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 molecular pathology procedure level 2 apoe genotype CPT 81401 | $2,139.83 | $3,292.05 | $39.00 – $164.40 | 8 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $468.96 | $721.47 | $112.23 – $252.52 | 10 |
| Mayo muramidase CPT 85549 | $67.86 | $104.40 | $12.49 – $42.19 | 10 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $40.79 | $62.76 | $11.15 – $25.65 | 10 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $65.30 | $100.46 | $10.61 – $23.87 | 10 |
| Mayo myoglobin CPT 83874 | $46.75 | $71.92 | $8.62 – $15.50 | 8 |
| Mayo nickel CPT 83885 | $88.70 | $136.46 | $16.33 – $29.41 | 8 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $215.21 | $331.09 | $5.05 – $11.45 | 3 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $230.38 | $354.43 | $5.05 – $11.36 | 3 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $56.99 | $87.67 | $5.05 – $11.36 | 3 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $62.17 | $95.65 | $14.14 – $47.72 | 10 |
| Mayo organic acids qualitative each specimen CPT 83919 | $59.54 | $91.60 | $10.96 – $37.01 | 10 |
| Mayo oxalate 24 hour urine CPT 83945 | $46.58 | $71.66 | $9.63 – $27.04 | 10 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $41.74 | $64.22 | $5.25 – $13.84 | 10 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $54.39 | $83.68 | $10.02 – $33.82 | 10 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $43.62 | $67.10 | $5.25 – $14.46 | 10 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $127.02 | $195.41 | $20.87 – $48.69 | 10 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $65.05 | $100.08 | $8.98 – $21.58 | 8 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $49.82 | $76.64 | $9.16 – $23.87 | 10 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $30.54 | $46.98 | $5.63 – $18.99 | 10 |
| Mayo pregnenolone CPT 84140 | $74.82 | $115.10 | $13.78 – $46.51 | 10 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $60.03 | $92.36 | $10.61 – $23.87 | 10 |
| Mayo proinsulin CPT 84206 | $78.23 | $120.35 | $17.79 – $32.03 | 8 |
| Mayo psaft prostate specific antigen free CPT 84154 | $66.59 | $102.44 | $12.25 – $41.38 | 10 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $53.93 | $82.97 | $12.26 – $22.08 | 8 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $29.62 | $45.57 | $8.90 – $21.42 | 10 |
| Mayo receptor assay transferrin soluble CPT 84238 | $132.32 | $203.57 | $24.37 – $43.88 | 8 |
| Mayo renin CPT 84244 | $79.59 | $122.44 | $14.65 – $26.39 | 8 |
| Mayo repu protein electrophoresis urine CPT 84166 | $64.53 | $99.27 | $11.36 – $25.56 | 10 |
| Mayo selenium CPT 84255 | $92.39 | $142.14 | $17.01 – $30.64 | 8 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $56.06 | $86.25 | $10.33 – $18.60 | 8 |
| Mayo serotonin CPT 84260 | $112.12 | $172.50 | $20.64 – $37.18 | 8 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $70.06 | $107.79 | $12.90 – $43.54 | 10 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $49.71 | $76.48 | $9.14 – $23.87 | 10 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $31.21 | $48.01 | $79.15 – $110.44 | 7 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $15.44 | $23.76 | $2.82 – $7.42 | 10 |
| Mayo tau phosphorylated 217 each CPT 84393 | $35.95 | $55.31 | $110.87 – $154.70 | 7 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $756.03 | $1,163.13 | $115.50 – $250.70 | 8 |
| Mayo tgrp testosterone free CPT 84402 | $92.19 | $141.83 | $16.98 – $57.31 | 10 |
| Mayo tgrp testosterone total CPT 84403 | $93.42 | $143.73 | $17.20 – $58.07 | 10 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $49.15 | $75.61 | $13.30 – $29.92 | 10 |
| Mayo thyroglobulin CPT 84432 | $58.12 | $89.41 | $10.71 – $19.27 | 8 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $36.82 | $56.64 | $6.79 – $18.25 | 10 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $44.82 | $68.95 | $8.25 – $14.87 | 8 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $100.30 | $154.31 | $8.29 – $8.29 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $185.61 | $285.55 | $34.17 – $115.38 | 10 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $41.50 | $63.85 | $9.43 – $26.14 | 10 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $49.02 | $75.41 | $9.02 – $23.87 | 10 |
| Mayo vasoactive intestinal peptide CPT 84586 | $127.86 | $196.71 | $23.53 – $42.40 | 8 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $73.22 | $112.65 | $13.49 – $24.29 | 8 |
| Mayo vitamin b3 (niacin) CPT 84591 | $50.00 | $76.93 | $11.37 – $20.47 | 8 |
| Mayo vitamin k CPT 84597 | $49.65 | $76.39 | $9.14 – $30.87 | 10 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $47.96 | $73.79 | $8.83 – $23.87 | 10 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $666.72 – $935.16 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $23.82 – $47.17 | 8 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $403.10 – $553.38 | 2 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $427.54 – $592.65 | 2 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $450.88 – $632.37 | 2 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $21.43 – $21.43 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $647.43 – $1,033.84 | 2 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $7.56 – $11.03 | 2 |
| Md service required for pmd HCPCS G0372 | not published | not published | $6.45 – $10.01 | 2 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $14.01 – $23.66 | 2 |
| Measure kidney pressure CPT 50396 | not published | not published | $83.38 – $133.59 | 2 |
| Measurement post void urine by ultrasound CPT 51798 | $146.22 | $224.95 | $10.23 – $19.59 | 3 |
| Measure ureter pressure CPT 50686 | not published | not published | $66.53 – $100.15 | 2 |
| Mecasermin injection HCPCS J2170 | not published | not published | $73.42 – $389.68 | 3 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $378.09 – $378.09 | 5 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $265.89 – $265.89 | 1 |
| #mec-opiates CPT 80356 | $7.59 | $11.67 | $5.05 – $11.36 | 3 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $90.90 – $180.00 | 8 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $193.57 – $633.44 | 8 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $72.00 – $144.00 | 8 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $50.22 – $50.22 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $433.37 – $644.71 | 2 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $306.30 – $447.81 | 2 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $237.29 – $342.23 | 2 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $845.33 – $1,720.14 | 3 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.29 | $0.45 | $0.26 – $0.65 | 3 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $20.23 – $20.23 | 1 |
| Med serv eve/wkend/holiday CPT 99051 | $27.43 | $42.20 | not published | 0 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.23 – $0.28 | 3 |
| Meg evoked each addl CPT 95967 | not published | not published | $109.96 – $709.75 | 2 |
| Meg evoked single CPT 95966 | not published | not published | $105.90 – $817.44 | 2 |
| Meg spontaneous CPT 95965 | not published | not published | $127.42 – $1,637.61 | 2 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $8.79 – $10.99 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $103.97 – $1,266.67 | 2 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $103.97 – $103.97 | 1 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $33.92 – $38.40 | 2 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $103.97 – $447.50 | 2 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $32,184.96 – $69,772.00 | 3 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $103.97 – $357.19 | 2 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $89.75 – $275.20 | 2 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $62.41 – $97.50 | 2 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $242.29 – $242.29 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,233.95 – $1,865.78 | 2 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $23.15 | $35.62 | $3.48 – $8.15 | 4 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $7.58 – $7.58 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $68.50 | $105.38 | $30.54 – $39.15 | 4 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.74 – $3.61 | 3 |
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.