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 |
|---|---|---|---|---|
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $52.85 | $81.31 | $9.73 – $17.52 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | $30.17 | $46.41 | $7.21 – $24.32 | 10 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $54.49 | $83.83 | $8.11 – $18.25 | 10 |
| Mayo avwpr vw factor activity CPT 85397 | $90.46 | $139.17 | $9.49 – $37.03 | 10 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $82.65 | $127.16 | $21.26 – $48.69 | 10 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $145.20 | $223.39 | $5.05 – $11.36 | 3 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $36.82 | $56.64 | $6.79 – $18.25 | 10 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $524.13 | $806.36 | $48.04 – $325.89 | 10 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $629.11 | $967.86 | $51.95 – $482.90 | 10 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $46.70 | $71.84 | $8.11 – $18.25 | 10 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $454.43 | $699.13 | $7.08 – $7.08 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $47.72 | $73.41 | $8.11 – $18.25 | 10 |
| Mayo brcmg brucella antibody igm CPT 86622 | $32.32 | $49.72 | $5.95 – $18.25 | 10 |
| Mayo c1 esterase inhibitor CPT 83883 | $49.22 | $75.72 | $9.06 – $16.32 | 8 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $116.94 | $179.90 | $5.05 – $11.36 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $61.05 | $93.92 | $10.61 – $23.87 | 10 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $96.91 | $149.09 | $17.85 – $32.14 | 8 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $442.30 | $680.46 | $56.84 – $146.66 | 8 |
| Mayo ceruloplasmin CPT 82390 | $38.86 | $59.79 | $7.15 – $18.40 | 10 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $29.39 | $45.22 | $9.41 – $16.94 | 8 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $46.60 | $71.70 | $8.59 – $15.46 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $42.79 | $65.83 | $7.88 – $18.25 | 10 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $45.91 | $70.63 | $8.11 – $18.25 | 10 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $421.57 | $648.57 | $40.40 – $139.79 | 10 |
| Mayo chromium CPT 82495 | $73.40 | $112.92 | $13.51 – $45.63 | 10 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $368.39 | $566.75 | $5.05 – $11.36 | 3 |
| Mayo coccidioides antibody CPT 86635 | $41.54 | $63.90 | $7.65 – $18.25 | 10 |
| Mayo cocou cortisone urine CPT 82542 | $70.60 | $108.62 | $16.05 – $28.91 | 8 |
| Mayo cortisol free CPT 82530 | $60.46 | $93.02 | $11.13 – $37.60 | 10 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $93.40 | $143.70 | $25.28 – $56.88 | 10 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $43.89 | $67.52 | $8.08 – $18.25 | 10 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $112.43 | $172.97 | $5.05 – $15.52 | 3 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $171.26 | $263.47 | $5.05 – $11.36 | 3 |
| Mayo cyanide CPT 82600 | $70.21 | $108.01 | $12.93 – $23.28 | 8 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $357.76 | $550.40 | $179.38 – $403.60 | 5 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $47.93 | $73.74 | $5.25 – $15.90 | 10 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $91.46 | $140.70 | $16.85 – $54.14 | 10 |
| Mayo dihydrotestosterone CPT 82642 | $101.04 | $155.45 | $19.51 – $35.14 | 8 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $22.71 | $34.94 | $6.16 – $11.57 | 8 |
| Mayo efpo chloride stool CPT 82438 | $17.67 | $27.19 | $3.33 – $11.25 | 10 |
| Mayo estriol CPT 82677 | $87.51 | $134.63 | $16.12 – $39.78 | 10 |
| Mayo estrone CPT 82679 | $90.32 | $138.95 | $16.62 – $56.14 | 10 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $59.13 | $90.97 | $10.61 – $23.87 | 10 |
| Mayo everolimus therapeutic drug level CPT 80169 | $38.33 | $58.97 | $9.14 – $23.87 | 10 |
| Mayo factor ii CPT 85210 | $46.98 | $72.27 | $8.66 – $29.20 | 10 |
| Mayo factor v CPT 85220 | $63.87 | $98.26 | $11.76 – $39.71 | 10 |
| Mayo factor vii CPT 85230 | $64.79 | $99.68 | $11.92 – $40.28 | 10 |
| Mayo factor viii vw factor antigen CPT 85246 | $83.02 | $127.72 | $9.49 – $27.53 | 10 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $11.89 – $27.53 | 10 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $83.02 | $127.72 | $9.49 – $27.53 | 10 |
