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 |
|---|---|---|---|---|
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $549.25 – $827.77 | 2 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $453.31 – $697.47 | 2 |
| Replace brain cavity shunt CPT 62258 | not published | not published | $881.81 – $1,216.24 | 2 |
| Replace duod/jej tube perc CPT 49451 | $1,670.68 | $2,570.28 | $63.30 – $103.16 | 2 |
| Replace elbow joint CPT 24363 | not published | not published | $1,062.70 – $1,622.19 | 2 |
| Replace eye fluid CPT 67025 | not published | not published | $448.21 – $741.87 | 2 |
| Replace foot drop spint HCPCS L4394 | not published | not published | $20.58 – $20.58 | 5 |
| Replace g/c tube perc CPT 49450 | $1,706.90 | $2,626.00 | $46.96 – $75.84 | 2 |
| Replace g-j tube perc CPT 49452 | $1,670.68 | $2,570.28 | $97.39 – $158.76 | 2 |
| Replace high roll cuff HCPCS L4060 | not published | not published | $365.19 – $365.19 | 5 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $421.77 – $531.27 | 2 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $458.32 – $575.99 | 2 |
| Replacement aortic valve opn CPT 33410 | not published | not published | $1,932.54 – $2,816.50 | 2 |
| Replacement of aortic valve CPT 33412 | not published | not published | $2,381.06 – $3,488.01 | 2 |
| Replacement of aortic valve CPT 33413 | not published | not published | $2,447.84 – $3,558.71 | 2 |
| Replacement of contact lens CPT 92326 | not published | not published | $31.85 – $45.60 | 2 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $1,745.32 – $2,584.53 | 2 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $2,079.84 – $3,053.82 | 2 |
| Replacemnt lithium ionbatter HCPCS L7367 | not published | not published | $467.90 – $467.90 | 5 |
| Replace molded calf lacer HCPCS L4050 | not published | not published | $632.54 – $632.54 | 5 |
| Replace molded thigh lacer HCPCS L4040 | not published | not published | $554.60 – $554.60 | 5 |
| Replace non-molded calf lace HCPCS L4055 | not published | not published | $307.20 – $307.20 | 5 |
| Replace non-molded thigh lac HCPCS L4045 | not published | not published | $376.94 – $376.94 | 5 |
| Replace picvad cath CPT 36585 | not published | not published | $237.99 – $302.22 | 2 |
| Replace pretibial shell HCPCS L4130 | not published | not published | $570.11 – $570.11 | 5 |
| Replace prox & dist upright HCPCS L4070 | not published | not published | $323.39 – $323.39 | 5 |
| Replace quadlat socket brim HCPCS L4020 | not published | not published | $1,262.32 – $1,262.32 | 5 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $670.83 – $917.56 | 2 |
| Replace skull plate/flap CPT 62143 | not published | not published | $831.83 – $1,134.23 | 2 |
| Replace socket above knee HCPCS L5701 | not published | not published | $4,236.75 – $4,236.75 | 5 |
| Replace socket below knee HCPCS L5700 | not published | not published | $3,415.10 – $3,415.10 | 5 |
| Replace socket brim cust fit HCPCS L4030 | not published | not published | $773.56 – $773.56 | 5 |
| Replace socket hip HCPCS L5702 | not published | not published | $5,339.79 – $5,339.79 | 5 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $423.60 – $646.20 | 2 |
| Replace trilateral socket br HCPCS L4010 | not published | not published | $909.40 – $909.40 | 5 |
| Replace tunneled cv cath CPT 36578 | $4,952.88 | $7,619.82 | $154.45 – $227.62 | 2 |
| Replace ureter by bowel CPT 50840 | not published | not published | $913.03 – $1,398.26 | 2 |
| Replace vad intra w/bp CPT 33983 | not published | not published | $1,701.75 – $2,562.11 | 2 |
| Replace vad intra without bp CPT 33982 | not published | not published | $1,445.52 – $2,175.31 | 2 |
| Replace vad pump ext CPT 33981 | not published | not published | $615.13 – $926.96 | 2 |
| Repl alkaline battery HCPCS L8622 | not published | not published | $0.39 – $0.39 | 5 |
| Replantation arm complete CPT 20802 | not published | not published | $2,000.33 – $3,070.16 | 2 |
| Replantation digit complete CPT 20822 | not published | not published | $1,307.33 – $1,976.59 | 2 |
| Replantation digit complete CPT 20816 | not published | not published | $1,497.48 – $2,299.58 | 2 |
| Replantation foot complete CPT 20838 | not published | not published | $2,034.32 – $3,109.00 | 2 |
| Replantation hand complete CPT 20808 | not published | not published | $2,837.76 – $4,420.22 | 2 |
| Replantation thumb complete CPT 20827 | not published | not published | $1,340.83 – $2,022.86 | 2 |
| Replantation thumb complete CPT 20824 | not published | not published | $1,501.84 – $2,303.48 | 2 |
| Replant forearm complete CPT 20805 | not published | not published | $2,364.64 – $3,654.93 | 2 |
