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 |
|---|---|---|---|---|
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $2.72 – $2.72 | 5 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $935.71 – $1,511.01 | 2 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $964.63 – $1,568.44 | 2 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,091.44 – $1,091.44 | 1 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $859.64 – $1,377.37 | 2 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $883.76 – $1,434.67 | 2 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $935.71 – $1,511.01 | 2 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $356.20 – $566.33 | 2 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,269.31 – $2,048.26 | 2 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $823.72 – $1,304.32 | 2 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $760.06 – $1,210.59 | 2 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $877.16 – $1,401.49 | 2 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $520.22 – $833.94 | 2 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.14 – $51.51 | 4 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,132.00 – $4,291.50 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $4,132.00 – $4,291.50 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $2,145.75 – $2,231.28 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $6,071.94 | $9,341.44 | $743.74 – $938.63 | 2 |
| In-111 pentetreotide HCPCS A9572 | $13,998.44 | $21,536.06 | $3,947.40 – $3,947.40 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $301.98 – $325.58 | 2 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $376.20 – $489.44 | 2 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $459.79 – $650.85 | 2 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $404.40 – $565.43 | 2 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,377.91 – $1,969.39 | 2 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,165.61 – $1,652.60 | 2 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,173.93 – $1,647.13 | 2 |
| Incis addl spine segment CPT 22216 | not published | not published | $257.85 – $402.31 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $968.05 – $1,404.60 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $352.18 – $475.66 | 2 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $78.84 – $130.07 | 2 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $279.31 – $383.22 | 2 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $366.88 – $470.00 | 2 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $408.66 – $564.97 | 2 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $501.04 – $688.47 | 2 |
| Incise inner ear CPT 69801 | not published | not published | $88.70 – $139.59 | 2 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,078.13 – $1,701.16 | 2 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,245.34 – $1,974.15 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $173.94 – $296.75 | 2 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $343.07 – $555.26 | 2 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $425.46 – $692.51 | 2 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $454.48 – $739.50 | 2 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $475.71 – $778.43 | 2 |
| Incise inner eye strands CPT 67030 | not published | not published | $406.37 – $639.10 | 2 |
| Incise nerve back of head CPT 64744 | not published | not published | $434.23 – $537.00 | 2 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $199.82 – $286.41 | 2 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,005.01 – $1,386.67 | 2 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,249.74 – $1,737.14 | 2 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,259.56 – $1,772.02 | 2 |
| Incise skull repair CPT 62121 | not published | not published | $1,161.05 – $1,748.85 | 2 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,334.06 – $1,861.46 | 2 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,331.42 – $1,835.70 | 2 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $322.03 – $478.97 | 2 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,253.85 – $1,728.97 | 2 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,096.21 – $1,505.68 | 2 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $917.72 – $1,388.61 | 2 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $985.28 – $1,263.94 | 2 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $75.12 – $115.71 | 2 |
| Incise tendon(s) & muscle(s) CPT 23406 | $10,599.52 | $16,306.96 | $555.59 – $859.83 | 2 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $379.11 – $534.63 | 2 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $339.08 – $486.10 | 2 |
| Incision anal septum infant CPT 46070 | not published | not published | $235.39 – $336.61 | 2 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,486.44 | $5,363.76 | $95.14 – $133.04 | 2 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $766.45 – $1,054.76 | 2 |
| Incision/fixation of femur CPT 27165 | not published | not published | $1,027.59 – $1,524.64 | 2 |
| Incision of achilles tendon CPT 27605 | not published | not published | $143.73 – $210.69 | 2 |
| Incision of achilles tendon CPT 27606 | not published | not published | $209.46 – $311.76 | 2 |
| Incision of anal sphincter CPT 46080 | not published | not published | $122.58 – $201.02 | 2 |
| Incision of ankle bone CPT 28302 | not published | not published | $550.00 – $794.89 | 2 |
| Incision of bile duct CPT 47425 | not published | not published | $1,039.46 – $1,516.90 | 2 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,004.81 – $1,488.22 | 2 |
| Incision of brain tissue CPT 61541 | not published | not published | $1,659.29 – $2,331.90 | 2 |
| Incision of brain tissue CPT 61567 | not published | not published | $1,964.75 – $2,734.03 | 2 |
| Incision of breast lesion CPT 19020 | $3,631.08 | $5,586.28 | $257.25 – $340.67 | 2 |
| Incision of brow nerve CPT 64732 | not published | not published | $396.46 – $483.58 | 2 |
| Incision of burn scab initi CPT 16035 | not published | not published | $146.62 – $220.63 | 2 |
| Incision of cheek nerve CPT 64734 | not published | not published | $446.77 – $546.56 | 2 |
| Incision of chin nerve CPT 64736 | not published | not published | $252.69 – $390.22 | 2 |
| Incision of eardrum CPT 69420 | not published | not published | $90.84 – $133.03 | 2 |
| Incision of eardrum CPT 69421 | not published | not published | $113.43 – $164.58 | 2 |
| Incision of esophagus CPT 43020 | not published | not published | $447.14 – $703.45 | 2 |
| Incision of eye CPT 65850 | not published | not published | $593.14 – $986.17 | 2 |
| Incision of eye CPT 66172 | not published | not published | $853.31 – $1,398.75 | 2 |
| Incision of eyelid CPT 67710 | not published | not published | $71.88 – $114.11 | 2 |
| Incision of facial nerve CPT 64742 | not published | not published | $353.63 – $557.68 | 2 |
| Incision of fibula CPT 27707 | not published | not published | $321.02 – $446.25 | 2 |
| Incision of finger tendon CPT 26455 | not published | not published | $375.32 – $478.33 | 2 |
| Incision of foot fascia CPT 28008 | not published | not published | $229.06 – $333.95 | 2 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $215.46 – $298.86 | 2 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $680.39 – $974.35 | 2 |
| Incision of heel bone CPT 28300 | not published | not published | $501.59 – $729.23 | 2 |
| Incision of hip bone CPT 27146 | not published | not published | $953.71 – $1,421.99 | 2 |
| Incision of hip bones CPT 27151 | not published | not published | $1,165.37 – $1,771.69 | 2 |
| Incision of hip tendon CPT 27000 | not published | not published | $300.01 – $456.31 | 2 |
| Incision of hip tendon CPT 27001 | not published | not published | $419.53 – $597.89 | 2 |
| Incision of hip tendon CPT 27003 | not published | not published | $466.27 – $660.99 | 2 |
| Incision of hip tendons CPT 27006 | not published | not published | $536.88 – $805.56 | 2 |
| Incision of iris CPT 66500 | not published | not published | $291.20 – $450.06 | 2 |
| Incision of iris CPT 66505 | not published | not published | $316.21 – $489.82 | 2 |
| Incision of jaw joint CPT 21010 | not published | not published | $553.98 – $855.19 | 2 |
| Incision of jaw nerve CPT 64738 | not published | not published | $342.54 – $519.17 | 2 |
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.