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 |
|---|---|---|---|---|
| Multi-durometer below knee HCPCS L5665 | not published | not published | $626.84 – $626.84 | 5 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $747.20 – $747.20 | 5 |
| Multi family grp psychotherapy CPT 90849 | $294.41 | $452.94 | $25.38 – $48.00 | 4 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $48.50 – $65.96 | 2 |
| Multiple sleep latency test CPT 95805 | not published | not published | $343.80 – $411.68 | 3 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,790.61 – $3,790.61 | 5 |
| Mumps antibody igg CPT 86735 | $47.22 | $72.65 | $8.11 – $18.25 | 10 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $908.26 – $1,367.06 | 2 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $939.15 – $1,458.23 | 2 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,129.90 – $1,676.62 | 2 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $39.35 – $71.42 | 3 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $39.69 – $72.88 | 3 |
| Muscle test larynx CPT 95865 | not published | not published | $38.32 – $75.22 | 3 |
| Muscle test one fiber CPT 95872 | not published | not published | $34.92 – $54.15 | 3 |
| Muscle transfers CPT 23397 | not published | not published | $850.73 – $1,262.96 | 2 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $961.76 – $1,429.20 | 2 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $745.63 – $1,176.80 | 2 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $572.08 – $835.45 | 2 |
| Mycobacteria dna amp probe CPT 87551 | $122.14 | $187.91 | $20.87 – $107.55 | 10 |
| Mycobacteria dna dir probe CPT 87550 | $72.57 | $111.65 | $13.36 – $24.06 | 8 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $20.87 – $51.41 | 8 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.13 – $0.53 | 4 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.32 – $1.73 | 4 |
| Mycoplasma antibody igm CPT 86738 | $47.89 | $73.68 | $8.83 – $29.79 | 10 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,450.55 | $2,231.62 | $106.29 – $239.15 | 10 |
| Myelogphy 2/> spine regions CPT 72270 | $1,494.22 | $2,298.80 | $59.97 – $122.03 | 3 |
| Myelography l-s spine CPT 72265 | $1,494.22 | $2,298.80 | $57.23 – $91.64 | 3 |
| Myelography neck spine CPT 72240 | $1,494.22 | $2,298.80 | $56.14 – $94.21 | 3 |
| Myelography thoracic spine CPT 72255 | not published | not published | $50.69 – $86.51 | 3 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,494.22 | $2,298.80 | $87.41 – $142.28 | 2 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,494.22 | $2,298.80 | $85.15 – $138.79 | 2 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,587.64 | $2,442.53 | $84.00 – $136.36 | 2 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $84.94 – $138.79 | 2 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $41.74 | $64.22 | $7.68 – $13.84 | 8 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $1,991.31 – $2,910.85 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $875.00 – $1,166.35 | 2 |
| Myocrd img pet 1 std w/ct CPT 78429 | $2,834.50 | $4,360.77 | $15.55 – $15.55 | 1 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $2,985.01 – $2,985.01 | 1 |
| Myocrd img pet 2rtracer CT CPT 78433 | $3,807.27 | $5,857.34 | $2,985.01 – $2,985.01 | 1 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $875.00 – $1,523.93 | 2 |
| Myocrd img pet rst&strs CT CPT 78431 | $4,684.70 | $7,207.23 | $2,442.51 – $2,442.51 | 1 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $2,834.50 | $4,360.77 | $15.55 – $15.55 | 1 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $832.88 – $1,224.13 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $667.16 – $985.77 | 2 |
| Myomectomy vag method CPT 58145 | not published | not published | $409.45 – $600.68 | 2 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $576.00 – $576.00 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $371.49 – $542.15 | 2 |
| Nabilone oral HCPCS J8650 | not published | not published | $32.18 – $32.18 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.05 – $0.21 | 3 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $2.61 – $4.35 | 4 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | not published | not published | $0.07 – $0.07 | 2 |
| Naltrexone, depot form HCPCS J2315 | $9.11 | $14.01 | $3.50 – $4.74 | 4 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $3.40 – $3.40 | 1 |
| Narcosynthesis CPT 90865 | not published | not published | $96.76 – $185.10 | 2 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $456.76 | $702.70 | $45.16 – $72.53 | 2 |
| Nasal function studies CPT 92512 | not published | not published | $19.59 – $32.96 | 2 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $742.01 – $742.01 | 5 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $140.66 – $226.30 | 2 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $816.65 – $1,278.06 | 2 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $881.13 – $1,355.51 | 2 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $3,650.91 | $5,616.78 | $114.00 – $178.72 | 2 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $163.45 – $263.28 | 2 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $112.63 – $177.80 | 2 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $169.82 – $273.50 | 2 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $225.46 – $364.17 | 2 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $262.43 – $425.94 | 2 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $96.72 – $151.02 | 2 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $113.77 – $178.89 | 2 |
| Nasal sinus therapy CPT 30210 | not published | not published | $79.38 – $110.06 | 2 |
| Nasopharyngoscopy w/endoscope CPT 92511 | not published | not published | $27.30 – $44.40 | 2 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $18.72 – $31.42 | 4 |
| Natriuretic peptide CPT 83880 | $122.82 | $188.96 | $26.16 – $77.42 | 10 |
| Natural killer cells total count CPT 86357 | $136.54 | $210.06 | $23.40 – $52.65 | 10 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $70.97 – $110.48 | 2 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | not published | not published | $37.23 – $79.53 | 2 |
| N block inj common digit CPT 64632 | not published | not published | $51.57 – $77.83 | 2 |
| N block inj hypogas plxs CPT 64517 | $1,665.09 | $2,561.68 | $94.72 – $142.55 | 2 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $11.76 – $14.35 | 3 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $38.32 – $74.74 | 3 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $10.47 – $18.64 | 2 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $16.56 – $28.10 | 2 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $35.13 – $48.37 | 3 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $1,636.42 – $1,636.42 | 1 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $128.01 – $173.38 | 2 |
| Nebulizer Breathing Treatment CPT 94640 | $258.91 | $398.32 | $7.03 – $18.04 | 2 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $201.75 | $310.38 | $18.14 – $23.67 | 3 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $799.16 | $1,229.47 | $112.56 – $229.04 | 3 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,623.89 | $2,498.29 | $91.55 – $186.29 | 3 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $499.36 | $768.24 | $68.70 – $139.79 | 3 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,510.60 | $2,324.00 | $173.34 – $309.25 | 3 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,510.60 | $2,324.00 | $155.88 – $275.61 | 3 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $956.04 | $1,470.83 | $100.01 – $203.51 | 3 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $201.75 | $310.38 | $23.94 – $29.73 | 3 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $275.16 | $423.33 | $34.31 – $41.23 | 3 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $275.16 | $423.33 | $39.50 – $49.85 | 3 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,510.60 | $2,324.00 | $212.84 – $385.43 | 3 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,510.60 | $2,324.00 | $144.14 – $262.50 | 3 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $956.04 | $1,470.83 | $130.23 – $262.50 | 3 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $799.16 | $1,229.47 | $119.11 – $242.38 | 3 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $799.16 | $1,229.47 | $97.82 – $199.06 | 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.