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 |
|---|---|---|---|---|
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $852.71 – $1,312.58 | 2 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $626.60 – $956.86 | 2 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $694.75 – $1,065.42 | 2 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,151.07 – $1,713.84 | 2 |
| Reconstruct windpipe CPT 31780 | $6,413.83 | $9,867.43 | $849.62 – $1,337.72 | 2 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,010.63 – $1,525.38 | 2 |
| Rectal sensation test CPT 91120 | not published | not published | $335.70 – $592.14 | 2 |
| Red blood cells each unit HCPCS P9021 | $265.03 | $407.74 | $93.90 – $93.90 | 1 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $345.14 – $345.14 | 1 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $615.99 | $947.67 | $195.37 – $195.37 | 1 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $365.50 | $562.31 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $562.09 | $864.76 | $159.09 – $159.09 | 1 |
| Red blood cells washed each unit HCPCS P9022 | $492.20 | $757.23 | $178.27 – $178.27 | 1 |
| Red cell mass multiple CPT 78121 | not published | not published | $67.39 – $80.09 | 3 |
| Red cell mass single CPT 78120 | not published | not published | $51.57 – $71.75 | 3 |
| Red cell sequestration CPT 78140 | not published | not published | $70.12 – $102.24 | 3 |
| Red cell survival kinetics CPT 78135 | not published | not published | $293.55 – $293.55 | 1 |
| Red cell survival study CPT 78130 | not published | not published | $83.89 – $116.85 | 3 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $2,558.90 – $3,810.66 | 2 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $251.78 – $380.21 | 2 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $714.42 – $1,179.48 | 2 |
| Reduce testis torsion CPT 54600 | not published | not published | $344.72 – $514.90 | 2 |
| Reduction of facial bones CPT 21209 | not published | not published | $456.51 – $701.35 | 2 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $171.33 – $262.59 | 2 |
| Reduction of skull defect CPT 62115 | not published | not published | $1,338.68 – $1,829.00 | 2 |
| Reduction of skull defect CPT 62117 | not published | not published | $1,514.04 – $2,143.63 | 2 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $689.07 – $963.59 | 2 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $279.71 – $410.40 | 2 |
| Re-explore parathyroids CPT 60502 | not published | not published | $977.73 – $1,433.50 | 2 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $28.14 – $43.01 | 2 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $102.13 – $131.77 | 3 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $71.05 | $109.31 | $2.68 – $77.33 | 4 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $106.82 – $163.94 | 2 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $796.94 – $1,222.07 | 2 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $834.11 – $1,282.77 | 2 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $896.39 – $1,378.63 | 2 |
| Reinforce clavicle CPT 23490 | not published | not published | $653.19 – $954.67 | 2 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $307.14 – $307.14 | 5 |
| Reinforce eye wall CPT 67250 | not published | not published | $658.15 – $1,029.64 | 2 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $494.49 – $801.33 | 2 |
| Reinforce hip bones CPT 27187 | not published | not published | $750.59 – $1,105.95 | 2 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $764.93 – $1,129.23 | 2 |
| Reinforce thigh CPT 27495 | not published | not published | $845.04 – $1,254.94 | 2 |
| Reinforce tibia CPT 27745 | not published | not published | $555.65 – $840.36 | 2 |
| Reinnervate larynx CPT 31590 | not published | not published | $723.73 – $978.19 | 2 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $988.14 – $1,433.90 | 2 |
| Reinsert ocular implant CPT 65155 | not published | not published | $707.13 – $1,100.00 | 2 |
| Release encircling material CPT 67115 | not published | not published | $358.34 – $585.46 | 2 |
| Release eye tissue CPT 67343 | not published | not published | $483.29 – $766.75 | 2 |
| Release facial nerve CPT 69720 | not published | not published | $870.29 – $1,328.28 | 2 |
| Release facial nerve CPT 69725 | not published | not published | $1,339.23 – $2,089.32 | 2 |
