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 |
|---|---|---|---|---|
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $2.12 – $2.12 | 1 |
| #aptt mix-1:1 incubated CPT 87532 | $114.30 | $175.84 | $20.87 – $42.11 | 8 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $30.51 | $46.94 | $7.30 – $45.28 | 10 |
| Aqmbf pet rest & rx stress CPT 78434 | $767.54 | $1,180.83 | $35.48 – $35.48 | 1 |
| Aquaporin-4 antibody cba each CPT 86052 | $30.51 | $46.94 | $7.30 – $16.42 | 10 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $6.98 – $15.70 | 10 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $117.88 | $181.35 | $20.22 – $32.15 | 4 |
| Aquatic exercise - group charge CPT 97150 | $56.01 | $86.17 | $9.93 – $15.28 | 4 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $805.72 – $1,335.70 | 2 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $766.40 – $1,265.81 | 2 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $57.13 – $103.97 | 2 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $48.83 – $48.83 | 5 |
| Arch supp att to shoe metata HCPCS L3080 | not published | not published | $38.11 – $38.11 | 5 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $38.11 – $38.11 | 5 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $0.69 – $7.70 | 4 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $3.80 – $4.75 | 3 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $1.21 – $4.68 | 4 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $0.61 – $4.68 | 4 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $3.80 – $4.75 | 3 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.21 – $4.68 | 4 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $0.61 – $4.68 | 4 |
| Ar gene charac alleles CPT 81204 | $285.18 | $438.74 | $83.02 – $188.62 | 10 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $182.62 – $361.62 | 8 |
| Ar gene known famil variant CPT 81174 | not published | not published | $94.17 – $222.24 | 10 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $6.41 | $9.86 | $3.26 – $3.96 | 4 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.26 – $0.26 | 1 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $799.16 | $1,229.47 | $119.11 – $231.36 | 3 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $550.54 | $846.99 | $93.18 – $184.99 | 3 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $323.71 | $498.02 | $9.47 – $35.77 | 3 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $4.79 – $51.19 | 4 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $103.97 – $744.00 | 2 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $103.97 – $474.00 | 2 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $1,354.80 – $2,049.36 | 2 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,099.36 – $1,718.80 | 2 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,219.55 – $1,822.98 | 2 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,201.03 – $1,757.03 | 2 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,248.95 – $1,898.82 | 2 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $1,280.14 – $1,943.54 | 2 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $801.51 – $1,212.34 | 2 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,000.76 – $1,514.60 | 2 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $861.89 – $1,298.68 | 2 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,026.72 – $1,545.84 | 2 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $945.36 – $1,399.86 | 2 |
| Art bypass femoral-femoral 35661 CPT 35661 | $14,572.26 | $22,418.86 | $795.29 – $1,200.93 | 2 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $10,061.88 | $15,479.82 | $786.79 – $1,197.07 | 2 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $863.25 – $1,299.07 | 2 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $771.41 – $1,144.90 | 2 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $753.42 – $1,186.05 | 2 |
| Art byp grft aor/carot/innom CPT 35526 | not published | not published | $1,327.32 – $1,927.60 | 2 |
| Art byp grft aorcel/aormesen CPT 35531 | not published | not published | $1,431.74 – $2,142.51 | 2 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $1,792.47 – $2,693.02 | 2 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $1,713.12 – $2,561.19 | 2 |
| Art byp grft aortofemoral CPT 35539 | not published | not published | $1,608.42 – $2,403.80 | 2 |
