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 |
|---|---|---|---|---|
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.32 – $2.20 | 4 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $103.97 – $103.97 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $180.32 – $265.70 | 2 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $21.63 – $21.63 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.30 – $6.00 | 4 |
| Metabolic Blood Panel (Basic) CPT 80048 | $30.61 | $47.09 | $5.61 – $16.47 | 10 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $38.23 | $58.81 | $7.03 – $22.72 | 10 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $7.32 – $16.48 | 10 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $2,474.61 – $2,474.61 | 5 |
| Metatarsal joint implant HCPCS L8641 | $669.00 | $1,029.23 | $428.55 – $428.55 | 5 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $5.54 | $8.52 | $0.57 – $1.94 | 4 |
| Methadone injection HCPCS J1230 | not published | not published | $11.29 – $21.00 | 4 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.21 – $0.37 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $4.51 – $16.80 | 4 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.15 – $0.76 | 4 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $5.77 | $8.87 | $2.54 – $3.30 | 4 |
| Methotrexate therapeutic drug level CPT 80204 | $102.55 | $157.77 | $23.37 – $52.58 | 10 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $75.79 – $75.79 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $38.40 – $38.40 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $46.38 | $71.35 | $4.58 – $21.13 | 2 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $5.41 – $23.71 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $0.80 – $1.65 | 3 |
| Methylphenidate CPT 80360 | $65.23 | $100.35 | $7.31 – $7.31 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.14 – $0.37 | 4 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.34 | $0.52 | $0.11 – $0.12 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $1.20 | $1.84 | $0.22 – $0.26 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $1.33 | $2.05 | $0.77 – $2.03 | 4 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.12 – $0.16 | 2 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.03 | 3 |
| Metyrapone panel CPT 80436 | not published | not published | $58.48 – $131.58 | 10 |
| Mgmt promoter methylation analysis CPT 81287 | $365.35 | $562.08 | $75.53 – $149.57 | 8 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.18 – $2.02 | 4 |
| Microalbumin urine screen CPT 82044 | not published | not published | $0.51 – $7.48 | 10 |
| Microbe susceptible mlc CPT 87187 | $117.75 | $181.15 | $10.97 – $48.20 | 8 |
| Microdissection laser CPT 88380 | $392.91 | $604.48 | $56.28 – $77.91 | 3 |
| Microdissection manual CPT 88381 | $348.82 | $536.65 | $87.60 – $177.91 | 3 |
| Microfluid analy tears CPT 83861 | not published | not published | $12.75 – $26.98 | 8 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,469.98 – $5,469.98 | 5 |
| Microsatellite instability CPT 81301 | $1,047.87 | $1,612.11 | $136.28 – $784.26 | 10 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $156.80 – $237.22 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $80.36 – $154.14 | 3 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $201.75 | $310.38 | $20.40 – $25.43 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $0.67 | $1.03 | $0.13 – $0.38 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.12 – $0.44 | 4 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $46.32 – $61.53 | 3 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $34.40 – $43.00 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $2.81 | $4.32 | $1.10 – $3.31 | 4 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $870.95 – $870.95 | 5 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $0.57 – $2.74 | 3 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.44 – $0.55 | 3 |
| Miroderm HCPCS Q4175 | not published | not published | $77.62 – $91.54 | 2 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $68.07 – $71.99 | 3 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $0.93 – $1.16 | 3 |
| Mitochondrial gene CPT 81440 | $6,919.32 | $10,645.11 | $1,000.00 – $3,988.80 | 8 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $25.60 – $272.46 | 4 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $313.00 – $331.65 | 4 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $64.94 | 4 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,127.38 – $3,099.86 | 2 |
| Mlh1 gene CPT 81288 | $563.75 | $867.31 | $116.55 – $432.72 | 10 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $174.06 – $433.33 | 10 |
| Mlh1 gene full seq CPT 81292 | $1,497.31 | $2,303.56 | $390.00 – $1,468.58 | 10 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $39.89 – $397.20 | 10 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $14.74 – $21.83 | 2 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.20 – $6.15 | 2 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $797.13 – $1,177.49 | 2 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $47.83 – $97.34 | 3 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $58.10 – $95.17 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $105.09 – $164.83 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $100.45 – $158.22 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $151.03 – $217.97 | 2 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $364.84 – $468.63 | 2 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $183.98 – $283.73 | 2 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $18.58 – $38.54 | 2 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $781.39 – $781.39 | 5 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $86.96 – $152.77 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $38.13 – $54.73 | 2 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,049.52 – $1,498.85 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $461.95 – $644.13 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $30.51 | $46.94 | $7.30 – $45.28 | 10 |
| Molded inner boot HCPCS L2280 | not published | not published | $599.97 – $599.97 | 5 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,102.74 – $3,102.74 | 5 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $4,775.11 – $4,775.11 | 5 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,892.02 – $1,892.02 | 5 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $4,676.12 – $4,676.12 | 5 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.38 – $3.03 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $13.11 | 4 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $351.65 – $351.65 | 5 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $422.47 – $422.47 | 5 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $22,533.92 – $22,533.92 | 5 |
| Monovisc inj per dose HCPCS J7327 | $1,483.42 | $2,282.18 | $564.77 – $1,800.00 | 4 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $21.96 – $47.57 | 2 |
| Mopath procedure level 1 CPT 81400 | $187.48 | $288.43 | $38.76 – $76.75 | 8 |
| Mopath procedure level 3 CPT 81402 | $1,157.85 | $1,781.31 | $60.00 – $180.40 | 8 |
| Mopath procedure level 5 CPT 81404 | $2,765.11 | $4,254.02 | $105.00 – $329.80 | 8 |
| Mopath procedure level 6 CPT 81405 | $883.34 | $1,358.99 | $105.00 – $361.62 | 8 |
| Mopath procedure level 7 CPT 81406 | $829.20 | $1,275.69 | $59.80 – $339.46 | 8 |
| Mopath procedure level 8 CPT 81407 | $2,480.65 | $3,816.39 | $512.84 – $1,015.52 | 8 |
| Mopath procedure level 9 CPT 81408 | $5,862.56 | $9,019.33 | $720.00 – $2,400.00 | 8 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $11.15 | $17.16 | $1.34 – $8.09 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $3.66 – $8.46 | 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.