| Release facial nerve CPT 69955 | not published | not published | $1,406.52 – $2,195.74 | 2 |
| Release finger contracture CPT 26525 | not published | not published | $553.46 – $732.12 | 2 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $540.73 – $774.27 | 2 |
| Release inner ear canal CPT 69960 | not published | not published | $1,345.40 – $2,131.10 | 2 |
| Release knuckle contracture CPT 26520 | not published | not published | $548.37 – $730.37 | 2 |
| Release middle ear bone CPT 69650 | not published | not published | $590.03 – $890.97 | 2 |
| Release muscles of hand CPT 26593 | not published | not published | $519.62 – $684.02 | 2 |
| Release of eye fluid CPT 67015 | not published | not published | $434.52 – $694.28 | 2 |
| Release of foot tendon CPT 28220 | not published | not published | $239.18 – $344.52 | 2 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $207.74 – $300.67 | 2 |
| Release of foot tendons CPT 28222 | not published | not published | $288.84 – $404.38 | 2 |
| Release of foot tendons CPT 28226 | not published | not published | $318.85 – $439.01 | 2 |
| Release of lower leg tendon CPT 27680 | not published | not published | $335.16 – $474.86 | 2 |
| Release of lower leg tendons CPT 27681 | not published | not published | $401.12 – $597.55 | 2 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,248.32 – $1,752.79 | 2 |
| Release of midfoot joint CPT 28260 | not published | not published | $418.55 – $576.95 | 2 |
| Release of midfoot joint CPT 28264 | not published | not published | $536.67 – $803.32 | 2 |
| Release of shoulder ligament CPT 23415 | not published | not published | $537.65 – $776.49 | 2 |
| Release of skull seams CPT 61550 | not published | not published | $971.83 – $1,249.09 | 2 |
| Release of skull seams CPT 61552 | not published | not published | $1,177.44 – $1,616.93 | 2 |
| Release of ureter CPT 50715 | not published | not published | $913.38 – $1,362.01 | 2 |
| Release of ureter CPT 50722 | not published | not published | $741.92 – $1,142.00 | 2 |
| Release of ureter CPT 50940 | not published | not published | $662.22 – $1,008.05 | 2 |
| Release palm contracture CPT 26040 | not published | not published | $252.59 – $347.96 | 2 |
| Release palm contracture CPT 26121 | not published | not published | $459.61 – $665.90 | 2 |
| Release palm contracture CPT 26123 | not published | not published | $639.19 – $930.11 | 2 |
| Release palm contracture CPT 26125 | not published | not published | $186.73 – $305.31 | 2 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $370.46 – $522.27 | 2 |
| Release palm & finger tendon CPT 26442 | not published | not published | $785.70 – $1,055.56 | 2 |
| Release palm/finger tendon CPT 26440 | not published | not published | $525.44 – $697.57 | 2 |
| Release/revise ureter CPT 50725 | not published | not published | $816.17 – $1,253.97 | 2 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $1,222.26 – $1,668.86 | 2 |
| Release thumb contracture CPT 26508 | not published | not published | $525.22 – $715.98 | 2 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $406.52 – $585.50 | 2 |
| Relieve bladder contracture CPT 52640 | not published | not published | $249.49 – $358.86 | 2 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $1,581.08 – $2,217.51 | 2 |
| Relocation of testis(es) CPT 54680 | not published | not published | $588.70 – $895.54 | 2 |
| Relocation skin pocket aicd CPT 33223 | not published | not published | $296.05 – $455.12 | 2 |
| Relocation skin pocket pm CPT 33222 | not published | not published | $252.36 – $376.55 | 2 |
| Rem/biv cast full arm/leg CPT 29705 | not published | not published | $33.43 – $51.73 | 2 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $59.19 – $92.88 | 2 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $6.35 – $7.51 | 3 |
| Rem endovas vena cava filter CPT 37193 | not published | not published | $249.04 – $396.77 | 2 |
| Rem interrog dev eval icpms CPT 93297 | $79.66 | $122.55 | $29.67 – $60.38 | 3 |
| Rem interrog dev eval scrms CPT 93298 | $79.66 | $122.55 | $64.26 – $130.76 | 3 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $25.85 – $52.60 | 3 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $24.58 – $50.02 | 3 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $42.50 – $74.32 | 2 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $17.60 – $22.25 | 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.