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 |
|---|---|---|---|---|
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $369.23 – $552.50 | 2 |
| Repair of urethral lesion CPT 57230 | not published | not published | $305.70 – $440.90 | 2 |
| Repair of web finger CPT 26560 | not published | not published | $520.78 – $673.97 | 2 |
| Repair of web finger CPT 26561 | not published | not published | $772.24 – $1,041.61 | 2 |
| Repair of web finger CPT 26562 | not published | not published | $1,068.99 – $1,474.50 | 2 |
| Repair of windpipe CPT 31750 | $11,051.55 | $17,002.39 | $1,023.98 – $1,538.70 | 2 |
| Repair of windpipe CPT 31755 | not published | not published | $1,308.76 – $1,950.52 | 2 |
| Repair of windpipe defect CPT 31825 | not published | not published | $353.99 – $534.34 | 2 |
| Repair of windpipe injury CPT 31800 | not published | not published | $529.83 – $804.89 | 2 |
| Repair of windpipe injury CPT 31805 | not published | not published | $644.91 – $897.23 | 2 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $317.44 – $484.91 | 2 |
| Repair palate CPT 42182 | not published | not published | $187.70 – $286.33 | 2 |
| Repair palate CPT 42235 | not published | not published | $566.64 – $813.51 | 2 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $501.04 – $780.23 | 2 |
| Repair paravag defect lap CPT 57423 | not published | not published | $674.33 – $981.22 | 2 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $505.15 – $732.40 | 2 |
| Repair pda by ligation CPT 33820 | not published | not published | $750.24 – $1,065.37 | 2 |
| Repair pda div<18 years CPT 33822 | not published | not published | $789.00 – $1,131.27 | 2 |
| Repair pda div 18 yrs&older CPT 33824 | not published | not published | $917.47 – $1,306.62 | 2 |
| Repair penis CPT 54380 | not published | not published | $598.37 – $909.20 | 2 |
| Repair penis CPT 54385 | not published | not published | $694.74 – $1,056.53 | 2 |
| Repair penis and bladder CPT 54390 | not published | not published | $918.66 – $1,412.46 | 2 |
| Repair pm/icd lead dual CPT 33220 | not published | not published | $277.50 – $434.81 | 2 |
| Repair pm/icd lead sgl CPT 33218 | not published | not published | $283.33 – $431.54 | 2 |
| Repair prosthesis per 15 min HCPCS L7520 | not published | not published | $40.67 – $40.67 | 5 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $1,288.46 – $1,846.86 | 2 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $1,126.57 – $1,609.98 | 2 |
| Repair pulmonary atresia CPT 33920 | not published | not published | $1,369.53 – $2,007.01 | 2 |
| Repair pul venous stenosis CPT 33726 | not published | not published | $1,531.66 – $2,254.30 | 2 |
| Repair radius or ulna CPT 25400 | not published | not published | $602.73 – $894.97 | 2 |
| Repair radius & ulna CPT 25415 | not published | not published | $730.58 – $1,074.32 | 2 |
| Repair rect/bladder fistula CPT 45800 | not published | not published | $979.02 – $1,587.70 | 2 |
| Repair rectourethral fistula CPT 45820 | not published | not published | $981.22 – $1,595.00 | 2 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $1,107.15 – $1,863.09 | 2 |
| Repair rectum & vagina CPT 57250 | not published | not published | $448.03 – $648.57 | 2 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $461.67 – $638.61 | 2 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $735.03 – $1,032.22 | 2 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $472.43 – $663.50 | 2 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $923.25 – $1,573.19 | 2 |
| Repair & revise nerve add-on CPT 64874 | not published | not published | $121.29 – $195.02 | 2 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $758.55 – $1,098.19 | 2 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $624.55 – $913.61 | 2 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $646.34 – $948.14 | 2 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $1,238.94 | $1,906.06 | $160.31 – $234.22 | 2 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,238.94 | $1,906.06 | $285.19 – $339.57 | 2 |
| Repair ruptd popliteal art CPT 35152 | not published | not published | $1,028.32 – $1,528.28 | 2 |
| Repair salivary duct CPT 42500 | not published | not published | $257.76 – $382.12 | 2 |
| Repair salivary duct CPT 42505 | not published | not published | $337.57 – $506.60 | 2 |
| Repair sciatic nerve CPT 64858 | not published | not published | $867.83 – $1,313.06 | 2 |
| Repair shoulder capsule CPT 23450 | not published | not published | $711.19 – $1,050.49 | 2 |