| Replc sockt above elbow disa HCPCS L6884 | not published | not published | $2,848.58 – $2,848.58 | 5 |
| Replc sockt below e/w disa HCPCS L6883 | not published | not published | $2,590.31 – $2,590.31 | 5 |
| Replc sockt shldr dis/interc HCPCS L6885 | not published | not published | $3,899.44 – $3,899.44 | 5 |
| Repl cushions for jaw motion HCPCS E1701 | not published | not published | $15.11 – $15.11 | 5 |
| Repl girdle milwaukee orth HCPCS L4000 | not published | not published | $1,465.18 – $1,465.18 | 5 |
| Repl leath cuff kafo-afo cal HCPCS L4110 | not published | not published | $128.46 – $128.46 | 5 |
| Repl leath cuff kafo prox th HCPCS L4100 | not published | not published | $148.89 – $148.89 | 5 |
| Repl met band kafo-afo calf/ HCPCS L4090 | not published | not published | $123.50 – $123.50 | 5 |
| Repl met band kafo-afo prox HCPCS L4080 | not published | not published | $118.79 – $118.79 | 5 |
| Repl trach puncture dilator HCPCS L8514 | not published | not published | $113.31 – $113.31 | 5 |
| Repl zinc air battery HCPCS L8621 | not published | not published | $0.75 – $0.75 | 5 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | not published | not published | $275.17 – $352.11 | 2 |
| Reposition intraocular lens CPT 66825 | not published | not published | $604.24 – $952.97 | 2 |
| Reposition pm/icd lead CPT 33215 | not published | not published | $223.66 – $345.55 | 2 |
| Reposition vad w/image rt/lt sep session CPT 33993 | not published | not published | $116.47 – $193.90 | 2 |
| Repos lv lead pm/icd CPT 33226 | not published | not published | $343.64 – $552.11 | 2 |
| Repos sq defib eltrd CPT 33273 | not published | not published | $291.82 – $446.94 | 2 |
| Rep perf anoper fistu CPT 46715 | not published | not published | $449.34 – $689.09 | 2 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | not published | $984.89 – $1,528.27 | 2 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $553.07 – $790.24 | 2 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $551.14 – $784.14 | 2 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $33.92 – $33.92 | 1 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $144.47 – $222.14 | 2 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $47.37 – $83.93 | 2 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $45.38 – $80.45 | 2 |
| Repr per/vag pouch dbl proc CPT 46712 | not published | not published | $1,680.30 – $2,809.81 | 2 |
| Repr per/vag pouch sngl proc CPT 46710 | not published | not published | $864.77 – $1,395.92 | 2 |
| Repr pul art unifocal w/cpb CPT 33926 | not published | not published | $1,808.76 – $2,680.40 | 2 |
| Reptilase test CPT 85635 | $35.65 | $54.85 | $6.57 – $19.26 | 10 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $308.38 – $431.05 | 2 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $561.03 – $802.28 | 2 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $555.04 – $794.62 | 2 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $492.75 – $700.78 | 2 |
| Rerevise eye muscles add-on CPT 67332 | not published | not published | $135.67 – $390.91 | 2 |
| Rescj external cardiac tumor CPT 33130 | not published | not published | $1,064.16 – $1,517.28 | 2 |
| Resc recr ovr tbl pp utr mal CPT 58958 | not published | not published | $1,192.84 – $1,754.78 | 2 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $1,555.66 – $2,261.92 | 2 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $1,372.29 – $1,983.57 | 2 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $777.41 – $1,138.71 | 2 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $1,063.10 – $1,571.60 | 2 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $207.71 – $300.66 | 2 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $2,083.24 – $3,159.33 | 2 |
| Resect diaphragm complex CPT 39561 | not published | not published | $987.74 – $1,375.25 | 2 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $616.78 – $888.00 | 2 |
| Resect distal finger tumor CPT 26262 | not published | not published | $491.41 – $701.70 | 2 |
| Resect enlarged toe CPT 28341 | not published | not published | $375.22 – $561.62 | 2 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $316.91 – $471.40 | 2 |
| Resect/excise cranial lesion CPT 61600 | not published | not published | $1,560.43 – $2,367.99 | 2 |
| Resect/excise cranial lesion CPT 61601 | not published | not published | $1,920.04 – $2,630.25 | 2 |
| Resect/excise cranial lesion CPT 61605 | not published | not published | $1,568.64 – $2,415.93 | 2 |
| Resect/excise cranial lesion CPT 61606 | not published | not published | $2,187.99 – $3,220.29 | 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.