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 |
|---|---|---|---|---|
| Removal of foot joint lining CPT 28072 | not published | not published | $257.85 – $363.99 | 2 |
| Removal of foot lesion CPT 28080 | not published | not published | $304.99 – $416.39 | 2 |
| Removal of foot lesion CPT 28090 | not published | not published | $243.66 – $348.76 | 2 |
| Removal of foot lesion CPT 28104 | not published | not published | $280.08 – $403.08 | 2 |
| Removal of forearm lesion CPT 25120 | not published | not published | $388.57 – $554.86 | 2 |
| Removal of foreign body CPT 27372 | not published | not published | $319.52 – $443.69 | 2 |
| Removal of frontal sinus CPT 31080 | not published | not published | $807.89 – $1,153.93 | 2 |
| Removal of frontal sinus CPT 31081 | not published | not published | $862.41 – $1,242.82 | 2 |
| Removal of frontal sinus CPT 31084 | not published | not published | $890.80 – $1,285.72 | 2 |
| Removal of frontal sinus CPT 31086 | not published | not published | $868.70 – $1,254.98 | 2 |
| Removal of frontal sinus CPT 31087 | not published | not published | $823.29 – $1,205.89 | 2 |
| Removal of frontal sinus 31085 CPT 31085 | not published | not published | $916.30 – $1,331.98 | 2 |
| Removal of gallbladder 47600 CPT 47600 | not published | not published | $819.09 – $1,185.10 | 2 |
| Removal of gallbladder 47610 CPT 47610 | not published | not published | $950.62 – $1,391.18 | 2 |
| Removal of gallbladder 47620 CPT 47620 | not published | not published | $1,037.74 – $1,517.47 | 2 |
| Removal of gum tissue CPT 41830 | not published | not published | $241.38 – $336.23 | 2 |
| Removal of head of humerus CPT 23195 | not published | not published | $579.13 – $829.99 | 2 |
| Removal of heel bone CPT 28118 | not published | not published | $334.04 – $468.63 | 2 |
| Removal of heel spur CPT 28119 | not published | not published | $286.31 – $408.90 | 2 |
| Removal of hip foreign body 27087 CPT 27087 | not published | not published | $485.62 – $683.69 | 2 |
| Removal of hip joint lining CPT 27054 | not published | not published | $531.47 – $763.17 | 2 |
| Removal of hip prosthesis CPT 27090 | not published | not published | $631.15 – $924.76 | 2 |
| Removal of hip prosthesis CPT 27091 | not published | not published | $1,172.64 – $1,778.54 | 2 |
| Removal of humerus lesion CPT 23150 | not published | not published | $516.20 – $733.08 | 2 |
| Removal of humerus lesion CPT 23155 | not published | not published | $610.78 – $879.03 | 2 |
| Removal of humerus lesion CPT 23156 | not published | not published | $524.31 – $752.48 | 2 |
| Removal of hydrocele CPT 55040 | not published | not published | $259.92 – $383.21 | 2 |
| Removal of hydrocele CPT 55500 | not published | not published | $302.55 – $445.25 | 2 |
| Removal of hydroceles CPT 55041 | not published | not published | $388.93 – $579.76 | 2 |
| Removal of impacted wax md HCPCS G0268 | not published | not published | $22.65 – $36.87 | 2 |
| Removal of implant deep CPT 20680 | not published | not published | $323.10 – $471.51 | 2 |
| Removal of infusion pump CPT 36262 | not published | not published | $256.52 – $341.24 | 2 |
| Removal of inner eye fluid CPT 67036 | not published | not published | $630.52 – $1,057.70 | 2 |
| Removal of inner eye lesion CPT 66770 | not published | not published | $344.72 – $565.92 | 2 |
| Removal of intranasal lesion CPT 30117 | not published | not published | $307.48 – $373.00 | 2 |
| Removal of intranasal lesion CPT 30118 | not published | not published | $522.83 – $863.57 | 2 |
| Removal of iris CPT 66605 | not published | not published | $769.01 – $1,258.83 | 2 |
| Removal of iris CPT 66625 | not published | not published | $307.42 – $503.28 | 2 |
| Removal of iris CPT 66630 | not published | not published | $403.55 – $667.55 | 2 |
| Removal of iris CPT 66635 | not published | not published | $407.15 – $674.12 | 2 |
| Removal of ischial bursa CPT 27060 | not published | not published | $367.68 – $516.81 | 2 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $629.71 – $976.80 | 2 |
| Removal of jaw joint CPT 21050 | not published | not published | $654.98 – $1,006.71 | 2 |
| Removal of kidney & ureter CPT 50234 | not published | not published | $959.54 – $1,480.35 | 2 |
| Removal of kidney & ureter CPT 50236 | not published | not published | $1,081.90 – $1,666.66 | 2 |
| Removal of kneecap CPT 27350 | not published | not published | $506.39 – $723.73 | 2 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $301.89 – $413.06 | 2 |
| Removal of knee cartilage CPT 27332 | not published | not published | $501.82 – $714.00 | 2 |
| Removal of knee cartilage CPT 27333 | not published | not published | $460.68 – $651.92 | 2 |
