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 |
|---|---|---|---|---|
| Iduc valve sply repl HCPCS A4342 | not published | not published | $878.06 – $878.06 | 5 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $167.42 – $236.95 | 2 |
| Idursulfase injection HCPCS J1743 | not published | not published | $542.57 – $627.17 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $232.35 – $336.95 | 2 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $131.00 – $190.50 | 2 |
| Ifnl3 gene CPT 81283 | not published | not published | $45.72 – $88.04 | 8 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $24.62 – $44.09 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $125.63 – $282.67 | 10 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $24.85 – $82.26 | 8 |
| Igh gene rearrange amp meth CPT 81261 | $716.49 | $1,102.29 | $62.54 – $237.59 | 8 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,065.82 | $1,639.72 | $51.00 – $353.42 | 8 |
| Igk rearrangeabn clonal pop CPT 81264 | $540.39 | $831.37 | $85.02 – $207.28 | 8 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $265.45 | $408.39 | $25.62 – $64.57 | 5 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $348.07 | $535.49 | $25.62 – $138.42 | 5 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $807.18 | $1,241.82 | $25.62 – $70.03 | 5 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | $46.79 | $71.99 | not published | 0 |
| Ikbkap gene CPT 81260 | not published | not published | $23.82 – $47.17 | 8 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $787.86 – $1,320.70 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $1,921.18 – $2,939.96 | 2 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $9.47 – $15.26 | 2 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $207.55 – $207.55 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $121.44 – $161.64 | 3 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $2.85 – $3.93 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $708.12 – $984.65 | 2 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $55.51 – $59.53 | 3 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $15.21 – $18.19 | 2 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $11.39 – $15.35 | 3 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $38.13 – $38.13 | 1 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $29.74 – $29.74 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $53.53 – $53.53 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $59.49 – $59.49 | 1 |
| Immob elbow child sm HCPCS L3762 | $183.24 | $281.90 | $117.38 – $117.38 | 5 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $235.37 | $362.11 | $150.78 – $150.78 | 5 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $186.06 | $286.24 | $69.94 – $69.94 | 5 |
| Immobilizer shldr sling med HCPCS L3660 | $184.64 | $284.06 | $118.28 – $118.28 | 5 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $573.21 – $870.73 | 2 |
| Immune complex assay CPT 86332 | $88.20 | $135.70 | $16.24 – $29.24 | 8 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $116.22 | $178.80 | $41.93 – $93.14 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $159.56 | $245.47 | $38.38 – $124.40 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $46.69 – $107.76 | 4 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $100.72 – $104.04 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $75.34 | $115.91 | $13.87 – $46.82 | 10 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $75.34 | $115.91 | $13.87 – $46.82 | 10 |
| Immunoassay tumor qual CPT 86294 | $74.96 | $115.32 | $8.11 – $30.68 | 10 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $43.36 | $66.70 | $7.99 – $14.38 | 8 |
| Immunodiffusion nes CPT 86329 | not published | not published | $9.36 – $28.42 | 10 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $34.38 – $34.38 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $80.88 | $124.43 | $14.89 – $50.26 | 10 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $207.45 | $319.15 | $16.41 – $80.39 | 5 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $595.91 | $916.79 | $19.44 – $108.37 | 5 |
| Immunoglobulin assay CPT 86023 | $45.09 | $69.37 | $8.30 – $14.95 | 8 |
| Immunology procedure CPT 86849 | $187.70 | $288.77 | $47.66 – $47.66 | 1 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $26.77 – $26.77 | 1 |
| Impact tooth remov part bony HCPCS D7230 | $226.20 | $348.00 | $354.46 – $354.46 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $19.15 – $22.03 | 3 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $286.52 – $382.89 | 2 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $1,265.45 | $1,946.84 | $810.60 – $810.60 | 5 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $1,026.54 – $1,026.54 | 5 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $549.08 – $730.43 | 2 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,174.39 – $1,765.51 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $985.65 – $1,319.82 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,197.02 – $1,653.91 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,235.74 – $1,710.87 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $872.68 – $1,360.06 | 2 |
| Implant cochlear osia osi300 HCPCS L8690 | $8,925.46 | $13,731.47 | $5,717.38 – $5,717.38 | 5 |
| Implant eye drug system CPT 67027 | not published | not published | $594.06 – $1,000.64 | 2 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $40.04 – $63.36 | 2 |
| Implant nerve end CPT 64787 | not published | not published | $167.14 – $270.71 | 2 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $205.00 – $308.99 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $360.57 – $544.38 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,190.73 – $1,636.55 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $1,752.44 – $2,482.75 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $673.34 – $909.88 | 2 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $359.10 – $398.71 | 2 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $244.09 – $385.36 | 2 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $223.88 – $343.67 | 2 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $788.64 – $1,056.61 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,217.01 – $1,701.52 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $746.11 – $930.07 | 2 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $932.39 – $932.39 | 5 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $954.77 – $1,449.37 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $733.77 – $946.48 | 2 |
| Implant spine infusion pump CPT 62361 | not published | not published | $372.32 – $466.87 | 2 |
| Implant spine infusion pump CPT 62362 | not published | not published | $302.63 – $425.05 | 2 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $925.17 – $1,515.68 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $688.40 – $1,052.96 | 2 |
| Implant ureth bulk agent HCPCS L8606 | $411.03 | $632.36 | $263.29 – $263.29 | 5 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,822.38 – $1,822.38 | 5 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $1,809.75 – $1,809.75 | 5 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $311.13 – $466.15 | 2 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $149.36 – $242.11 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $308.81 – $444.53 | 2 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $448.15 – $625.88 | 2 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $484.35 – $680.60 | 2 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $360.02 – $1,188.09 | 2 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $1,042.83 – $1,042.83 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $62.91 – $95.62 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $320.03 – $518.98 | 2 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $1,873.06 – $2,829.27 | 2 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $10,028.19 – $10,028.19 | 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.