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 |
|---|---|---|---|---|
| Remove extra spine segment CPT 22103 | not published | not published | $94.42 – $155.36 | 2 |
| Remove extra spine segment CPT 22116 | not published | not published | $100.73 – $155.23 | 2 |
| Remove eye/attach implant CPT 65105 | not published | not published | $700.88 – $1,093.77 | 2 |
| Remove eye implant material CPT 67120 | not published | not published | $394.97 – $653.45 | 2 |
| Remove eye implant material CPT 67121 | not published | not published | $634.97 – $1,065.97 | 2 |
| Remove eye/insert implant CPT 65103 | not published | not published | $645.29 – $1,003.53 | 2 |
| Remove eye lesion CPT 65900 | not published | not published | $704.72 – $1,144.92 | 2 |
| Remove eye lesion CPT 66130 | not published | not published | $395.97 – $667.56 | 2 |
| Remove eyelid lesion CPT 67800 | not published | not published | $72.14 – $121.08 | 2 |
| Remove eyelid lesion CPT 67840 | not published | not published | $111.42 – $185.27 | 2 |
| Remove eyelid lesion(s) CPT 67808 | not published | not published | $264.70 – $430.67 | 2 |
| Remove eyelid lesions CPT 67801 | not published | not published | $91.66 – $156.62 | 2 |
| Remove eyelid lesions CPT 67805 | not published | not published | $115.15 – $192.85 | 2 |
| Remove eye/revise socket CPT 65112 | not published | not published | $1,083.24 – $1,741.91 | 2 |
| Remove eye/revise socket CPT 65114 | not published | not published | $1,127.18 – $1,818.01 | 2 |
| Remove femur lesion CPT 27355 | not published | not published | $471.38 – $672.72 | 2 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $353.77 – $506.46 | 2 |
| Remove femur lesion/fixation CPT 27358 | not published | not published | $192.73 – $309.82 | 2 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $568.55 – $820.90 | 2 |
| Remove femur lesion/graft CPT 27357 | not published | not published | $625.51 – $905.47 | 2 |
| Remove finger bone CPT 26185 | not published | not published | $446.89 – $611.94 | 2 |
| Remove forearm bone lesion CPT 25145 | not published | not published | $410.07 – $574.16 | 2 |
| Remove foreign body brain CPT 61570 | not published | not published | $1,457.18 – $2,028.10 | 2 |
| Remove foreign body from eye CPT 65235 | not published | not published | $526.87 – $839.98 | 2 |
| Remove foreign body from eye CPT 65260 | not published | not published | $696.85 – $1,132.76 | 2 |
| Remove foreign body from eye CPT 65265 | not published | not published | $781.67 – $1,272.83 | 2 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $272.01 – $412.06 | 2 |
| Remove/graft bone lesion CPT 26205 | not published | not published | $470.20 – $670.26 | 2 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $443.25 – $627.24 | 2 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $475.91 – $674.14 | 2 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $300.97 – $446.26 | 2 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $270.21 – $402.62 | 2 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $465.82 – $656.26 | 2 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $468.79 – $662.01 | 2 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $781.06 – $1,152.10 | 2 |
| Remove/graft leg bone lesion CPT 27637 | not published | not published | $578.49 – $832.08 | 2 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $572.51 – $854.38 | 2 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $441.56 – $618.84 | 2 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $394.39 – $545.36 | 2 |
| Remove groin lymph nodes CPT 38760 | not published | not published | $636.02 – $936.03 | 2 |
| Remove hand bone lesion CPT 26200 | not published | not published | $350.91 – $501.04 | 2 |
| Remove hip bone les deep CPT 27066 | not published | not published | $619.37 – $894.77 | 2 |
| Remove hip bone les super CPT 27065 | not published | not published | $414.93 – $577.64 | 2 |
| Remove hip foreign body 27086 CPT 27086 | not published | not published | $136.56 – $186.15 | 2 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $286.25 – $400.33 | 2 |
| Remove humerus lesion CPT 23174 | not published | not published | $591.40 – $843.70 | 2 |
| Remove humerus lesion CPT 23184 | not published | not published | $568.35 – $815.93 | 2 |