| Removal of knee cyst CPT 27345 | not published | not published | $382.18 – $534.73 | 2 |
| Removal of knee prosthesis CPT 27488 | not published | not published | $897.50 – $1,337.63 | 2 |
| Removal of larynx CPT 31360 | not published | not published | $1,486.59 – $2,331.87 | 2 |
| Removal of larynx CPT 31365 | not published | not published | $1,824.57 – $2,878.43 | 2 |
| Removal of larynx lesion CPT 31300 | not published | not published | $922.59 – $1,428.95 | 2 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $92.80 – $144.30 | 2 |
| Removal of larynx & pharynx CPT 31390 | not published | not published | $2,002.66 – $3,195.58 | 2 |
| Removal of lens lesion CPT 66830 | not published | not published | $500.98 – $831.93 | 2 |
| Removal of lens material CPT 66840 | not published | not published | $490.28 – $817.22 | 2 |
| Removal of lens material CPT 66850 | not published | not published | $556.37 – $930.05 | 2 |
| Removal of lens material CPT 66852 | not published | not published | $589.81 – $990.95 | 2 |
| Removal of lung extrapleural CPT 32445 | not published | not published | $2,670.08 – $3,905.62 | 2 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $1,324.32 – $1,900.65 | 2 |
| Removal of lung lesion(s) CPT 32140 | not published | not published | $774.83 – $1,092.85 | 2 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $791.71 – $1,110.00 | 2 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $584.40 – $899.92 | 2 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $1,038.86 – $1,622.60 | 2 |
| Removal of metatarsal CPT 28140 | not published | not published | $327.32 – $493.69 | 2 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $656.46 – $937.41 | 2 |
| Removal of nerve lesion CPT 64790 | not published | not published | $651.72 – $926.18 | 2 |
| Removal of nerve lesion CPT 64792 | not published | not published | $967.06 – $1,199.82 | 2 |
| Removal of nose CPT 30160 | not published | not published | $598.80 – $866.77 | 2 |
| Removal of nose lesion CPT 30124 | not published | not published | $229.70 – $319.69 | 2 |
| Removal of nose lesion CPT 30125 | not published | not published | $485.51 – $685.49 | 2 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $356.02 – $486.68 | 2 |
| Removal of ocular implant CPT 65175 | not published | not published | $577.75 – $885.46 | 2 |
| Removal of omentum 49255 CPT 49255 | not published | not published | $611.56 – $881.01 | 2 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $420.72 – $581.79 | 2 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $570.40 – $794.62 | 2 |
| Removal of palm tendon each CPT 26170 | not published | not published | $320.44 – $453.20 | 2 |
| Removal of pancreas CPT 48155 | not published | not published | $1,387.77 – $2,014.83 | 2 |
| Removal of pancreas lesion CPT 48120 | not published | not published | $847.22 – $1,228.00 | 2 |
| Removal of pancreatic duct CPT 48148 | not published | not published | $953.41 – $1,383.49 | 2 |
| Removal of pancreatic stone CPT 48020 | not published | not published | $901.61 – $1,306.36 | 2 |
| Removal of pelvic structures CPT 51597 | not published | not published | $1,686.15 – $2,605.33 | 2 |
| Removal of pelvis contents CPT 58240 | not published | not published | $2,187.13 – $3,078.76 | 2 |
| Removal of penis CPT 54125 | not published | not published | $616.93 – $926.14 | 2 |
| Removal of pituitary gland CPT 61546 | not published | not published | $1,773.09 – $2,506.00 | 2 |
| Removal of pituitary gland CPT 61548 | not published | not published | $1,190.08 – $1,719.80 | 2 |
| Removal of prostate CPT 55801 | not published | not published | $813.51 – $1,244.17 | 2 |
| Removal of prostate CPT 55821 | not published | not published | $624.70 – $993.59 | 2 |
| Removal of prostate CPT 55831 | not published | not published | $640.75 – $1,075.43 | 2 |
| Removal of rectum CPT 45120 | not published | not published | $1,212.12 – $2,001.49 | 2 |
| Removal of rectum and colon CPT 45121 | not published | not published | $1,318.82 – $2,177.24 | 2 |
| Removal of rib CPT 21615 | not published | not published | $472.53 – $672.95 | 2 |
| Removal of salivary stone CPT 42340 | not published | not published | $254.34 – $379.42 | 2 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $197.02 – $287.93 | 2 |
| Removal of scrotum CPT 55150 | not published | not published | $375.96 – $558.00 | 2 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $273.68 – $401.87 | 2 |
| Removal of sesamoid bone CPT 28315 | not published | not published | $257.23 – $369.30 | 2 |
| Removal of shunt CPT 49429 | not published | not published | $351.67 – $508.07 | 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.