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 |
|---|---|---|---|---|
| Partial excision of lip CPT 40500 | not published | not published | $274.29 – $407.79 | 2 |
| Partial hip replacement CPT 27125 | not published | not published | $845.17 – $1,270.88 | 2 |
| Partial hysterectomy CPT 58180 | not published | not published | $709.90 – $1,013.31 | 2 |
| Partial proctectomy CPT 45113 | not published | not published | $1,398.63 – $2,424.96 | 2 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $846.90 – $1,428.78 | 2 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,706.02 – $3,955.79 | 2 |
| Partial removal donor liver CPT 47141 | not published | not published | $3,223.73 – $4,732.43 | 2 |
| Partial removal donor liver CPT 47142 | not published | not published | $3,538.88 – $5,210.04 | 2 |
| Partial removal finger bone CPT 26235 | not published | not published | $380.00 – $548.98 | 2 |
| Partial removal finger bone CPT 26236 | not published | not published | $345.19 – $491.17 | 2 |
| Partial removal foot fascia CPT 28060 | $5,685.50 | $8,746.92 | $284.04 – $406.04 | 2 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $699.11 – $957.57 | 2 |
| Partial removal of bladder CPT 51550 | not published | not published | $718.42 – $1,091.87 | 2 |
| Partial removal of esophagus CPT 43116 | not published | not published | $3,708.33 – $6,295.99 | 2 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,717.23 – $4,577.07 | 2 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,170.73 – $3,578.74 | 2 |
| Partial removal of esophagus CPT 43123 | not published | not published | $3,382.64 – $5,650.36 | 2 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,454.52 – $4,094.68 | 2 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $1,893.58 – $3,219.09 | 2 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $342.88 – $554.28 | 2 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $388.63 – $636.62 | 2 |
| Partial removal of fibula CPT 27641 | not published | not published | $501.14 – $742.16 | 2 |
| Partial removal of foot bone CPT 28288 | not published | not published | $343.90 – $489.52 | 2 |
| Partial removal of hand bone CPT 26230 | not published | not published | $385.72 – $555.91 | 2 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,522.84 – $2,211.24 | 2 |
| Partial removal of larynx CPT 31367 | not published | not published | $1,582.20 – $2,467.10 | 2 |
| Partial removal of larynx CPT 31368 | not published | not published | $1,744.24 – $2,739.74 | 2 |
| Partial removal of larynx CPT 31370 | not published | not published | $1,491.74 – $2,319.62 | 2 |
| Partial removal of larynx CPT 31375 | not published | not published | $1,420.53 – $2,198.83 | 2 |
| Partial removal of larynx CPT 31380 | not published | not published | $1,401.77 – $2,169.85 | 2 |
| Partial removal of larynx CPT 31382 | not published | not published | $1,529.27 – $2,380.67 | 2 |
| Partial removal of lip CPT 40530 | not published | not published | $301.56 – $450.17 | 2 |
| Partial removal of liver CPT 47125 | not published | not published | $2,289.28 – $3,418.72 | 2 |
| Partial removal of liver CPT 47130 | not published | not published | $2,449.29 – $3,672.76 | 2 |
| Partial removal of lung 32480 CPT 32480 | $18,071.58 | $27,802.43 | $1,137.37 – $1,632.22 | 2 |
| Partial removal of nose CPT 30150 | not published | not published | $589.52 – $860.07 | 2 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,232.06 – $1,808.98 | 2 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,328.05 – $3,459.10 | 2 |
| Partial removal of penis CPT 54120 | not published | not published | $476.55 – $718.59 | 2 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,032.71 – $1,609.34 | 2 |
| Partial removal of radius CPT 25151 | not published | not published | $446.37 – $648.03 | 2 |
| Partial removal of radius CPT 25230 | not published | not published | $338.12 – $482.55 | 2 |
| Partial removal of rectum CPT 45111 | not published | not published | $825.21 – $1,377.52 | 2 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,365.58 – $2,284.92 | 2 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,160.61 – $1,999.72 | 2 |
| Partial removal of rib CPT 21600 | not published | not published | $462.16 – $610.97 | 2 |
| Partial removal of sternum CPT 21620 | not published | not published | $406.78 – $558.52 | 2 |
