | 5 |
| Hkafo torsion cable hip pelv HCPCS L2050 | not published | not published | $561.17 – $561.17 | 5 |
| Hkafo torsion unilat rot str HCPCS L2070 | not published | not published | $155.54 – $155.54 | 5 |
| Hkafo unilat torsion ball br HCPCS L2090 | not published | not published | $503.88 – $503.88 | 5 |
| Hkafo unilat torsion cable HCPCS L2080 | not published | not published | $438.56 – $438.56 | 5 |
| Hla class i high defin qual CPT 86832 | $949.00 | $1,460.00 | $105.69 – $388.50 | 8 |
| Hla class ii high defin qual CPT 86833 | $955.01 | $1,469.24 | $96.08 – $390.96 | 8 |
| Hla class i&ii antibody qual CPT 86828 | $47.43 | $72.97 | $29.52 – $77.03 | 8 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $24.72 – $77.03 | 8 |
| Hla class ii phenotype qual CPT 86831 | $250.45 | $385.31 | $54.56 – $98.26 | 8 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $215.20 – $387.55 | 8 |
| Hla class i phenotype qual CPT 86830 | $292.18 | $449.51 | $63.65 – $114.62 | 8 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $238.26 – $429.07 | 8 |
| Hla i & ii type verify lr CPT 81371 | $1,185.76 | $1,824.25 | $137.05 – $485.42 | 8 |
| Hla i & ii typing hr CPT 81378 | $1,071.89 | $1,649.06 | $196.76 – $414.68 | 8 |
| Hla i & ii typing lr CPT 81370 | $1,455.24 | $2,238.83 | $228.96 – $482.54 | 8 |
| Hla ii typing 1 loc hr CPT 81382 | $447.58 | $688.58 | $57.57 – $148.42 | 8 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $107.40 – $264.89 | 8 |
| Hla i low res one antigen equiv ea CPT 81374 | $263.26 | $405.02 | $63.92 – $89.20 | 8 |
| Hla i typing 1 locus hr CPT 81380 | $641.45 | $986.85 | $85.49 – $212.70 | 8 |
| Hla i typing complete hr CPT 81379 | $1,213.70 | $1,867.23 | $190.96 – $402.46 | 8 |
| Hla i typing complete lr CPT 81372 | $950.65 | $1,462.54 | $287.12 – $484.31 | 8 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $498.03 | $766.20 | $53.98 – $203.88 | 8 |
| Hla i typing low res one locus ea CPT 81373 | $402.99 | $619.99 | $97.31 – $152.92 | 8 |
| Hla typing a b or c CPT 86813 | $209.88 | $322.90 | $38.65 – $69.60 | 8 |
| Hla typing dr/dq CPT 86816 | $100.82 | $155.11 | $20.10 – $36.20 | 8 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $20.74 – $43.84 | 8 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $62.19 – $131.39 | 8 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $4.83 – $4.83 | 5 |
| Hlth bhv assmt/reassessment CPT 96156 | $219.19 | $337.21 | $74.25 – $131.07 | 2 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $76.08 | $117.04 | $54.04 – $94.40 | 2 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | $38.04 | $58.53 | $38.49 – $38.49 | 1 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | $76.08 | $117.04 | $106.99 – $106.99 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $76.08 | $117.04 | $7.91 – $12.93 | 2 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $219.19 | $337.21 | $51.16 – $88.35 | 2 |
| Hmes or trach valve housing HCPCS A7505 | not published | not published | $6.68 – $6.68 | 5 |
| Ho abduction hip adjustable HCPCS L1650 | not published | not published | $266.06 – $266.06 | 5 |
| Ho abduction static plastic HCPCS L1660 | not published | not published | $196.66 – $196.66 | 5 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | not published | not published | $427.56 – $427.56 | 5 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.15 – $0.18 | 2 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.22 – $0.31 | 4 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.21 – $0.70 | 4 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $148.08 – $148.08 | 5 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $170.36 – $170.36 | 5 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $55.12 – $55.12 | 5 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $3.16 – $3.16 | 5 |