| Art byp grft aortoiliac CPT 35537 | not published | not published | $1,530.05 – $2,284.54 | 2 |
| Art byp grft aortorenal CPT 35560 | not published | not published | $1,252.99 – $1,860.56 | 2 |
| Art byp grft axillary-axilry CPT 35518 | not published | not published | $840.17 – $1,251.28 | 2 |
| Art byp grft axill-brachial CPT 35522 | not published | not published | $861.24 – $1,335.80 | 2 |
| Art byp grft axill/fem/fem CPT 35533 | not published | not published | $1,108.14 – $1,654.39 | 2 |
| Art byp grft axill-femoral CPT 35521 | not published | not published | $905.24 – $1,348.27 | 2 |
| Art byp grft brachial-brchl CPT 35525 | not published | not published | $809.90 – $1,263.86 | 2 |
| Art byp grft brchl-ulnr-rdl CPT 35523 | not published | not published | $906.07 – $1,419.13 | 2 |
| Art byp grft carotid-brchial CPT 35510 | not published | not published | $904.91 – $1,349.63 | 2 |
| Art byp grft carotid-vertbrl CPT 35508 | not published | not published | $979.97 – $1,447.98 | 2 |
| Art byp grft contral carotid CPT 35509 | not published | not published | $1,039.12 – $1,552.10 | 2 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $893.43 – $1,360.95 | 2 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,021.45 – $1,547.44 | 2 |
| Art byp grft hepatorenal CPT 35535 | not published | not published | $1,397.77 – $2,095.94 | 2 |
| Art byp grft ilioiliac CPT 35563 | not published | not published | $974.49 – $1,456.62 | 2 |
| Art byp grft ipsilat carotid CPT 35501 | not published | not published | $1,073.39 – $1,656.05 | 2 |
| Art byp grft splenorenal CPT 35536 | not published | not published | $1,242.09 – $1,861.20 | 2 |
| Art byp grft subclav-axilary CPT 35516 | not published | not published | $897.91 – $1,343.33 | 2 |
| Art byp grft subclav-brchial CPT 35512 | not published | not published | $887.59 – $1,327.69 | 2 |
| Art byp grft subclav-carotid CPT 35506 | not published | not published | $937.62 – $1,399.20 | 2 |
| Art byp grft subclav-subclav CPT 35511 | not published | not published | $824.98 – $1,217.59 | 2 |
| Art byp grft subclav-vertbrl CPT 35515 | not published | not published | $979.97 – $1,411.55 | 2 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $897.95 – $1,338.17 | 2 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $971.29 – $1,464.15 | 2 |
| Art byp tibial-tib/peroneal CPT 35570 | not published | not published | $1,084.53 – $1,669.79 | 2 |
| Arterial blood draw/perc 36620 CPT 36620 | $248.74 | $382.68 | $34.13 – $50.85 | 2 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $939.59 – $1,454.71 | 2 |
| Artery to vein shunt CPT 36835 | not published | not published | $386.86 – $530.06 | 2 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $871.81 – $871.81 | 1 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $491.67 – $738.91 | 2 |
| Artery xray each vessel 7577426 CPT 75774 | $2,251.46 | $3,463.78 | $41.41 – $84.26 | 3 |
| Artery xray of abdomen 75726-26 CPT 75726 | $9,536.59 | $14,671.68 | $62.63 – $127.44 | 3 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $80.29 – $163.38 | 3 |
| Artery x-rays adrenals CPT 75733 | $5,491.15 | $8,447.92 | $93.86 – $191.00 | 3 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $5,491.15 | $8,447.92 | $56.07 – $114.10 | 3 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $5,842.81 | $8,988.94 | $59.07 – $120.21 | 3 |
| Artery x-rays chest CPT 75756 | not published | not published | $92.30 – $168.04 | 3 |
| Artery x-rays lung CPT 75741 | not published | not published | $56.62 – $115.22 | 3 |
| Artery x-rays lung CPT 75746 | not published | not published | $67.80 – $137.97 | 3 |
| Artery x-rays lungs CPT 75743 | not published | not published | $58.26 – $118.54 | 3 |
| Artery xrays of pelvis 75736 26 CPT 75736 | not published | not published | $75.92 – $154.49 | 3 |
| Artery x-rays spine CPT 75705 | not published | not published | $137.05 – $167.07 | 3 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $154.46 – $231.66 | 2 |
| Arthrd ant dfrm 2-3 vrt sgm CPT 22808 | not published | not published | $1,411.75 – $2,038.23 | 2 |
| Arthrd ant dfrm 4-7 vrt sgm CPT 22810 | not published | not published | $1,464.94 – $2,282.68 | 2 |
| Arthrd ant dfrm 8+ vrt sgm CPT 22812 | not published | not published | $1,607.74 – $2,449.04 | 2 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $977.13 – $1,378.23 | 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.