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 |
|---|---|---|---|---|
| Incision of knee joint CPT 27435 | not published | not published | $620.92 – $899.57 | 2 |
| Incision of liver duct CPT 47400 | not published | not published | $1,612.16 – $2,389.98 | 2 |
| Incision of lymph channels CPT 38308 | not published | not published | $364.49 – $499.54 | 2 |
| Incision of metatarsal CPT 28306 | not published | not published | $317.77 – $454.70 | 2 |
| Incision of metatarsal CPT 28307 | not published | not published | $405.93 – $477.14 | 2 |
| Incision of metatarsal CPT 28308 | not published | not published | $306.56 – $429.03 | 2 |
| Incision of metatarsals CPT 28309 | not published | not published | $686.63 – $998.02 | 2 |
| Incision of midfoot bones CPT 28304 | not published | not published | $477.90 – $679.79 | 2 |
| Incision of neck of femur CPT 27161 | not published | not published | $910.16 – $1,352.00 | 2 |
| Incision of palm tendon CPT 26450 | not published | not published | $375.36 – $481.80 | 2 |
| Incision of prostate CPT 52450 | not published | not published | $361.63 – $534.04 | 2 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $551.36 – $868.98 | 2 |
| Incision of rectal abscess CPT 46060 | not published | not published | $402.09 – $608.53 | 2 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $640.61 – $1,092.60 | 2 |
| Incision of sperm duct CPT 55200 | not published | not published | $213.34 – $315.88 | 2 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $422.71 – $628.07 | 2 |
| Incision of stomach nerves CPT 64755 | not published | not published | $704.12 – $1,010.02 | 2 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $470.26 – $688.26 | 2 |
| Incision of tendon sheath CPT 25000 | not published | not published | $278.36 – $376.29 | 2 |
| Incision of thigh CPT 27448 | not published | not published | $622.14 – $868.26 | 2 |
| Incision of thigh CPT 27450 | not published | not published | $758.29 – $1,131.52 | 2 |
| Incision of thigh tendon CPT 27306 | not published | not published | $268.82 – $387.31 | 2 |
| Incision of thigh tendon CPT 27390 | not published | not published | $344.13 – $497.72 | 2 |
| Incision of thigh tendons CPT 27307 | not published | not published | $311.72 – $533.40 | 2 |
| Incision of thigh tendons CPT 27391 | not published | not published | $450.51 – $636.99 | 2 |
| Incision of thigh tendons CPT 27392 | not published | not published | $549.70 – $789.85 | 2 |
| Incision of tibia CPT 27705 | not published | not published | $567.26 – $847.18 | 2 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $859.33 – $1,300.50 | 2 |
| Incision of toe tendons 28011 CPT 28011 | $3,413.24 | $5,251.14 | $219.21 – $320.97 | 2 |
| Incision of tongue fold CPT 41010 | not published | not published | $84.19 – $121.34 | 2 |
| Incision of tongue nerve CPT 64740 | not published | not published | $354.21 – $544.17 | 2 |
| Incision of urethra CPT 53000 | not published | not published | $114.52 – $168.06 | 2 |
| Incision of urethra CPT 53010 | not published | not published | $231.96 – $334.17 | 2 |
| Incision of urethra CPT 53020 | not published | not published | $71.40 – $110.01 | 2 |
| Incision of urethra CPT 53025 | not published | not published | $51.89 – $77.32 | 2 |
| Incision of vagus nerve CPT 64760 | not published | not published | $413.82 – $567.55 | 2 |
| Incision of windpipe CPT 31601 | not published | not published | $313.11 – $506.31 | 2 |
| Incision of windpipe CPT 31610 | $10,989.17 | $16,906.41 | $706.40 – $1,060.91 | 2 |
| Incision of wrist capsule CPT 25085 | not published | not published | $348.58 – $500.08 | 2 |
| Incision secondary cataract CPT 66820 | not published | not published | $347.66 – $532.52 | 2 |
| Incision tendon sheath CPT 26055 | $3,251.90 | $5,002.93 | $235.19 – $337.31 | 2 |
| Incisn of toe tndn CPT 28010 | $3,478.79 | $5,351.99 | $164.14 – $236.41 | 2 |
| Incisn windpipe CPT 31600 | not published | not published | $223.41 – $344.04 | 2 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $422.26 – $650.29 | 2 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $1,783.04 – $2,653.70 | 2 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $1,833.80 – $2,699.84 | 2 |
