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 |
|---|---|---|---|---|
| Non-card vasc flow imaging CPT 78445 | not published | not published | $117.60 – $190.42 | 3 |
| Non-corrosive finish HCPCS L2780 | $146.15 | $224.85 | $93.62 – $93.62 | 5 |
| Non-imaging heart function CPT 78414 | not published | not published | $48.17 – $110.27 | 2 |
| Noninv pace analysis CPT 93724 | $277.41 | $426.78 | $37.86 – $52.11 | 3 |
| Non-molded lacer HCPCS L2320 | not published | not published | $283.00 – $283.00 | 5 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $309.00 – $309.00 | 1 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.05 – $0.05 | 5 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $364.87 – $2,572.32 | 8 |
| No pt prsnt train add 15 HCPCS G0542 | not published | not published | $17.97 – $39.04 | 2 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $33.84 – $72.65 | 2 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $201.75 | $310.38 | $23.27 – $30.82 | 3 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $103.97 – $1,000.00 | 2 |
| Npm1 gene CPT 81310 | $722.62 | $1,111.73 | $24.99 – $554.67 | 10 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $169.54 – $254.19 | 2 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $122.32 – $182.54 | 2 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $38.04 | $58.53 | $19.39 – $33.76 | 2 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $38.04 | $58.53 | $3.43 – $6.06 | 2 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $109.59 | $168.60 | $17.47 – $30.50 | 2 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $83.68 – $165.09 | 2 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $60.25 – $126.83 | 2 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $16.05 – $16.09 | 2 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $24.02 – $24.52 | 2 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $8.08 – $8.75 | 2 |
| Nras gene variants exon 2&3 CPT 81311 | $867.05 | $1,333.93 | $179.24 – $403.29 | 10 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $4,813.32 | $7,405.10 | $797.78 – $1,593.34 | 3 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $829.19 – $1,250.66 | 2 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $779.10 – $1,165.37 | 2 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $799.20 – $1,203.73 | 2 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $849.00 – $1,278.28 | 2 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $931.35 – $1,409.57 | 2 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,008.80 – $1,529.65 | 2 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $972.47 – $1,477.42 | 2 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,049.28 – $1,598.02 | 2 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $669.89 – $934.36 | 2 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $120.18 – $187.90 | 2 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $761.05 – $1,201.87 | 2 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $704.12 – $1,106.96 | 2 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $327.69 – $532.04 | 2 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $125.72 – $201.76 | 2 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $178.19 – $287.59 | 2 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $111.26 – $177.46 | 2 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $867.45 – $1,376.07 | 2 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $101.83 – $161.51 | 2 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $346.74 – $563.45 | 2 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $309.57 – $502.41 | 2 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $434.33 – $690.97 | 2 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $11,051.55 | $17,002.39 | $111.26 – $151.47 | 2 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | $11,051.55 | $17,002.39 | $111.26 – $151.47 | 2 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $307.92 – $500.26 | 2 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $123.31 – $154.63 | 2 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $125.63 – $282.67 | 10 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $125.63 – $282.67 | 10 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $125.63 – $282.67 | 10 |
| Ntrk translocation analysis CPT 81194 | $1,312.27 | $2,018.87 | $314.08 – $706.68 | 10 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | not published | not published | $26.70 – $42.98 | 2 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | not published | not published | $39.90 – $67.50 | 2 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | not published | not published | $53.01 – $89.99 | 2 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | not published | not published | $25.21 – $45.47 | 2 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | not published | not published | $13.32 – $22.35 | 2 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | not published | not published | $26.03 – $45.47 | 2 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $569.56 – $569.56 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $455.65 – $455.65 | 1 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $91.13 – $175.60 | 3 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $281.35 – $281.35 | 1 |
| Nuclear matrix protein 22 CPT 86386 | $63.84 | $98.22 | $12.44 – $26.14 | 8 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $91.05 – $118.74 | 2 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $32.33 – $53.45 | 3 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $43.25 – $63.72 | 3 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $43.25 – $56.01 | 3 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,384.04 | $3,667.76 | $288.21 – $442.53 | 3 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $50.10 – $1,243.22 | 2 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $449.54 – $449.54 | 5 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $176.56 – $349.63 | 8 |
| Nursing fac care supervision CPT 99379 | not published | not published | $86.21 – $86.21 | 1 |
| Nursing fac care supervision CPT 99380 | not published | not published | $129.09 – $129.09 | 1 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $50.40 – $130.76 | 3 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $25.20 – $90.89 | 3 |
| Nushield 1 square cm HCPCS Q4160 | $404.38 | $622.13 | $103.97 – $256.20 | 2 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,136.30 – $1,332.38 | 3 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $524,979.00 – $524,979.00 | 1 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $190.13 | $292.51 | $60.89 – $87.61 | 4 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,175.21 – $1,687.55 | 2 |
| Observation direct referral from physician office for admission HCPCS G0379 | $1,014.20 | $1,560.31 | not published | 0 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $135.00 – $269.94 | 3 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $73.63 – $165.38 | 2 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $119.68 – $209.71 | 2 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $786.70 – $1,255.41 | 2 |
| Obstetric panel inc HIV tstg CPT 80081 | $180.74 | $278.06 | $49.88 – $89.83 | 8 |
| Obstetrics panel CPT 80055 | $105.99 | $163.06 | $31.87 – $57.37 | 8 |
| Obtaining screen pap smear HCPCS Q0091 | $45.80 | $70.46 | $13.13 – $21.05 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $48.23 – $68.17 | 3 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $22.38 – $31.53 | 3 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $185.24 – $268.21 | 2 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $338.45 | $520.69 | $75.20 – $87.17 | 3 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $181.16 | $278.70 | $75.49 – $87.17 | 3 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $255.04 | $392.37 | $75.20 – $87.17 | 3 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $57.81 – $71.19 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.59 – $2.70 | 4 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $668.04 | $1,027.76 | $174.58 – $255.88 | 4 |
| Ocular function screen CPT 99172 | not published | not published | $16.89 – $16.89 | 1 |
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.