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 |
|---|---|---|---|---|
| Ins vag brachytx device CPT 57156 | not published | not published | $105.97 – $158.10 | 2 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,494.41 – $2,156.33 | 3 |
| Integra meshed bil wound mat HCPCS C9363 | not published | not published | $65.21 – $65.21 | 1 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $22.14 – $26.91 | 2 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $109.61 – $144.80 | 2 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $109.61 – $144.80 | 2 |
| Intercalary algrft compl CPT 20934 | not published | not published | $528.99 – $798.15 | 2 |
| Interdental fixation CPT 21110 | not published | not published | $554.58 – $764.45 | 2 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $461.94 – $642.44 | 2 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $112.11 – $179.82 | 2 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $40.75 – $40.75 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $26.29 – $36.88 | 2 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $5.02 – $5.02 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $28.91 – $36.14 | 3 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $69.10 – $76.30 | 3 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $1,280.64 – $2,289.02 | 3 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $323.09 – $710.56 | 3 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $4,781.11 – $9,050.79 | 3 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $10.09 – $39.00 | 2 |
| Intermediate visual field xm CPT 92082 | not published | not published | $22.03 – $45.48 | 3 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $120.92 – $204.30 | 2 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $373.64 – $373.64 | 5 |
| Interrogate subq defib CPT 93261 | not published | not published | $22.07 – $39.37 | 3 |
| Interrogation vad in person CPT 93750 | $328.13 | $504.82 | $28.41 – $51.41 | 2 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $9.71 – $37.32 | 3 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $15.50 – $36.07 | 3 |
| Interrog device eval heart CPT 93289 | $129.11 | $198.63 | $21.29 – $41.43 | 3 |
| Interrog evl pm/ldls pm ip CPT 93288 | $82.44 | $126.83 | $17.21 – $41.01 | 3 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $28.80 – $58.61 | 3 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $63.49 – $129.20 | 3 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $15.67 – $31.88 | 3 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $19,564.01 – $19,564.01 | 5 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $17,855.55 – $17,855.55 | 5 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,025.37 – $1,542.61 | 2 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $808.98 – $1,356.83 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $287.02 – $288.44 | 2 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $286.98 – $315.10 | 2 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,580.90 – $1,580.90 | 5 |
| Intra-atrial pacing CPT 93610 | not published | not published | $56.75 – $80.93 | 2 |
| Intra-atrial recording CPT 93602 | $10,088.55 | $15,520.85 | $46.52 – $64.21 | 2 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $48.57 – $183.02 | 2 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,090.53 – $1,619.13 | 2 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,007.48 – $1,532.14 | 2 |
| Intracranial complete study CPT 93886 | not published | not published | $153.46 – $290.98 | 3 |
| Intracranial limited study CPT 93888 | not published | not published | $62.34 – $142.37 | 3 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,753.87 – $2,457.75 | 2 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,079.88 – $4,561.65 | 2 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,168.15 – $3,087.67 | 2 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,368.52 – $4,999.33 | 2 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,687.37 – $2,368.59 | 2 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $2,749.30 – $4,014.20 | 2 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $50.34 – $75.37 | 2 |
| Intranasal reconstruction CPT 30620 | not published | not published | $506.95 – $711.19 | 2 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $123.02 – $214.09 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $138.20 – $334.26 | 2 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $267.93 – $337.25 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $84.67 – $125.39 | 2 |
| Intraoral periapical first HCPCS D0220 | $19.50 | $30.00 | not published | 0 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $40.14 – $66.65 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $244.34 – $386.52 | 2 |
| Intraventricular pacing CPT 93612 | not published | not published | $65.78 – $94.72 | 2 |
| Intrinsic factor antibody CPT 86340 | $54.55 | $83.93 | $10.05 – $25.81 | 10 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $34.95 – $85.85 | 2 |
| Intro cath dialysis circuit CPT 36901 | $1,562.18 | $2,403.35 | $121.43 – $190.53 | 2 |
| Intro cath dialysis circuit w/pta CPT 36902 | $9,623.59 | $14,805.52 | $173.30 – $272.61 | 2 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $15,408.82 | $23,705.87 | $228.41 – $359.54 | 2 |
| Intro catheter aorta CPT 36200 | $420.82 | $647.41 | $99.90 – $155.17 | 2 |
| Intro cath svc/ivc CPT 36010 | $463.08 | $712.43 | $77.92 – $123.59 | 2 |
| Intro long gi tube CPT 44500 | $1,670.68 | $2,570.28 | $13.63 – $25.25 | 2 |
| Intro long gi tube w/mult fluo CPT 74340 | $305.81 | $470.48 | $76.11 – $117.71 | 2 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $108.97 – $166.59 | 2 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $64.58 – $101.59 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $51.05 – $81.57 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $553.14 | $850.99 | $109.41 – $159.78 | 2 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $33.61 – $48.38 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $13.63 – $19.04 | 2 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $307.58 – $362.40 | 3 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $27.00 – $38.77 | 2 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $22.48 – $35.27 | 2 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $40.48 – $40.48 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $0.36 | $0.55 | $0.36 – $0.44 | 4 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.40 | $0.61 | $0.15 – $0.38 | 4 |
| Io radiation tx management CPT 77469 | not published | not published | $222.70 – $453.16 | 3 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $208.01 – $208.01 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $294.77 – $294.77 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $153.18 – $192.97 | 4 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $66.75 – $143.73 | 3 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $66.75 – $209.14 | 3 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $66.75 – $251.61 | 3 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $50.40 – $93.18 | 3 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $0.05 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.23 – $0.44 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.64 – $7.21 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $65.28 – $72.08 | 4 |
| Iron CPT 83540 | $23.42 | $36.03 | $4.31 – $11.43 | 10 |
| Iron binding capacity CPT 83550 | $31.63 | $48.66 | $5.08 – $11.43 | 10 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $24.84 | $38.22 | $13.41 – $19.32 | 4 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $4.59 – $15.48 | 10 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $0.46 | $0.70 | $0.23 – $0.43 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | $364.21 | $560.33 | $6.46 – $17.16 | 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.