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 |
|---|---|---|---|---|
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $61.43 – $65.73 | 3 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $52.29 | $80.45 | $18.13 – $34.80 | 4 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $74.80 – $96.00 | 4 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $18.13 – $19.64 | 4 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $338.53 – $370.95 | 4 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $40.64 – $50.35 | 4 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $32.42 – $35.32 | 3 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.34 – $2.08 | 4 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $37.31 – $39.22 | 3 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $352.56 – $379.90 | 4 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.05 – $0.09 | 4 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $1.30 – $1.33 | 2 |
| Inj testosterone cypionate HCPCS J1071 | $0.10 | $0.16 | $0.02 – $0.07 | 4 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.32 – $0.47 | 2 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $4.93 – $8.86 | 2 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $56.95 – $69.62 | 2 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,712.95 | $2,635.31 | $51.32 – $62.57 | 2 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $2.40 – $3.00 | 3 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $123.79 – $185.85 | 4 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $52.46 – $58.37 | 3 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $155.34 – $164.82 | 3 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.01 – $5.59 | 2 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $194.41 – $196.75 | 3 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $38.12 | $58.65 | $18.01 – $22.89 | 4 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.17 – $0.21 | 2 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.12 – $29.34 | 4 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,506.04 – $3,819.93 | 4 |
| Inj, trivisc 1 mg HCPCS J7329 | $13.33 | $20.51 | $3.04 – $21.64 | 4 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $4.06 – $4.19 | 2 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $10.53 – $43.20 | 2 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $3.29 – $24.68 | 2 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $3.08 – $11.85 | 2 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $24.62 – $26.18 | 3 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $6.31 – $9.65 | 2 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $6.54 – $9.20 | 2 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | not published | not published | $0.13 – $0.14 | 2 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.83 – $1.33 | 3 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $1.75 – $3.50 | 3 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $23.65 – $38.16 | 2 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $444.98 – $479.19 | 3 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $260.74 – $298.32 | 3 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $54.14 – $67.68 | 3 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $51.53 – $51.53 | 5 |
| Inj w/fluor eval cv device CPT 36598 | $503.92 | $775.26 | $25.37 – $41.88 | 2 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $14.28 – $21.14 | 4 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $47.77 – $55.00 | 4 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | $1,050.19 | $1,615.68 | $524.57 – $593.20 | 3 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $25.00 – $25.66 | 2 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $33.57 – $33.86 | 2 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,028.32 – $4,382.16 | 2 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,658.13 – $2,873.10 | 4 |
| Inpatient consultation CPT 99251 | not published | not published | $25.20 – $35.00 | 2 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | not published | not published | $33.41 – $48.01 | 2 |
| Inpt/ed teleconsult30 HCPCS G0425 | not published | not published | $70.18 – $136.76 | 2 |
| Inpt/ed teleconsult50 HCPCS G0426 | not published | not published | $97.90 – $185.96 | 2 |
| Inpt/ed teleconsult70 HCPCS G0427 | not published | not published | $141.09 – $275.59 | 2 |
| Inpt/tele follow up 15 HCPCS G0406 | not published | not published | $30.00 – $53.37 | 2 |
| Inpt/tele follow up 25 HCPCS G0407 | not published | not published | $53.27 – $98.66 | 2 |
| Inpt/tele follow up 35 HCPCS G0408 | not published | not published | $70.99 – $78.00 | 2 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $251.90 – $401.87 | 2 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $183.77 – $292.19 | 2 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $294.87 – $465.34 | 2 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $253.12 – $408.25 | 2 |
| Ins cerv dilator (sep proc) CPT 59200 | $634.54 | $976.22 | $43.19 – $47.97 | 2 |
| Ins device for right guide open CPT 49412 | not published | not published | $59.64 – $91.76 | 2 |
| Insemination of oocytes CPT 89268 | not published | not published | $518.22 – $518.22 | 1 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $604.44 – $807.13 | 2 |
| Insert and remove bone pin CPT 20650 | not published | not published | $131.20 – $178.64 | 2 |
| Insert ant drainage device CPT 66183 | not published | not published | $731.25 – $1,208.95 | 2 |
| Insert balloon device CPT 33973 | not published | not published | $372.23 – $573.44 | 2 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $446.61 – $557.38 | 2 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $99.82 – $149.24 | 2 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $89.35 – $138.10 | 2 |
| Insert cath pleura with image CPT 32557 | $1,929.15 | $2,967.92 | $107.63 – $172.20 | 2 |
| Insert cath pleura without image CPT 32556 | $3,379.28 | $5,198.90 | $92.30 – $139.62 | 2 |
| Insert drug del implant, >=4 HCPCS G0516 | not published | not published | $70.79 – $127.05 | 2 |
| Insert drug delivery implant CPT 11981 | $258.89 | $398.29 | $44.86 – $73.34 | 2 |
| Insert electrodes for eeg CPT 95830 | not published | not published | $63.61 – $99.75 | 2 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $625.31 – $895.63 | 2 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $601.53 – $855.46 | 2 |
| Insert eye socket implant CPT 67550 | not published | not published | $790.53 – $1,240.46 | 2 |
| Insert hepatic shunt (tips) CPT 37182 | not published | not published | $583.43 – $942.16 | 2 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $349.49 – $512.30 | 2 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $240.24 – $368.82 | 2 |
| Insert intracorporeal device CPT 33979 | not published | not published | $1,433.51 – $2,163.15 | 2 |
| Insert intrauterine device iud CPT 58300 | $199.89 | $307.53 | $54.02 – $54.02 | 1 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $84.37 – $130.92 | 2 |
| Insertion catheter bladder non indwelling CPT 51701 | $273.52 | $420.80 | $18.21 – $28.79 | 2 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $6,404.64 | $9,853.29 | $150.04 – $233.59 | 2 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | not published | not published | $182.70 – $288.98 | 2 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $255.08 – $393.08 | 2 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $9,351.55 | $14,387.00 | $157.80 – $253.73 | 2 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,929.15 | $2,967.92 | $64.13 – $96.31 | 2 |
| Insertion of cannula CPT 36810 | not published | not published | $148.03 – $236.25 | 2 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $1,065.60 – $1,544.34 | 2 |
| Insertion of catheter vein CPT 36481 | not published | not published | $233.87 – $381.50 | 2 |
| Insertion of catheter vein CPT 36500 | $721.88 | $1,110.58 | $131.14 – $205.33 | 2 |
| Insertion of heart electrode 33211 CPT 33211 | not published | not published | $118.62 – $189.59 | 2 |
| Insertion of infusion pump CPT 36260 | not published | not published | $512.96 – $719.16 | 2 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | not published | not published | $370.59 – $580.11 | 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.