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 |
|---|---|---|---|---|
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $50.78 – $63.47 | 3 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $10.41 – $27.02 | 3 |
| Plasma volume multiple CPT 78111 | not published | not published | $70.39 – $72.39 | 3 |
| Plasma volume single CPT 78110 | not published | not published | $51.57 – $68.86 | 3 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $134.58 – $134.58 | 5 |
| Plastic mod low ext pad/line HCPCS L2275 | $226.12 | $347.87 | $144.84 – $144.84 | 5 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $2,396.67 – $2,396.67 | 5 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $5,183.17 – $5,183.17 | 5 |
| Platelet aggregation each agent teg CPT 85576 | $77.75 | $119.61 | $10.82 – $29.89 | 10 |
| Platelet automated CPT 85049 | $16.21 | $24.94 | $2.88 – $7.20 | 10 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $14.06 – $14.06 | 1 |
| Platelet pheresis each unit HCPCS P9034 | $1,250.87 | $1,924.42 | $435.30 – $435.30 | 1 |
| Platelet pheresis irr ea HCPCS P9036 | $1,357.21 | $2,088.02 | $474.16 – $474.16 | 1 |
| Platelets each unit HCPCS P9019 | $128.15 | $197.15 | $47.00 – $47.00 | 1 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $519.26 – $519.26 | 1 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $151.45 | $233.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $365.50 | $562.31 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,202.84 | $1,850.52 | $502.67 – $502.67 | 1 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,514.47 | $2,329.96 | $502.67 – $502.67 | 1 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,597.76 | $2,458.10 | $481.94 – $481.94 | 1 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,243.63 | $1,913.27 | $481.94 – $481.94 | 1 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $914.88 | $1,407.51 | $10.89 – $10.89 | 1 |
| Platelet survival CPT 78191 | not published | not published | $83.89 – $138.04 | 3 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $113.05 – $113.05 | 5 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $176.56 – $349.63 | 8 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $6,655.65 | $10,239.46 | $188.79 – $306.17 | 2 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $1,357.64 | $2,088.68 | $149.50 – $234.92 | 2 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $146.65 – $234.89 | 2 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $244.08 – $393.74 | 2 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $585.37 – $890.39 | 2 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,631.47 | $2,509.95 | $59.31 – $97.90 | 2 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $30.43 – $49.23 | 2 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $233.60 – $358.34 | 2 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $44.61 – $73.64 | 2 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $35.29 – $58.70 | 2 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $139.70 | $214.92 | $30.02 – $49.23 | 2 |
| Plerixafor injection HCPCS J2562 | not published | not published | $24.98 – $465.80 | 4 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $662.54 | $1,019.29 | $40.29 – $50.36 | 3 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $721.49 – $1,007.93 | 2 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $243.29 – $381.25 | 2 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $263.80 – $427.93 | 2 |
| Plmt nephroureteral catheter CPT 50433 | $4,128.81 | $6,352.01 | $182.60 – $294.35 | 2 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $190.65 – $307.51 | 2 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $87.41 – $87.41 | 5 |
| Pm device progr eval dual CPT 93280 | not published | not published | $21.29 – $48.41 | 3 |
| Pm device progr eval multi CPT 93281 | not published | not published | $24.70 – $49.23 | 3 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $178.29 – $466.45 | 10 |
| Pmp22 gene dup/delet CPT 81324 | $2,222.96 | $3,419.94 | $459.57 – $910.03 | 8 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $133.76 – $923.50 | 8 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $28.24 – $55.92 | 8 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $21.48 – $46.56 | 3 |
| Pms2 gene dup/delet variants CPT 81319 | $451.15 | $694.07 | $104.10 – $244.20 | 8 |
| Pms2 gene full seq analysis CPT 81317 | $1,499.76 | $2,307.32 | $401.10 – $811.80 | 8 |
| Pms2 known familial variants CPT 81318 | not published | not published | $51.00 – $397.20 | 8 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $36.79 – $36.79 | 1 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $216.94 – $216.94 | 5 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $68.64 – $104.40 | 2 |
| #pnh-flow cytometry interp CPT 88187 | $135.72 | $208.80 | $20.20 – $45.60 | 5 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $5.00 – $5.00 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $76.41 | $117.56 | $16.36 – $36.81 | 10 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $132.73 – $143.61 | 4 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $306.19 – $306.19 | 5 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $764.27 – $1,091.17 | 3 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $351.10 – $650.67 | 3 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $475.80 – $750.57 | 3 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $6.04 – $12.61 | 8 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $19,039.44 – $25,980.00 | 3 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $56.56 – $56.56 | 5 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $56.56 – $56.56 | 5 |
| Positional change of finger CPT 26555 | not published | not published | $1,068.16 – $1,504.62 | 2 |
| Positional nystagmus test CPT 92532 | not published | not published | $25.30 – $25.30 | 1 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $115.05 | $177.00 | not published | 0 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $138.45 | $213.00 | not published | 0 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | $210.60 | $324.00 | not published | 0 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $16.65 – $30.00 | 8 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $36.11 – $77.39 | 2 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $536.91 – $838.42 | 2 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $538.21 – $538.21 | 5 |
| Postop app non-wgt bear dsg HCPCS L5450 | $866.18 | $1,332.59 | $554.84 – $554.84 | 5 |
| Postop app non-wgt bear dsg HCPCS L5460 | $1,042.13 | $1,603.28 | $667.56 – $667.56 | 5 |
| Postop dress & 1 cast chg bk HCPCS L5400 | $2,300.18 | $3,538.74 | $1,473.43 – $1,473.43 | 5 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,860.88 – $1,860.88 | 5 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $821.42 – $821.42 | 5 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $511.51 – $511.51 | 5 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $2,416.93 – $2,416.93 | 5 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,695.08 – $1,695.08 | 5 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $655.52 – $655.52 | 5 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $2,549.09 – $2,549.09 | 5 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,366.86 – $1,366.86 | 5 |
| Postpartum Care Only CPT 59430 | not published | not published | $130.17 – $156.52 | 2 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $544.74 – $842.17 | 2 |
| Potassium 24 hour urine CPT 84133 | $15.60 | $24.00 | $3.15 – $10.64 | 10 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.12 – $0.28 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | $17.08 | $26.28 | $3.89 – $7.00 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | $16.65 | $25.61 | $3.17 – $10.71 | 10 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.33 – $2.94 | 6 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.66 – $5.04 | 6 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $5.73 – $7.85 | 6 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $5.02 – $6.21 | 6 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $3.18 – $5.27 | 6 |
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.