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 |
|---|---|---|---|---|
| Realignment of thigh bone CPT 27454 | not published | not published | $963.80 – $1,442.89 | 2 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $796.51 – $1,195.85 | 2 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $774.66 – $1,158.85 | 2 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,059.40 – $1,534.86 | 2 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $851.11 – $1,210.63 | 2 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,172.24 – $1,699.28 | 2 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,119.68 – $1,671.84 | 2 |
| Rechanneling of artery CPT 35306 | not published | not published | $325.39 – $490.09 | 2 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,187.15 – $1,725.69 | 2 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,193.92 – $1,786.13 | 2 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $890.90 – $1,360.69 | 2 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,007.09 – $1,524.42 | 2 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $934.93 – $1,413.69 | 2 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,028.20 – $1,616.49 | 2 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $10,013.41 | $15,405.24 | $716.66 – $1,083.67 | 2 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $901.34 – $1,372.80 | 2 |
| Recipient nephrectomy CPT 50340 | not published | not published | $760.02 – $1,051.18 | 2 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $37.16 – $37.96 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,067.58 – $1,621.88 | 2 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,054.19 – $1,645.31 | 2 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,002.27 – $1,585.91 | 2 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $913.17 – $1,429.09 | 2 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,066.11 – $1,467.60 | 2 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $802.59 – $1,137.08 | 2 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $750.26 – $1,242.52 | 2 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $746.94 – $1,187.46 | 2 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $724.61 – $1,074.32 | 2 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,071.94 – $1,545.53 | 2 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $836.46 – $1,212.43 | 2 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $689.94 – $1,059.44 | 2 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $710.76 – $1,105.08 | 2 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $794.48 – $1,231.65 | 2 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $531.25 – $804.67 | 2 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $441.52 – $663.20 | 2 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $793.11 – $1,105.16 | 2 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,514.46 – $2,371.16 | 2 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $1,643.66 – $2,590.10 | 2 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $1,764.44 – $2,788.41 | 2 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $683.55 – $1,001.34 | 2 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $759.16 – $1,120.27 | 2 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $796.27 – $1,180.45 | 2 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $840.73 – $1,217.70 | 2 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $840.73 – $1,220.92 | 2 |
| Reconstruct extra finger CPT 26587 | not published | not published | $792.51 – $1,157.30 | 2 |
| Reconstruct finger joint CPT 26545 | not published | not published | $578.63 – $777.29 | 2 |
| Reconstruct finger joint CPT 26548 | not published | not published | $626.37 – $846.65 | 2 |
| Reconstruct head of radius CPT 24365 | not published | not published | $494.17 – $710.58 | 2 |
| Reconstruct head of radius CPT 24366 | not published | not published | $519.02 – $758.60 | 2 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $833.00 – $1,240.04 | 2 |
| Reconstruction knee CPT 27427 | not published | not published | $541.85 – $792.47 | 2 |
| Reconstruction knee CPT 27428 | not published | not published | $848.94 – $1,239.64 | 2 |
| Reconstruction knee CPT 27429 | not published | not published | $956.29 – $1,393.48 | 2 |
| Reconstruction of anus CPT 46753 | not published | not published | $498.03 – $772.71 | 2 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,187.24 – $1,744.92 | 2 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $504.65 – $849.41 | 2 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $645.52 – $1,092.96 | 2 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $644.18 – $1,091.06 | 2 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $480.13 – $803.47 | 2 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $964.94 – $1,442.67 | 2 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $824.66 – $1,226.05 | 2 |
| Reconstruction of jaw CPT 21245 | not published | not published | $713.38 – $1,068.02 | 2 |
| Reconstruction of jaw CPT 21246 | not published | not published | $632.48 – $987.44 | 2 |
| Reconstruction of jaw CPT 21248 | not published | not published | $599.83 – $934.77 | 2 |
| Reconstruction of jaw CPT 21249 | not published | not published | $835.37 – $1,312.43 | 2 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $778.51 – $1,222.62 | 2 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $760.08 – $1,162.97 | 2 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,200.86 – $1,865.18 | 2 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $738.55 – $1,168.52 | 2 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,176.62 – $1,865.61 | 2 |
| Reconstruction of mouth CPT 40840 | not published | not published | $463.25 – $703.89 | 2 |
| Reconstruction of mouth CPT 40842 | not published | not published | $448.18 – $716.81 | 2 |
| Reconstruction of mouth CPT 40843 | not published | not published | $637.54 – $925.33 | 2 |
| Reconstruction of mouth CPT 40844 | not published | not published | $867.83 – $1,248.16 | 2 |
| Reconstruction of mouth CPT 40845 | not published | not published | $864.74 – $1,372.79 | 2 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $144.70 – $210.00 | 2 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,108.20 – $1,497.33 | 2 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,078.10 – $1,537.21 | 2 |
| Reconstruction of orbit CPT 21256 | not published | not published | $912.99 – $1,389.51 | 2 |
| Reconstruction of throat CPT 42950 | not published | not published | $602.04 – $908.16 | 2 |
| Reconstruction of urethra CPT 53410 | not published | not published | $727.52 – $1,112.66 | 2 |
| Reconstruction of urethra CPT 53415 | not published | not published | $836.76 – $1,285.34 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $720.41 – $1,097.16 | 2 |
| Reconstruction of urethra CPT 54308 | not published | not published | $536.67 – $813.39 | 2 |
| Reconstruction of urethra CPT 54312 | not published | not published | $612.67 – $930.77 | 2 |
| Reconstruction of urethra CPT 54316 | not published | not published | $738.66 – $1,134.78 | 2 |
| Reconstruction of urethra CPT 54318 | not published | not published | $535.19 – $808.21 | 2 |
| Reconstruction of urethra CPT 54322 | not published | not published | $582.95 – $888.41 | 2 |
| Reconstruction of urethra CPT 54324 | not published | not published | $719.63 – $1,101.99 | 2 |
| Reconstruction of urethra CPT 54326 | not published | not published | $701.30 – $1,075.09 | 2 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $189.42 – $277.36 | 2 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $2,103.83 – $3,373.04 | 2 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $455.86 – $691.17 | 2 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $409.17 – $617.38 | 2 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,005.00 – $1,579.49 | 2 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $1,169.14 – $1,830.01 | 2 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $1,663.88 – $2,255.48 | 2 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $888.58 – $1,336.42 | 2 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,062.40 – $1,620.40 | 2 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $677.65 – $992.23 | 2 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $722.94 – $1,159.41 | 2 |
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.