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 |
|---|---|---|---|---|
| Resect/excise cranial lesion CPT 61607 | not published | not published | $2,014.25 – $3,202.03 | 2 |
| Resect/excise cranial lesion CPT 61608 | not published | not published | $2,518.28 – $3,566.59 | 2 |
| Resect/excise lesion skull CPT 61615 | not published | not published | $2,248.13 – $3,058.38 | 2 |
| Resect/excise lesion skull CPT 61616 | not published | not published | $2,524.84 – $3,649.88 | 2 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,047.35 – $1,566.99 | 2 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $524.43 – $787.59 | 2 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $738.38 – $1,129.20 | 2 |
| Resect femur/knee tumor CPT 27365 | not published | not published | $1,498.36 – $2,299.90 | 2 |
| Resect fibula tumor CPT 27646 | not published | not published | $1,133.78 – $1,713.39 | 2 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $787.30 – $1,177.53 | 2 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $881.33 – $1,297.13 | 2 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $672.94 – $980.07 | 2 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $786.10 – $1,109.01 | 2 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $1,053.98 – $1,486.96 | 2 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $1,339.77 – $2,028.73 | 2 |
| Resect hip tum incl acetabul CPT 27076 | not published | not published | $1,821.22 – $2,826.44 | 2 |
| Resect hip tumor CPT 27075 | not published | not published | $1,515.96 – $2,335.34 | 2 |
| Resect hip tum w/innom bone CPT 27077 | not published | not published | $2,025.17 – $3,160.50 | 2 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $1,544.06 – $2,253.04 | 2 |
| Resect inferior turbinate CPT 30140 | not published | not published | $126.41 – $199.88 | 2 |
| Resection of elbow joint CPT 24155 | not published | not published | $645.59 – $946.13 | 2 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $749.86 – $1,136.69 | 2 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $769.03 – $1,140.97 | 2 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $944.55 – $1,413.07 | 2 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $674.36 – $960.78 | 2 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $868.29 – $1,256.21 | 2 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $555.25 – $845.83 | 2 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $2,114.50 – $2,680.11 | 2 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $996.23 – $1,492.92 | 2 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $1,238.55 – $1,726.53 | 2 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $870.94 – $1,206.58 | 2 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,084.81 – $1,514.51 | 2 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $196.97 – $281.50 | 2 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $363.71 – $543.60 | 2 |
| Resect prox finger tumor CPT 26260 | not published | not published | $608.45 – $890.50 | 2 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $1,084.74 – $1,642.49 | 2 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $757.60 – $1,164.98 | 2 |
| Resect tarsal tumor CPT 28171 | not published | not published | $825.97 – $1,241.27 | 2 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $786.51 – $1,151.55 | 2 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $1,165.18 – $1,739.82 | 2 |
| Resect tibia tumor CPT 27645 | not published | not published | $1,296.48 – $1,979.91 | 2 |
| Resin three surfaces-anterio HCPCS D2332 | $130.00 | $200.00 | not published | 0 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $24.00 | $36.92 | $10.49 – $12.35 | 4 |
| Respirator motion mgmt simul CPT 77293 | $1,164.61 | $1,791.71 | $242.92 – $392.76 | 3 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $8.11 – $18.25 | 10 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $8.11 – $19.72 | 10 |
| Resp virus 6-11 targets CPT 87632 | $772.36 | $1,188.24 | $145.31 – $261.67 | 8 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $2,253.54 – $3,281.54 | 2 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $103.97 – $485.00 | 2 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $103.90 – $180.98 | 2 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,084.74 – $3,452.61 | 3 |
| Reticulated platelet assay CPT 85055 | not published | not published | $23.40 – $52.65 | 10 |
| Reticulocyte automated CPT 85045 | $14.46 | $22.24 | $2.66 – $7.20 | 10 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $1.44 – $6.68 | 10 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $29.74 – $30.98 | 3 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $91.13 – $137.74 | 2 |
| Retrieval of oocyte CPT 58970 | not published | not published | $141.82 – $207.29 | 2 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $13.05 – $23.51 | 8 |
| Reusable nipple prosthesis HCPCS L8032 | not published | not published | $47.08 – $47.08 | 5 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $7,476.83 | $11,502.81 | $390.98 – $390.98 | 1 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $7,476.83 | $11,502.81 | $289.05 – $289.05 | 1 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $15,967.11 | $24,564.78 | $468.93 – $468.93 | 1 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $15,967.11 | $24,564.78 | $334.93 – $334.93 | 1 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $15,967.11 | $24,564.78 | $407.59 – $407.59 | 1 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $13,317.12 | $20,487.87 | $547.36 – $547.36 | 1 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $13,317.12 | $20,487.87 | $325.75 – $325.75 | 1 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | not published | not published | $503.42 – $503.42 | 1 |
| Revasc evasc imvt angio sf 1st CPT 37296 | not published | not published | $407.17 – $407.17 | 1 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $7,476.83 | $11,502.81 | $399.59 – $399.59 | 1 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $13,317.12 | $20,487.87 | $470.53 – $470.53 | 1 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $13,317.12 | $20,487.87 | $325.48 – $325.48 | 1 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $13,317.12 | $20,487.87 | $455.83 – $455.83 | 1 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $13,317.12 | $20,487.87 | $363.35 – $363.35 | 1 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $15,967.11 | $24,564.78 | $625.56 – $625.56 | 1 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $15,967.11 | $24,564.78 | $497.25 – $497.25 | 1 |
| Revasc intra lithotrip-ather HCPCS C9766 | $15,147.89 | $23,304.45 | not published | 0 |
| Revasc intra lithotrip-stent HCPCS C9765 | $15,147.89 | $23,304.45 | not published | 0 |
| Revasc intravasc lithotripsy HCPCS C9764 | $8,897.16 | $13,687.94 | not published | 0 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $19,890.17 | $30,600.26 | not published | 0 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $19,890.17 | $30,600.26 | not published | 0 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $15,147.89 | $23,304.45 | not published | 0 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $19,890.17 | $30,600.26 | not published | 0 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $19,890.17 | $30,600.26 | not published | 0 |
| Revascularization penis CPT 37788 | not published | not published | $931.78 – $1,437.97 | 2 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.20 – $0.28 | 4 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $520.39 – $710.84 | 2 |
| Revise additional leg tendon CPT 27692 | not published | not published | $73.26 – $117.05 | 2 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $608.19 – $992.53 | 2 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $382.18 – $558.27 | 2 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $952.45 – $1,473.49 | 2 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $602.26 – $864.28 | 2 |
| Revise circulation to head CPT 61708 | not published | not published | $1,945.29 – $2,782.77 | 2 |
| Revise circulation to head CPT 61705 | not published | not published | $1,985.82 – $2,765.12 | 2 |
| Revise circulation to head CPT 61710 | not published | not published | $1,646.24 – $2,347.93 | 2 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,029.83 – $1,708.91 | 2 |
| Revise eye CPT 65091 | not published | not published | $547.60 – $847.97 | 2 |
| Revise eyelashes CPT 67825 | not published | not published | $89.09 – $142.74 | 2 |
| Revise eyelashes CPT 67835 | not published | not published | $314.93 – $514.69 | 2 |
| Revise eyelid defect CPT 67909 | not published | not published | $313.85 – $513.55 | 2 |
| Revise eyelid defect CPT 67911 | not published | not published | $396.19 – $659.10 | 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.