| Mayo factor x CPT 85260 | $64.79 | $99.68 | $11.92 – $40.28 | 10 |
| Mayo factor xi CPT 85270 | $64.79 | $99.68 | $11.92 – $40.28 | 10 |
| Mayo fat/lipids feces quantitative CPT 82710 | $60.82 | $93.57 | $11.19 – $37.80 | 10 |
| Mayo fbl culture fungi blood CPT 87103 | $59.96 | $92.25 | $8.65 – $25.83 | 10 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $235.85 | $362.85 | $7.66 – $96.55 | 10 |
| Mayo ffspg allergen clam igg CPT 86001 | $22.92 | $35.26 | $5.21 – $9.38 | 8 |
| Mayo fibrinogen antigen CPT 85385 | $36.61 | $56.32 | $6.97 – $17.35 | 10 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $63.52 | $97.72 | $10.61 – $26.00 | 10 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $6,979.24 | $10,737.30 | $45.00 – $103.65 | 2 |
| Mayo hemosiderin qualitative urine CPT 83070 | $17.18 | $26.43 | $3.17 – $5.70 | 8 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $127.02 | $195.41 | $21.64 – $48.69 | 10 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $82.65 | $127.16 | $20.87 – $42.11 | 8 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $45.23 | $69.58 | $9.18 – $28.19 | 10 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $93.39 | $143.67 | $17.20 – $30.97 | 8 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $32.16 | $49.48 | $5.93 – $20.00 | 10 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $48.92 | $75.26 | $9.01 – $30.42 | 10 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $98.32 | $151.26 | $18.10 – $61.13 | 10 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $50.62 | $77.88 | $11.51 – $20.72 | 8 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $54.24 | $83.44 | $8.60 – $17.99 | 8 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $75.34 | $115.91 | $13.87 – $46.82 | 10 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $75.34 | $115.91 | $13.87 – $24.97 | 8 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $73.05 | $112.38 | $22.81 – $42.11 | 8 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $47.11 | $72.47 | $8.11 – $19.28 | 10 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $43.39 | $66.75 | $7.99 – $18.25 | 10 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $127.02 | $195.41 | $21.64 – $48.69 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $68.43 | $105.27 | $21.26 – $48.69 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $127.02 | $195.41 | $20.87 – $48.69 | 10 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $73.05 | $112.38 | $21.64 – $48.69 | 10 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $155.01 | $238.47 | $20.87 – $64.91 | 10 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $549.62 | $845.57 | $43.75 – $131.24 | 10 |
| Mayo infliximab therapeutic drug level CPT 80230 | $107.69 | $165.67 | $10.61 – $46.28 | 10 |
| Mayo inhab inhibin a CPT 86336 | $56.40 | $86.77 | $6.57 – $18.71 | 10 |
| Mayo insft insulin free CPT 83527 | $46.85 | $72.07 | $8.64 – $28.42 | 10 |
| Mayo insulin antibodies CPT 86337 | $77.47 | $119.18 | $12.63 – $28.42 | 10 |
| Mayo iodine CPT 83789 | $70.69 | $108.75 | $16.07 – $28.93 | 8 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $72.08 | $110.90 | $16.43 – $32.53 | 8 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $75.69 | $116.45 | $10.61 – $32.53 | 10 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $47.96 | $73.79 | $8.83 – $23.87 | 10 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $46.32 | $71.26 | $8.51 – $21.35 | 10 |
| Mayo legionella antibody CPT 86713 | $55.37 | $85.19 | $10.20 – $34.42 | 10 |
| Mayo leptospira antibody igm CPT 86720 | $47.72 | $73.41 | $8.11 – $19.44 | 10 |
| Mayo lipoprotein electrophoresis CPT 83700 | $40.74 | $62.68 | $7.50 – $13.51 | 8 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $56.06 | $86.25 | $10.32 – $34.85 | 10 |
| Mayo manganese CPT 83785 | $89.02 | $136.96 | $17.76 – $59.96 | 10 |
| Mayo metanephrines plasma CPT 83835 | $61.33 | $94.35 | $11.29 – $38.12 | 10 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $197.35 | $303.62 | $5.05 – $11.36 | 3 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $46.59 | $71.68 | $10.36 – $25.09 | 10 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $40.79 | $62.76 | $11.15 – $25.65 | 10 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $52.64 | $80.99 | $9.70 – $32.74 | 10 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $739.13 | $1,137.13 | $12.42 – $22.37 | 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.