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 |
|---|---|---|---|---|
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $62.87 – $91.46 | 2 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $124.57 – $180.93 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $869.19 | $1,337.21 | $78.17 – $115.47 | 2 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,031.01 – $1,714.00 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $22.07 – $39.78 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $18.23 – $41.43 | 3 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $16.86 – $40.19 | 3 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $21.97 – $44.72 | 3 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $25.38 – $48.82 | 3 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $28.79 – $52.11 | 3 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $54.19 – $224.09 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $106.00 – $250.93 | 3 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $91.75 – $170.56 | 3 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $50.50 – $125.89 | 3 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $71.25 – $129.42 | 3 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $51.25 – $89.80 | 3 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $36.00 – $48.73 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $9,623.59 | $14,805.52 | $308.60 – $498.30 | 2 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $115.84 – $186.43 | 2 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $36.96 – $75.46 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $872.45 | $1,342.23 | $142.72 – $202.06 | 2 |
| Pr incision & drainage abscess simple/single CPT 10060 | $457.16 | $703.33 | $82.92 – $110.29 | 2 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $729.27 | $1,121.95 | $95.74 – $125.97 | 2 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $842.52 | $1,296.18 | $84.22 – $116.01 | 2 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $297.56 | $457.78 | $139.64 – $309.33 | 2 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $297.56 | $457.78 | $102.52 – $234.35 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $36.41 | $56.02 | $9.15 – $14.99 | 2 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $469.93 – $659.46 | 2 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $92.99 – $150.16 | 2 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $97.43 – $159.53 | 2 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $160.01 – $260.08 | 2 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $111.23 – $185.29 | 2 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $50.76 – $412.61 | 4 |
| Procalcitonin CPT 84145 | $96.97 | $149.18 | $14.50 – $32.66 | 8 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $54.06 – $176.74 | 3 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $5.01 | $7.71 | $2.52 – $7.62 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.33 – $0.42 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,353.81 – $2,377.73 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,370.18 – $2,339.16 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $80.62 – $131.97 | 2 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $84.31 – $143.02 | 2 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $65.82 – $109.03 | 2 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $37.04 – $62.25 | 2 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $65.93 – $105.51 | 2 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $69.75 – $112.51 | 2 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $81.20 – $133.18 | 2 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $79.49 – $129.84 | 2 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $56.67 – $92.80 | 2 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $77.58 – $123.18 | 2 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $89.03 – $146.91 | 2 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $103.97 – $216.00 | 2 |
| Progesterone CPT 84144 | $75.51 | $116.17 | $13.90 – $46.94 | 10 |
| Prolactin CPT 84146 | $70.12 | $107.88 | $12.92 – $43.60 | 10 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $11.99 – $18.76 | 2 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $5.22 – $10.30 | 2 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $47.21 – $47.21 | 1 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $114.11 | $175.55 | $42.44 – $42.44 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $158.62 – $158.62 | 1 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $22.90 – $49.48 | 2 |
| Prolong service without contact CPT 99358 | not published | not published | $124.13 – $124.13 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $59.43 – $59.43 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.06 – $0.10 | 3 |
| Promethazine hcl injection HCPCS J2550 | $3.28 | $5.05 | $1.80 – $4.50 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $156.30 – $571.26 | 2 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $156.30 – $583.72 | 2 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $654.79 – $964.04 | 2 |
| Prophylactic tx radius CPT 25490 | not published | not published | $553.80 – $799.24 | 2 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $688.17 – $1,007.09 | 2 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $566.85 – $822.93 | 2 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $4.48 | $6.89 | $0.09 – $0.14 | 4 |
| _propoxygc/msur CPT 80367 | $206.93 | $318.35 | $5.05 – $11.36 | 3 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $3.18 – $9.74 | 3 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $90.25 – $90.25 | 5 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $167.05 – $167.05 | 5 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $26.91 – $26.91 | 5 |
| Pros sock single ply ak HCPCS L8480 | $17.59 | $27.06 | $11.27 – $11.27 | 5 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $13.67 – $13.67 | 5 |
| Prostate biopsy, any mthd HCPCS G0416 | $595.91 | $916.79 | $154.37 – $318.23 | 3 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $6.47 – $9.20 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $434.86 – $829.08 | 2 |
| Prostate laser enucleation CPT 52649 | not published | not published | $543.41 – $936.97 | 2 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $273.26 – $396.76 | 2 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $291.97 – $426.59 | 2 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $204.91 | $315.24 | $131.24 – $131.24 | 5 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $78.58 | $120.89 | $50.34 – $50.34 | 5 |
| Prosthetic sock multi ply bk HCPCS L8420 | $43.09 | $66.29 | $27.60 – $27.60 | 5 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,360.84 – $1,360.84 | 5 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $14.50 | $22.31 | $8.17 – $8.17 | 5 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.28 – $2.35 | 4 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $75.25 – $75.25 | 5 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $938.63 – $938.63 | 1 |
| Protein analysis w/probe CPT 88372 | not published | not published | $22.55 – $31.46 | 8 |
| Protein c activity CPT 85303 | $50.06 | $77.02 | $9.23 – $31.14 | 10 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.01 – $18.00 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $38.86 | $59.79 | $7.15 – $18.18 | 10 |
| Protein s total CPT 85305 | $42.00 | $64.62 | $7.74 – $26.12 | 10 |
| Protein total 24 hour urine CPT 84156 | $13.28 | $20.43 | $2.45 – $8.26 | 10 |
| Protein total body fluid CPT 84157 | $13.28 | $20.43 | $2.67 – $9.00 | 10 |
| Protein total serum plasma whole blood CPT 84155 | $13.28 | $20.43 | $2.45 – $8.26 | 10 |
| Protein western blot tissue CPT 88371 | not published | not published | $19.12 – $26.68 | 8 |
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.