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 |
|---|---|---|---|---|
| Analysis tumor CPT 88358 | not published | not published | $21.76 – $89.73 | 3 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $28.73 – $44.15 | 2 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $82.65 | $127.16 | $21.26 – $48.69 | 10 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $1,684.44 – $2,501.90 | 2 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $1,850.13 – $2,745.84 | 2 |
| Anast cavopulm sec sup v/c CPT 33768 | not published | not published | $305.65 – $461.31 | 2 |
| Anastomosis/artery-aorta CPT 33606 | not published | not published | $1,359.67 – $1,969.62 | 2 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $715.06 – $1,125.49 | 2 |
| Anastrozole 1 mg HCPCS S0170 | not published | not published | $0.46 – $0.60 | 3 |
| Anca screen with reflex to titer -quest CPT 86021 | $54.49 | $83.83 | $10.03 – $18.06 | 8 |
| An cholangiogram percutaneous compl CPT 47531 | $6,559.94 | $10,092.22 | $51.32 – $81.33 | 2 |
| Androstanediol CPT 82154 | $104.36 | $160.55 | $19.21 – $64.87 | 10 |
| An fluoro guide for cvp CPT 77001 | $235.88 | $362.89 | $65.97 – $90.04 | 3 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $1,506.91 | $2,318.32 | $105.26 – $166.32 | 2 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | not published | not published | $496.36 – $496.36 | 1 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $447.34 – $447.34 | 1 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | not published | not published | $224.89 – $224.89 | 1 |
| Angioscopy CPT 35400 | not published | not published | $105.86 – $164.71 | 2 |
| Angiotensin ii CPT 82163 | not published | not published | $13.68 – $24.62 | 8 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $10,085.16 | $15,515.63 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | not published | not published | $606.24 – $606.24 | 1 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | not published | not published | $124.67 – $193.60 | 2 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $9,623.59 | $14,805.52 | $252.18 – $393.20 | 2 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $7,714.69 | $11,868.75 | $105.12 – $164.69 | 2 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $9,623.59 | $14,805.52 | $214.38 – $338.10 | 2 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.47 – $2.29 | 4 |
| Ank-foot sys dors-plant flex HCPCS L5973 | not published | not published | $20,916.61 – $20,916.61 | 5 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $520.34 – $752.64 | 2 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $493.63 – $738.63 | 2 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $389.83 – $554.43 | 2 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $357.17 – $527.25 | 2 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $381.88 – $563.75 | 2 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $430.83 – $631.48 | 2 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $755.04 – $1,154.13 | 2 |
| Ankle X-ray CPT 73610 | $201.75 | $310.38 | $22.63 – $29.38 | 3 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $201.75 | $310.38 | $19.10 – $25.43 | 3 |
| Ank symes mold sckt sach ft HCPCS L5050 | not published | not published | $2,994.80 – $2,994.80 | 5 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $32.90 – $52.59 | 2 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $6.73 – $12.14 | 2 |
| Annual nursing fac assessmnt CPT 99318 | not published | not published | $29.75 – $29.75 | 1 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $289.65 | $445.62 | $147.99 – $147.99 | 1 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $310.26 | $477.32 | $157.54 – $157.54 | 1 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $323.18 | $497.20 | $164.08 – $164.08 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $374.22 | $575.73 | $190.02 – $190.02 | 1 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $2.76 – $5.58 | 4 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $60.48 – $103.22 | 2 |
| Anora (draw only) CPT 99001 | $43.10 | $66.31 | $7.07 – $9.19 | 2 |
| Anorectal myomectomy CPT 45108 | not published | not published | $302.27 – $465.99 | 2 |
| Anoscopy CPT 46611 | not published | not published | $61.53 – $102.91 | 2 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $69.10 – $116.79 | 2 |