| Incobotulinumtoxin a HCPCS J0588 | $10.80 | $16.61 | $5.24 – $6.24 | 4 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $63.20 – $96.02 | 2 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $10.60 – $10.60 | 1 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $360.43 – $482.01 | 2 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $418.87 – $562.95 | 2 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $309.93 – $412.22 | 2 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $311.17 – $412.22 | 2 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $426.08 – $568.65 | 2 |
| Induced abortion d&c CPT 59840 | not published | not published | $162.16 – $214.29 | 2 |
| Induced abortion dilat&evac CPT 59841 | $6,206.72 | $9,548.80 | $270.22 – $360.48 | 2 |
| Induction of vomiting CPT 99175 | not published | not published | $31.70 – $37.32 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $146.13 | $224.82 | $42.12 – $94.77 | 10 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $15.15 – $25.91 | 2 |
| Infect ag drug suscept pheno predict CPT 87900 | $471.70 | $725.70 | $80.80 – $181.80 | 10 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $8.11 – $18.25 | 10 |
| Infect ag eia influenza a or b ea CPT 87400 | $43.39 | $66.75 | $9.41 – $16.96 | 8 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $535.91 | $824.48 | $171.55 – $308.94 | 8 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $887.32 | $1,365.10 | $171.55 – $308.94 | 8 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $465.84 | $716.67 | $0.98 – $289.64 | 10 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $931.68 | $1,433.35 | $171.55 – $579.26 | 10 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $17.51 – $42.01 | 10 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $14.25 – $42.35 | 8 |
| Infect ag ia optc obs influenza CPT 87804 | $48.52 | $74.64 | $11.03 – $32.96 | 10 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $43.39 | $66.75 | $5.12 – $14.38 | 8 |
| Infect ag if hep delta agent CPT 87380 | $59.39 | $91.37 | $10.10 – $22.72 | 10 |
| Infect ag if influenza a CPT 87276 | not published | not published | $10.23 – $32.96 | 10 |
| Infect ag if influenza b CPT 87275 | not published | not published | $8.16 – $27.56 | 10 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $10.23 – $35.10 | 10 |
| Infect ag if nos ea CPT 87299 | not published | not published | $10.23 – $19.32 | 8 |
| Infect ag if pneumocystis carinii CPT 87281 | $43.39 | $66.75 | $7.99 – $18.25 | 10 |
| Infect ag if varicella zoster CPT 87290 | $43.39 | $66.75 | $8.11 – $18.25 | 10 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $20.87 – $64.16 | 8 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $21.64 – $48.69 | 10 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $28.55 – $51.41 | 8 |
| Infect ag na hpv high-risk types CPT 87624 | $127.02 | $195.41 | $23.38 – $63.29 | 10 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $307.96 | $473.78 | $53.98 – $121.46 | 10 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $34.19 – $115.45 | 10 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $78.08 | $120.13 | $25.18 – $116.60 | 10 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,055.35 | $1,623.62 | $277.72 – $500.14 | 8 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,768.39 | $2,720.60 | $325.61 – $1,099.48 | 10 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $94.33 | $145.13 | $15.35 – $34.54 | 10 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $24.03 – $55.87 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $43.39 | $66.75 | $7.99 – $21.35 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $39.34 | $60.52 | $8.11 – $18.25 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $9.20 – $31.10 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $43.39 | $66.75 | $7.99 – $26.96 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $52.06 | $80.09 | $6.65 – $18.25 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $37.38 | $57.51 | $6.88 – $23.24 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $37.38 | $57.51 | $6.88 – $23.24 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $87.15 | $134.08 | $16.04 – $42.01 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $43.39 | $66.75 | $5.25 – $14.38 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $43.39 | $66.75 | $7.99 – $26.96 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $43.39 | $66.75 | $7.99 – $26.96 | 10 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $127.02 | $195.41 | $20.87 – $42.11 | 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.