| Repair shoulder capsule CPT 23455 | not published | not published | $720.49 – $1,110.22 | 2 |
| Repair shoulder capsule CPT 23460 | not published | not published | $816.44 – $1,208.76 | 2 |
| Repair shoulder capsule CPT 23462 | not published | not published | $797.35 – $1,174.25 | 2 |
| Repair shoulder capsule CPT 23465 | not published | not published | $836.05 – $1,242.26 | 2 |
| Repair shoulder capsule CPT 23466 | not published | not published | $845.25 – $1,241.46 | 2 |
| Repair single ventricle CPT 33617 | not published | not published | $1,639.89 – $2,358.16 | 2 |
| Repair single ventricle CPT 33619 | not published | not published | $2,088.17 – $3,028.56 | 2 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $1,714.76 – $2,319.23 | 2 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $744.99 – $1,019.72 | 2 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $814.84 – $814.84 | 1 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $1,025.96 – $1,025.96 | 1 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,210.55 – $2,008.69 | 2 |
| Repair stomach opening CPT 43870 | not published | not published | $547.12 – $897.66 | 2 |
| Repair tear ducts CPT 68700 | not published | not published | $428.50 – $708.71 | 2 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $6,055.06 | $9,315.47 | $255.31 – $356.93 | 2 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | not published | not published | $490.11 – $701.71 | 2 |
| Repair testis injury CPT 54670 | not published | not published | $312.80 – $461.64 | 2 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $733.60 – $1,088.64 | 2 |
| Repair throat wound CPT 42900 | not published | not published | $238.07 – $376.46 | 2 |
| Repair toe dislocation CPT 28645 | not published | not published | $380.89 – $549.68 | 2 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | not published | not published | $184.63 – $206.68 | 2 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $747.74 – $1,130.75 | 2 |
| Repair umbilical lesion CPT 49600 | not published | not published | $569.78 – $806.52 | 2 |
| Repair umbilical lesion CPT 49606 | not published | not published | $857.70 – $1,256.35 | 2 |
| Repair umbilical lesion CPT 49605 | not published | not published | $3,629.83 – $5,446.78 | 2 |
| Repair umbilical lesion CPT 49610 | not published | not published | $536.54 – $763.88 | 2 |
| Repair umbilical lesion CPT 49611 | not published | not published | $478.03 – $673.05 | 2 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $578.81 – $829.17 | 2 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $346.55 – $530.94 | 2 |
| Repair urethrovaginal lesion CPT 57311 | not published | not published | $416.32 – $583.07 | 2 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $370.66 – $516.00 | 2 |
| Repair uro sphincter CPT 53449 | not published | not published | $462.44 – $695.25 | 2 |
| Repair vagina CPT 57335 | not published | not published | $850.19 – $1,244.75 | 2 |
| Repair vagina/perineum CPT 57210 | not published | not published | $290.91 – $413.63 | 2 |
| Repair valve femoral vein CPT 34501 | not published | not published | $664.35 – $977.50 | 2 |
| Repair venous anomaly CPT 33724 | not published | not published | $1,168.64 – $1,693.72 | 2 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $847.86 – $1,201.58 | 2 |
| Repair vessel graft defect CPT 35870 | not published | not published | $918.77 – $1,367.09 | 2 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $281.76 – $416.23 | 2 |
| Repair windpipe opening CPT 31614 | not published | not published | $528.11 – $820.94 | 2 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $793.40 – $1,216.32 | 2 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $1,723.97 – $2,512.41 | 2 |
| Replace afo soft interface HCPCS L4392 | not published | not published | $28.22 – $28.22 | 5 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $2,170.83 – $3,181.87 | 2 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $2,528.03 – $3,719.55 | 2 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $990.62 – $1,598.73 | 2 |
| Replace aortic valve open femoral 33362 CPT 33362 | $3,377.96 | $5,196.86 | $953.65 – $1,541.64 | 2 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $1,026.72 – $1,599.45 | 2 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $1,033.75 – $1,666.94 | 2 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $725.62 – $1,092.76 | 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.