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 |
|---|---|---|---|---|
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $24.91 – $50.68 | 3 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $20.93 – $42.60 | 3 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $619.23 – $1,260.05 | 3 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $6.73 – $16.51 | 2 |
| Removable insert each HCPCS L6691 | not published | not published | $451.22 – $451.22 | 5 |
| Removable soft interface le HCPCS K0672 | not published | not published | $101.70 – $101.70 | 5 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $539.55 – $785.08 | 2 |
| Removal allograft pancreas CPT 48556 | not published | not published | $1,009.49 – $1,413.56 | 2 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $66.13 – $114.17 | 2 |
| Removal biliary drg cath CPT 47537 | $1,722.90 | $2,650.61 | $69.64 – $110.35 | 2 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,562.18 | $2,403.35 | $103.04 – $154.58 | 2 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,562.18 | $2,403.35 | $141.66 – $212.94 | 2 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $96.82 – $128.13 | 2 |
| Removal cerumen impacted (both sides) CPT 69210 | $146.22 | $224.95 | $22.45 – $36.92 | 2 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $436.17 – $659.01 | 2 |
| Removal clot in graft xcp 35876 CPT 35876 | $10,013.41 | $15,405.24 | $693.91 – $1,047.96 | 2 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $44.84 – $71.13 | 2 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $444.52 | $683.87 | $82.91 – $82.91 | 1 |
| Removal duct glbldr calculi CPT 47544 | $471.09 | $724.76 | $111.95 – $181.13 | 2 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,711.15 | $2,632.54 | $94.89 – $131.20 | 2 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $71.98 – $109.88 | 2 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $283.11 – $419.99 | 2 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,517.45 | $2,334.54 | $105.56 – $151.78 | 2 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $157.17 – $217.51 | 2 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $215.56 – $308.50 | 2 |
| Removal foreign body mouth CPT 40805 | not published | not published | $152.13 – $233.42 | 2 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $276.09 – $387.17 | 2 |
| Removal implant superficial separate procedure CPT 20670 | not published | not published | $114.94 – $163.28 | 2 |
| Removal kidney open complex CPT 50225 | not published | not published | $876.72 – $1,363.91 | 2 |
| Removal kidney open radical CPT 50230 | not published | not published | $943.68 – $1,455.70 | 2 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $484.72 – $705.28 | 2 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $419.80 – $566.42 | 2 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $796.40 – $1,117.57 | 2 |
| Removal of adenoids CPT 42830 | not published | not published | $160.65 – $232.14 | 2 |
| Removal of adenoids CPT 42831 | not published | not published | $174.92 – $250.78 | 2 |
| Removal of adenoids CPT 42836 | not published | not published | $183.32 – $269.07 | 2 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $150.66 – $215.63 | 2 |
| Removal of anal fissure CPT 46200 | not published | not published | $284.84 – $416.60 | 2 |
| Removal of anal tags CPT 46230 | not published | not published | $136.16 – $219.66 | 2 |
| Removal of ankle bone CPT 28130 | not published | not published | $492.72 – $717.00 | 2 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $331.49 – $468.10 | 2 |
| Removal of ankle implant CPT 27704 | not published | not published | $434.16 – $640.35 | 2 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $440.68 – $665.21 | 2 |
| Removal of artery clot CPT 34051 | not published | not published | $784.34 – $1,097.33 | 2 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $440.27 – $661.89 | 2 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $1,022.65 – $1,544.91 | 2 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $675.61 – $1,062.14 | 2 |
| Removal of bladder CPT 51570 | not published | not published | $1,079.58 – $1,676.00 | 2 |
| Removal of bladder lesion CPT 51520 | not published | not published | $449.94 – $675.85 | 2 |
| Removal of bladder lesion CPT 51525 | not published | not published | $639.13 – $975.88 | 2 |
| Removal of bladder lesion CPT 51530 | not published | not published | $575.97 – $875.05 | 2 |
| Removal of bladder & nodes CPT 51575 | not published | not published | $1,332.27 – $2,074.30 | 2 |
