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 |
|---|---|---|---|---|
| Laparoscopy excise lesions CPT 58662 | not published | not published | $529.00 – $751.86 | 2 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $819.55 – $1,361.64 | 2 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $458.28 – $723.84 | 2 |
| Laparoscopy islet cell trans HCPCS G0342 | not published | not published | $581.67 – $758.15 | 2 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $492.33 – $752.24 | 2 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $675.70 – $1,033.53 | 2 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $392.30 – $571.25 | 2 |
| Laparoscopy lysis CPT 58660 | not published | not published | $512.16 – $717.30 | 2 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $490.67 – $746.89 | 2 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $563.18 – $862.58 | 2 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $913.14 – $1,416.72 | 2 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $479.70 – $688.61 | 2 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $809.74 – $1,167.86 | 2 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $707.01 – $1,028.65 | 2 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $273.10 – $392.68 | 2 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $717.61 – $1,105.59 | 2 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $513.46 – $822.14 | 2 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $593.00 – $963.68 | 2 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $613.84 – $942.43 | 2 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $893.87 – $1,291.29 | 2 |
| Laparotomy islet cell transp HCPCS G0343 | not published | not published | $943.08 – $1,377.31 | 2 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $1,527.05 – $2,604.01 | 2 |
| Laparo urethral suspension CPT 51990 | not published | not published | $554.81 – $849.12 | 2 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $719.12 – $1,037.35 | 2 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $952.23 – $1,382.33 | 2 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $956.69 – $1,368.58 | 2 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $1,237.44 – $2,105.09 | 2 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $1,347.08 – $2,306.57 | 2 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $1,472.21 – $2,515.78 | 2 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $999.99 – $1,693.90 | 2 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $1,589.64 – $2,771.83 | 2 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $928.32 – $1,549.57 | 2 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $1,046.16 – $1,747.90 | 2 |
| Lap enterolysis CPT 44180 | not published | not published | $700.72 – $1,160.76 | 2 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $114.93 – $199.48 | 2 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $529.14 – $775.30 | 2 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $1,390.33 – $2,334.94 | 2 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $1,309.10 – $2,183.18 | 2 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $837.46 – $1,398.65 | 2 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $1,173.14 – $1,173.14 | 1 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $343.91 – $475.74 | 2 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $445.92 – $618.86 | 2 |
| Lap ins device for right CPT 49327 | not published | not published | $94.24 – $144.02 | 2 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $296.51 – $429.73 | 2 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $506.73 – $820.33 | 2 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $134.74 – $238.30 | 2 |
| Lap myotomy heller CPT 43279 | not published | not published | $971.57 – $1,624.51 | 2 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $1,153.49 – $1,944.91 | 2 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $1,296.28 – $2,186.22 | 2 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,302.85 – $2,213.16 | 2 |
| Lap place gastr adj device CPT 43770 | not published | not published | $865.09 – $1,415.85 | 2 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,139.51 – $1,928.25 | 2 |
| Lap radical hyst CPT 58548 | not published | not published | $1,408.68 – $1,977.12 | 2 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $1,473.68 – $2,511.46 | 2 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $1,593.97 – $2,738.96 | 2 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $976.05 – $1,603.24 | 2 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $175.18 – $303.17 | 2 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $976.05 – $1,601.25 | 2 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $1,173.14 – $1,173.14 | 1 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $314.91 – $458.14 | 2 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $734.63 – $1,209.43 | 2 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $724.89 – $1,194.92 | 2 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $591.23 – $861.62 | 2 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $507.46 – $813.58 | 2 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $808.24 – $1,404.19 | 2 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $881.12 – $1,308.02 | 2 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $895.25 – $1,642.66 | 2 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $782.70 – $1,048.58 | 2 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $1,447.72 – $2,022.53 | 2 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,332.67 – $2,261.73 | 2 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $767.69 – $1,027.40 | 2 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $136.87 – $208.88 | 2 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $318.37 | $489.80 | $32.65 – $51.39 | 2 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $127.78 – $202.11 | 2 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $106.46 – $166.55 | 2 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $106.46 – $165.80 | 2 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $97.81 – $149.72 | 2 |
| Largsc w/ther injection CPT 31573 | not published | not published | $106.18 – $166.55 | 2 |
| Laronidase injection HCPCS J1931 | not published | not published | $32.39 – $41.49 | 4 |
| Laryngeal function studies CPT 92520 | not published | not published | $27.37 – $47.56 | 2 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $896.96 – $1,295.66 | 2 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,041.66 – $1,547.25 | 2 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,128.93 – $1,609.43 | 2 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,092.72 – $1,617.76 | 2 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,233.93 – $1,768.21 | 2 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,234.47 – $1,848.72 | 2 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $958.07 – $1,395.96 | 2 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $822.04 – $1,173.95 | 2 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $161.60 – $255.38 | 2 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $22.42 – $38.79 | 2 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $45.56 – $78.41 | 2 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $217.60 – $349.94 | 2 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $174.44 – $278.55 | 2 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $102.89 – $161.11 | 2 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $113.75 – $180.15 | 2 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $113.41 – $178.14 | 2 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $137.49 – $217.81 | 2 |
| Laryngoscopy telescopic CPT 31579 | $913.45 | $1,405.31 | $85.79 – $133.56 | 3 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $133.58 – $211.48 | 2 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $147.76 – $235.61 | 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.