| Remove implant of eye CPT 65920 | not published | not published | $564.80 – $924.96 | 2 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $391.78 – $605.33 | 2 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $342.06 – $537.47 | 2 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $421.72 – $664.29 | 2 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $476.73 – $705.56 | 2 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $390.08 – $591.67 | 2 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | not published | $997.63 – $1,446.13 | 2 |
| Remove inner ear CPT 69905 | not published | not published | $673.19 – $1,017.28 | 2 |
| Remove inner ear lesion CPT 69970 | not published | not published | $1,517.91 – $2,381.70 | 2 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $719.57 – $1,120.36 | 2 |
| Remove intact mammary implant CPT 19328 | $7,037.56 | $10,827.01 | $419.90 – $580.96 | 2 |
| Remove intestinal allograft CPT 44137 | not published | not published | $1,621.57 – $1,621.57 | 1 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $287.02 – $450.42 | 2 |
| Remove intra-aortic balloon CPT 33974 | not published | not published | $708.44 – $987.31 | 2 |
| Remove intracorporeal device CPT 33980 | not published | not published | $1,326.52 – $1,977.72 | 2 |
| Remove iris and lesion CPT 66600 | not published | not published | $655.04 – $1,037.04 | 2 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $590.59 – $915.71 | 2 |
| Remove kidney living donor CPT 50320 | not published | not published | $1,201.51 – $1,663.87 | 2 |
| Remove knee cyst CPT 27347 | not published | not published | $414.98 – $587.47 | 2 |
| Remove knee joint lining CPT 27334 | not published | not published | $530.42 – $761.82 | 2 |
| Remove knee joint lining CPT 27335 | not published | not published | $586.76 – $849.19 | 2 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $923.00 – $1,307.27 | 2 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $358.47 – $516.39 | 2 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $447.28 – $648.47 | 2 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $1,992.84 – $2,915.57 | 2 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $1,058.38 – $1,523.32 | 2 |
| Remove lung foreign body CPT 32151 | not published | not published | $785.65 – $1,105.38 | 2 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $1,207.81 – $1,727.99 | 2 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $742.28 – $1,177.87 | 2 |
| Remove mastoid air cells CPT 69670 | not published | not published | $690.89 – $1,046.46 | 2 |
| Remove mastoid structures CPT 69505 | not published | not published | $926.98 – $1,337.67 | 2 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $748.99 – $1,193.51 | 2 |
| Remove middle ear nerve CPT 69676 | not published | not published | $614.09 – $921.09 | 2 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $548.98 – $830.68 | 2 |
| Remove nasal foreign body CPT 30310 | not published | not published | $156.37 – $225.27 | 2 |
| Remove nasal foreign body CPT 30320 | not published | not published | $372.18 – $508.50 | 2 |
| Remove nerve lesion CPT 64784 | not published | not published | $549.97 – $810.96 | 2 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $576.70 – $902.63 | 2 |
| Remove part lumbar vertebra CPT 22114 | not published | not published | $935.50 – $1,214.47 | 2 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $795.79 – $946.77 | 2 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $820.96 – $1,146.75 | 2 |
| Remove part of temporal bone CPT 69535 | not published | not published | $1,945.93 – $2,986.77 | 2 |
| Remove part thorax vertebra CPT 22112 | not published | not published | $935.50 – $1,204.93 | 2 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $607.19 – $911.86 | 2 |
| Remove penis & nodes CPT 54130 | not published | not published | $884.10 – $1,357.75 | 2 |
| Remove penis & nodes CPT 54135 | not published | not published | $1,112.70 – $1,720.44 | 2 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $466.78 – $639.41 | 2 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $359.41 – $484.88 | 2 |
| Remove pituit tumor w/scope CPT 62165 | not published | not published | $1,129.77 – $1,687.31 | 2 |
| Remove prostate regrowth CPT 52630 | not published | not published | $310.55 – $455.34 | 2 |
| Remove pulmonary shunt CPT 33924 | not published | not published | $209.46 – $314.14 | 2 |
| Remove rectum w/reservoir CPT 45119 | not published | not published | $1,408.45 – $2,465.87 | 2 |
| Remove renal tube w/fluoro CPT 50389 | not published | not published | $38.07 – $61.68 | 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.