| Removal of bladder & nodes CPT 51585 | not published | not published | $1,546.84 – $2,401.23 | 2 |
| Removal of bladder stone CPT 51050 | not published | not published | $358.47 – $536.73 | 2 |
| Removal of bone for graft CPT 20900 | not published | not published | $132.06 – $208.33 | 2 |
| Removal of bone for graft CPT 20902 | not published | not published | $198.10 – $316.79 | 2 |
| Removal of bone lesion CPT 23140 | not published | not published | $433.70 – $614.09 | 2 |
| Removal of bone lesion CPT 23145 | not published | not published | $536.10 – $767.16 | 2 |
| Removal of bone lesion CPT 23146 | not published | not published | $486.50 – $684.62 | 2 |
| Removal of brain abscess CPT 61522 | not published | not published | $1,686.25 – $2,351.84 | 2 |
| Removal of brain lesion CPT 61520 | not published | not published | $2,788.49 – $4,111.59 | 2 |
| Removal of brain lesion CPT 61521 | not published | not published | $2,392.00 – $3,471.08 | 2 |
| Removal of brain lesion CPT 61524 | not published | not published | $1,611.40 – $2,262.45 | 2 |
| Removal of brain lesion CPT 61526 | not published | not published | $2,440.07 – $3,706.28 | 2 |
| Removal of brain lesion CPT 61530 | not published | not published | $2,326.90 – $3,366.32 | 2 |
| Removal of brain lesion CPT 61534 | not published | not published | $1,296.71 – $1,773.83 | 2 |
| Removal of brain lesion CPT 61536 | not published | not published | $1,968.82 – $2,796.01 | 2 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $1,719.33 – $2,384.23 | 2 |
| Removal of brain tissue CPT 61537 | not published | not published | $1,868.66 – $2,685.86 | 2 |
| Removal of brain tissue CPT 61538 | not published | not published | $2,018.58 – $2,902.53 | 2 |
| Removal of brain tissue CPT 61539 | not published | not published | $1,811.62 – $2,579.21 | 2 |
| Removal of brain tissue CPT 61540 | not published | not published | $1,679.22 – $2,352.65 | 2 |
| Removal of brain tissue CPT 61543 | not published | not published | $1,676.21 – $2,316.33 | 2 |
| Removal of brain tissue CPT 61566 | not published | not published | $1,725.70 – $2,420.33 | 2 |
| Removal of breast lesion CPT 19120 | $7,392.41 | $11,372.94 | $331.19 – $457.31 | 2 |
| Removal of calcium deposits CPT 23000 | not published | not published | $275.84 – $400.70 | 2 |
| Removal of cervix radical CPT 57531 | not published | not published | $1,309.87 – $1,878.82 | 2 |
| Removal of colon/ileostomy CPT 44156 | not published | not published | $1,737.59 – $2,898.26 | 2 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $1,627.17 – $2,721.27 | 2 |
| Removal of epididymis CPT 54860 | not published | not published | $320.32 – $476.12 | 2 |
| Removal of epididymis CPT 54861 | not published | not published | $429.81 – $644.07 | 2 |
| Removal of esophagus CPT 43108 | not published | not published | $3,320.92 – $5,621.46 | 2 |
| Removal of esophagus CPT 43113 | not published | not published | $3,265.80 – $5,489.62 | 2 |
| Removal of esophagus CPT 43124 | not published | not published | $2,879.50 – $4,790.73 | 2 |
| Removal of esophagus pouch CPT 43135 | not published | not published | $1,125.41 – $1,848.81 | 2 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $481.42 – $657.12 | 2 |
| Removal of ethmoid sinus CPT 31201 | not published | not published | $582.93 – $837.87 | 2 |
| Removal of external ear CPT 69120 | not published | not published | $296.48 – $442.79 | 2 |
| Removal of eye CPT 65101 | not published | not published | $627.62 – $971.59 | 2 |
| Removal of eye CPT 65110 | not published | not published | $949.53 – $1,517.82 | 2 |
| Removal of eye lesion CPT 65400 | not published | not published | $433.85 – $707.31 | 2 |
| Removal of eye lesion CPT 65420 | not published | not published | $277.05 – $443.15 | 2 |
| Removal of eye lesion CPT 65426 | not published | not published | $342.77 – $561.42 | 2 |
| Removal of fallopian tube 58700 CPT 58700 | not published | not published | $597.27 – $838.75 | 2 |
| Removal of fascia for graft CPT 20920 | not published | not published | $294.37 – $445.86 | 2 |
| Removal of fascia for graft CPT 20922 | not published | not published | $383.49 – $541.20 | 2 |
| Removal of finger lesion CPT 26210 | not published | not published | $350.47 – $493.81 | 2 |
| Removal of finger tendon CPT 26180 | not published | not published | $352.69 – $496.40 | 2 |
| Removal of foot fascia CPT 28062 | not published | not published | $318.50 – $462.40 | 2 |
| Removal of foot joint lining CPT 28070 | not published | not published | $271.27 – $403.66 | 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.