| Home health care supervision CPT 99374 | not published | not published | $77.62 – $77.62 | 1 |
| Home health care supervision CPT 99375 | not published | not published | $116.54 – $116.54 | 1 |
| Home health care supervision HCPCS G0181 | not published | not published | $91.41 – $143.29 | 2 |
| Home health re-certification physician g0179 HCPCS G0179 | not published | not published | $36.71 – $54.29 | 2 |
| Home/res vst est high mdm 60 CPT 99350 | not published | not published | $84.00 – $199.65 | 3 |
| Home/res vst est mod mdm 40 CPT 99349 | not published | not published | $84.00 – $144.27 | 3 |
| Home/res vst est sf mdm 20 CPT 99347 | not published | not published | $25.20 – $61.35 | 3 |
| Home/res vst new high mdm 75 CPT 99345 | not published | not published | $105.00 – $264.61 | 3 |
| Home/res vst new low mdm 30 CPT 99342 | not published | not published | $50.40 – $97.54 | 3 |
| Home/res vst new mod mdm 60 CPT 99344 | not published | not published | $84.00 – $222.84 | 3 |
| Home/res vst new sf mdm 15 CPT 99341 | not published | not published | $25.20 – $67.94 | 3 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $138.65 – $240.00 | 2 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $145.07 – $180.00 | 2 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $50.31 – $150.00 | 2 |
| Home vent mgmt supervision CPT 94005 | not published | not published | $110.56 – $110.56 | 1 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $50.40 – $93.74 | 3 |
| Home visit new patient CPT 99343 | not published | not published | $84.00 – $84.00 | 1 |
| Homocysteine CPT 83090 | $61.05 | $93.92 | $11.94 – $40.32 | 10 |
| Homogenization tissue CPT 87176 | $13.04 | $20.06 | $3.92 – $7.06 | 8 |
| Homovanillic acid (hva) CPT 83150 | $70.02 | $107.72 | $6.31 – $26.89 | 10 |
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $72.35 – $72.35 | 5 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $1,397.63 – $1,397.63 | 5 |
| Hospice care supervision CPT 99377 | not published | not published | $86.21 – $86.21 | 1 |
| Hospice care supervision CPT 99378 | not published | not published | $129.09 – $129.09 | 1 |
| Hpa-15 genotyping CPT 81112 | $254.42 | $391.41 | $91.44 – $146.66 | 8 |
| Hpa-1 genotyping CPT 81105 | $254.42 | $391.41 | $91.44 – $146.66 | 8 |
| Hpa-2 genotyping CPT 81106 | $254.42 | $391.41 | $91.44 – $146.66 | 8 |
| Hpa-3 genotyping CPT 81107 | $254.42 | $391.41 | $91.44 – $146.66 | 8 |
| Hpa-4 genotyping CPT 81108 | $254.42 | $391.41 | $91.44 – $146.66 | 8 |
| Hpa-5 genotyping CPT 81109 | $254.42 | $391.41 | $91.44 – $146.66 | 8 |
| Hpa-6 genotyping CPT 81110 | $254.42 | $391.41 | $91.44 – $146.66 | 8 |
| Hpa-9 genotyping CPT 81111 | $254.42 | $391.41 | $91.44 – $146.66 | 8 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $23.38 – $42.11 | 8 |
| Hpv low-risk types CPT 87623 | not published | not published | $23.38 – $63.29 | 10 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $27.03 – $63.29 | 10 |
| H pylori ag ia CPT 87339 | not published | not published | $6.65 – $19.20 | 8 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $44.88 – $151.56 | 10 |
| H pylori (c-13) breath CPT 83013 | $243.76 | $375.01 | $44.88 – $151.56 | 10 |
| H pylori drug admin CPT 83014 | $28.44 | $43.75 | $5.24 – $9.43 | 8 |
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.