| Partial removal of thyroid CPT 60220 | not published | not published | $523.68 – $785.94 | 2 |
| Partial removal of thyroid CPT 60225 | not published | not published | $694.08 – $1,035.04 | 2 |
| Partial removal of tibia CPT 27640 | not published | not published | $629.58 – $928.82 | 2 |
| Partial removal of toe CPT 28160 | not published | not published | $211.42 – $303.56 | 2 |
| Partial removal of tongue CPT 41120 | not published | not published | $802.91 – $1,203.52 | 2 |
| Partial removal of tongue CPT 41130 | not published | not published | $973.80 – $1,485.26 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $397.06 – $551.51 | 2 |
| Partial removal of ulna CPT 25150 | not published | not published | $437.02 – $630.43 | 2 |
| Partial removal of ulna CPT 25240 | not published | not published | $335.65 – $477.84 | 2 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $403.15 – $559.87 | 2 |
| Partial removal tear gland CPT 68505 | not published | not published | $760.29 – $1,203.83 | 2 |
| Partial thyroid excision CPT 60210 | $10,645.06 | $16,377.01 | $528.40 – $785.93 | 2 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $787.55 – $1,121.60 | 2 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.54 – $3.84 | 2 |
| Part removal hip bone deep CPT 27071 | not published | not published | $747.78 – $1,030.87 | 2 |
| Part removal of metatarsal CPT 28110 | not published | not published | $233.22 – $329.39 | 2 |
| Part removal of metatarsal CPT 28113 | not published | not published | $336.41 – $480.74 | 2 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $245.60 – $353.56 | 2 |
| Part remove hip bone super CPT 27070 | not published | not published | $675.07 – $954.26 | 2 |
| Passy muir valve metal trach HCPCS L8501 | $230.86 | $355.17 | $147.88 – $147.88 | 5 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $4.82 – $8.16 | 6 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $53.66 – $131.65 | 4 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $28.48 – $72.65 | 4 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $25.62 – $59.00 | 4 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $13.34 – $36.34 | 4 |
| Patient recorded spirometry CPT 94014 | not published | not published | $29.52 – $66.77 | 3 |
| Patient recorded spirometry CPT 94015 | not published | not published | $24.36 – $36.60 | 3 |
| Patten bottom HCPCS L2370 | not published | not published | $393.31 – $393.31 | 5 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $154.56 – $306.06 | 8 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $344.25 – $344.25 | 1 |
| Pdgfra gene CPT 81314 | $965.89 | $1,485.99 | $199.68 – $449.30 | 10 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $27.48 – $27.48 | 5 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $178.18 – $282.56 | 2 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $526.70 – $846.33 | 2 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $398.56 – $693.82 | 2 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $256.03 – $428.55 | 2 |
| Ped crit care transport CPT 99466 | not published | not published | $169.71 – $295.36 | 2 |
| Ped crit care transport addl CPT 99467 | not published | not published | $85.07 – $148.17 | 2 |
| Ped critical care initial CPT 99471 | not published | not published | $566.89 – $985.62 | 2 |
| Ped critical care subsq CPT 99472 | not published | not published | $294.70 – $497.89 | 2 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $61.17 – $61.17 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $290.04 – $290.04 | 1 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $7,523.40 – $7,523.40 | 5 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,978.79 – $1,978.79 | 5 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $465.47 – $747.98 | 2 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,590.35 – $1,590.35 | 5 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,877.68 – $1,877.68 | 5 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,487.69 – $1,487.69 | 5 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $808.00 – $808.00 | 5 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $309.54 – $309.54 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $711.40 – $889.25 | 2 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $9,852.89 – $29,663.96 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.98 – $641.80 | 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.