| Anoscopy and biopsy CPT 46606 | $2,338.31 | $3,597.40 | $58.39 – $95.75 | 2 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $51.19 – $84.02 | 2 |
| Anoscopy control bleeding 46614 CPT 46614 | $2,598.09 | $3,997.06 | $50.48 – $82.46 | 2 |
| Anoscopy remove fb 46608 CPT 46608 | $1,985.22 | $3,054.18 | $65.93 – $105.51 | 2 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $62.38 – $101.76 | 2 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $73.28 – $119.08 | 2 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $54.44 – $65.47 | 3 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $448.04 – $645.45 | 2 |
| Anterior asis pad HCPCS L1250 | not published | not published | $83.02 – $83.02 | 5 |
| Anterior swing band HCPCS L2335 | not published | not published | $261.05 – $261.05 | 5 |
| Anterior thoracic derotation HCPCS L1260 | not published | not published | $86.93 – $86.93 | 5 |
| Anterior thoracic extension HCPCS L1220 | not published | not published | $339.44 – $339.44 | 5 |
| Anthrax vaccine sc or im CPT 90581 | not published | not published | $100.98 – $118.80 | 2 |
| Antibody CPT 86744 | not published | not published | $8.11 – $19.19 | 10 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $46.60 | $71.70 | $8.59 – $15.46 | 8 |
| Antibody elution rbc reference CPT 86860 | $686.56 | $1,056.25 | $8.62 – $26.60 | 4 |
| Antibody htlv/hiv confirm test CPT 86689 | $70.06 | $107.79 | $12.90 – $43.54 | 10 |
| Antibody htlv-i CPT 86687 | $27.33 | $42.04 | $6.06 – $20.45 | 10 |
| Antibody htlv-ii CPT 86688 | $45.60 | $70.16 | $9.33 – $16.80 | 8 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $66.48 | $102.28 | $12.24 – $22.04 | 8 |
| Antibody id rbc panel CPT 86870 | $1,183.32 | $1,820.49 | $11.35 – $32.04 | 4 |
| Antibody influenza virus CPT 86710 | $49.04 | $75.45 | $9.03 – $30.49 | 10 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $46.58 | $71.66 | $8.11 – $18.25 | 10 |
| Antibody screen rbc CPT 86850 | $249.07 | $383.19 | $5.61 – $12.62 | 10 |
| Antibody tetanus CPT 86774 | $53.55 | $82.39 | $9.86 – $17.76 | 8 |
| Anticoag mgmt pt warfarin CPT 93793 | not published | not published | $9.74 – $14.99 | 2 |
| Antidepressant not specified CPT 80338 | not published | not published | $16.69 – $16.69 | 1 |
| Antidepressants class 3-5 CPT 80333 | $141.36 | $217.47 | $11.96 – $11.96 | 1 |
| Antidepressants class 6/more CPT 80334 | not published | not published | $11.96 – $11.96 | 1 |
| Antidepressant tricyclic 3-5 CPT 80336 | $42.54 | $65.45 | $5.05 – $13.68 | 3 |
| Antiepileptics nos 4-6 CPT 80340 | not published | not published | $12.36 – $12.36 | 1 |
| Antiepileptics nos 7/more CPT 80341 | not published | not published | $12.36 – $12.36 | 1 |
| Antigen therapy services CPT 95145 | not published | not published | $2.20 – $3.35 | 2 |
| Antigen therapy services CPT 95146 | not published | not published | $2.20 – $3.35 | 2 |
| Antigen therapy services CPT 95147 | not published | not published | $2.20 – $3.35 | 2 |
| Antigen therapy services CPT 95148 | not published | not published | $2.20 – $3.35 | 2 |
| Antigen therapy services CPT 95149 | not published | not published | $2.20 – $3.35 | 2 |
| Antigen therapy services CPT 95165 | not published | not published | $2.20 – $3.35 | 2 |
| Antigen therapy services CPT 95170 | not published | not published | $2.20 – $3.35 | 2 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.10 – $1.78 | 6 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.06 – $1.52 | 6 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.09 – $2.95 | 6 |
| Anti mog serum - sendout CPT 86362 | $30.51 | $46.94 | $7.30 – $14.46 | 8 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $30.51 | $46.94 | $7.30 – $16.42 | 10 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $7.30 – $16.42 | 10 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $518.53 – $802.53 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $539.05 – $833.59 | 2 |
| Antinuclear antibodies CPT 86038 | $43.74 | $67.30 | $5.25 – $14.51 | 10 |
| Antinuclear antibodies titer CPT 86039 | $40.40 | $62.15 | $5.25 – $13.39 | 10 |
| Antiphosphatidylserine antibody CPT 86148 | $58.17 | $89.49 | $7.90 – $19.28 | 10 |
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.