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 |
|---|---|---|---|---|
| Antipsychotics nos 1-3 CPT 80342 | $34.22 | $52.64 | $12.36 – $12.36 | 1 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $21.78 – $21.78 | 1 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $12.36 – $12.36 | 1 |
| Antistreptolysin o screen CPT 86063 | $20.87 | $32.11 | $3.79 – $8.53 | 10 |
| Antistreptolysin o titer CPT 86060 | $26.41 | $40.63 | $4.87 – $11.81 | 10 |
| Antithrombin iii activity CPT 85300 | $42.87 | $65.96 | $7.90 – $21.42 | 10 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $3.94 – $4.80 | 4 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $134.88 – $168.60 | 3 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $1,250.63 – $5,548.96 | 4 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $707.30 – $1,166.56 | 4 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $631.05 – $921.83 | 2 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $33.65 – $127.32 | 3 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $14.94 – $83.63 | 3 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $1,475.92 – $1,660.36 | 2 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $1,381.41 – $1,829.10 | 2 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $1,134.98 – $1,134.98 | 5 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $323.71 | $498.02 | $65.42 – $133.12 | 3 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $545.64 – $785.22 | 2 |
| Aortic dysfunction/dilation CPT 81410 | $1,477.37 | $2,272.87 | $0.01 – $604.80 | 8 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $728.00 – $1,620.23 | 8 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $678.14 – $1,078.39 | 2 |
| Aortic suspension CPT 33800 | not published | not published | $759.02 – $1,085.76 | 2 |
| Apc gene dup/delet variants CPT 81203 | $471.10 | $724.77 | $121.20 – $240.00 | 8 |
| Apc gene full sequence CPT 81201 | $1,837.28 | $2,826.59 | $472.68 – $936.00 | 8 |
| Apc gene known fam variants CPT 81202 | $620.74 | $954.99 | $42.28 – $336.00 | 8 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $12.91 – $12.91 | 1 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $60.55 – $95.29 | 2 |
| Apheresis plasma CPT 36514 | $1,231.72 | $1,894.95 | $65.25 – $108.98 | 2 |
| Apheresis platelets CPT 36513 | not published | not published | $73.71 – $123.80 | 2 |
| Apheresis rbc CPT 36512 | $1,231.72 | $1,894.95 | $72.08 – $123.46 | 2 |
| Apheresis wbc CPT 36511 | not published | not published | $76.38 – $123.08 | 2 |
| Apl(pml-rara) quant - sendout CPT 81315 | $750.23 | $1,154.20 | $39.48 – $466.45 | 10 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $31.84 – $41.66 | 3 |
| Appendectomy CPT 44950 | not published | not published | $491.08 – $809.86 | 2 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $60.72 – $106.60 | 2 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $668.23 – $1,103.90 | 2 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $933.52 – $1,421.68 | 2 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $468.71 – $757.94 | 2 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,053.97 | $3,159.95 | $161.84 – $255.76 | 2 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $626.96 | $964.56 | $39.83 – $63.95 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $232.12 | $357.11 | $18.21 – $28.64 | 2 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $6,380.63 | $9,816.35 | $140.76 – $225.95 | 2 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $907.99 | $1,396.91 | $31.85 – $51.08 | 2 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $232.10 | $357.08 | $12.11 – $19.46 | 2 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $130.91 – $185.83 | 2 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $145.96 – $208.57 | 2 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $134.72 – $192.36 | 2 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $113.38 – $159.84 | 2 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $54.75 – $77.28 | 2 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $71.49 – $104.19 | 2 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $107.12 – $152.87 | 2 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $754.32 – $948.30 | 2 |
| Appl halo type body cast CPT 29000 | not published | not published | $168.53 – $213.54 | 2 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $137.45 – $197.37 | 2 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $123.75 – $176.43 | 2 |
| Application clubfoot cast CPT 29450 | not published | not published | $83.02 – $128.60 | 2 |
| Application finger splntstatic 29130 CPT 29130 | $146.22 | $224.95 | $21.15 – $32.40 | 3 |
| Application halo femoral CPT 20663 | not published | not published | $379.31 – $523.49 | 2 |
| Application halo pelvic CPT 20662 | not published | not published | $408.90 – $569.88 | 2 |
| Application long leg splint 29505 CPT 29505 | $373.77 | $575.03 | $44.80 – $56.71 | 2 |
| Application lower leg splint 29515 CPT 29515 | $373.77 | $575.03 | $40.82 – $55.61 | 2 |
| Application multi layer compression below knee (both sides) CPT 29581 | $368.32 | $566.65 | $19.61 – $32.17 | 2 |
| Application of body cast CPT 29010 | not published | not published | $125.09 – $178.05 | 2 |
| Application of body cast CPT 29015 | not published | not published | $138.86 – $201.16 | 2 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $67.15 – $97.20 | 2 |
| Application of forearm cast 29075 CPT 29075 | $551.61 | $848.63 | $48.11 – $68.77 | 2 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $52.68 – $75.33 | 2 |
| Application of long leg cast CPT 29355 | not published | not published | $79.29 – $118.65 | 2 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $74.90 – $111.25 | 2 |
| Application of paste boot 29580 CPT 29580 | $368.32 | $566.65 | $19.38 – $30.56 | 2 |
| Application short leg cast 29405 CPT 29405 | $647.35 | $995.92 | $45.77 – $66.25 | 2 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,053.97 | $3,159.95 | $69.90 – $108.08 | 2 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,053.97 | $3,159.95 | $62.01 – $94.49 | 2 |
| Appl long leg cast brace CPT 29358 | not published | not published | $78.26 – $114.54 | 2 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $857.49 – $1,251.73 | 2 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $18.00 | $27.69 | $4.74 – $4.93 | 4 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $8.99 – $10.24 | 4 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $11.33 – $18.52 | 2 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $66.26 – $92.25 | 2 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $445.92 – $664.61 | 2 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $38.17 – $55.28 | 2 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $37.42 – $54.48 | 3 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $447.05 – $551.55 | 2 |
| Apply hand/wrist cast 29085 CPT 29085 | $327.04 | $503.14 | $51.94 – $74.68 | 3 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $272.88 – $448.62 | 3 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $265.89 – $326.56 | 3 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $205.59 – $249.65 | 3 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $175.78 – $218.01 | 3 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $25.58 – $37.58 | 3 |
| Apply rem fixation device CPT 20660 | not published | not published | $172.13 – $266.24 | 2 |
| Apply rigid leg cast 29445 CPT 29445 | $647.35 | $995.92 | $75.04 – $115.50 | 2 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $1,245.74 – $1,823.25 | 2 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $42.23 – $62.63 | 2 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $115.59 – $167.63 | 2 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $53.65 – $74.56 | 3 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $15.20 – $29.01 | 3 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $870.73 – $1,335.21 | 2 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,560.69 – $2,299.13 | 2 |
| App topical fluoride varnish CPT 99188 | $38.83 | $59.74 | $12.33 – $12.33 | 1 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.59 – $3.88 | 4 |
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.