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 |
|---|---|---|---|---|
| Revision of arm nerve(s) CPT 64713 | not published | not published | $606.47 – $864.85 | 2 |
| Revision of big toe CPT 28310 | not published | not published | $288.75 – $404.97 | 2 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $1,023.51 – $1,574.59 | 2 |
| Revision of bladder neck CPT 52500 | not published | not published | $290.90 – $555.12 | 2 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $770.45 – $1,191.32 | 2 |
| Revision of calf tendon CPT 27687 | not published | not published | $356.77 – $509.91 | 2 |
| Revision of cervix CPT 57720 | not published | not published | $245.35 – $348.74 | 2 |
| Revision of cervix CPT 59320 | not published | not published | $110.03 – $145.96 | 2 |
| Revision of circulation CPT 37140 | not published | not published | $1,728.33 – $2,571.06 | 2 |
| Revision of circulation CPT 37145 | not published | not published | $1,605.52 – $2,384.43 | 2 |
| Revision of circulation CPT 37160 | not published | not published | $1,648.72 – $2,449.82 | 2 |
| Revision of circulation CPT 37180 | not published | not published | $1,585.81 – $2,355.09 | 2 |
| Revision of collar bone CPT 23480 | not published | not published | $623.22 – $914.21 | 2 |
| Revision of collar bone CPT 23485 | not published | not published | $711.85 – $1,062.45 | 2 |
| Revision of colostomy CPT 44340 | not published | not published | $494.84 – $788.20 | 2 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $803.61 – $1,330.05 | 2 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $896.43 – $1,496.60 | 2 |
| Revision of cornea CPT 65600 | not published | not published | $248.60 – $401.91 | 2 |
| Revision of cranial nerve CPT 64716 | not published | not published | $385.59 – $582.65 | 2 |
| Revision of eyelid CPT 67880 | not published | not published | $264.91 – $431.79 | 2 |
| Revision of eyelid CPT 67882 | not published | not published | $336.72 – $553.44 | 2 |
| Revision of eyelid CPT 67950 | not published | not published | $329.58 – $542.41 | 2 |
| Revision of eyelid CPT 67961 | not published | not published | $323.87 – $533.35 | 2 |
| Revision of eyelid CPT 67966 | not published | not published | $460.65 – $771.53 | 2 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $552.38 – $799.18 | 2 |
| Revision of foot CPT 28116 | not published | not published | $404.18 – $652.52 | 2 |
| Revision of foot and ankle CPT 28262 | not published | not published | $845.97 – $1,262.89 | 2 |
| Revision of foot bones CPT 28737 | not published | not published | $522.24 – $784.94 | 2 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $318.60 – $454.34 | 2 |
| Revision of foot tendon CPT 28238 | not published | not published | $379.62 – $551.53 | 2 |
| Revision of foot tendon CPT 28261 | not published | not published | $644.91 – $986.53 | 2 |
| Revision of heart chamber CPT 33476 | not published | not published | $1,174.39 – $1,663.01 | 2 |
| Revision of heart chamber CPT 33735 | not published | not published | $1,008.11 – $1,435.35 | 2 |
| Revision of heart chamber CPT 33736 | not published | not published | $1,089.17 – $1,529.44 | 2 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $1,311.41 – $1,908.95 | 2 |
| Revision of hip bone CPT 27147 | not published | not published | $1,081.77 – $1,625.16 | 2 |
| Revision of hip bones CPT 27156 | not published | not published | $1,250.87 – $1,894.87 | 2 |
| Revision of hip tendon CPT 27097 | not published | not published | $525.49 – $758.27 | 2 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $848.57 – $1,302.96 | 2 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $763.96 – $1,274.96 | 2 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $463.26 – $751.66 | 2 |
| Revision of infusion pump CPT 36261 | not published | not published | $330.45 – $446.21 | 2 |
| Revision of iris CPT 66761 | not published | not published | $167.74 – $276.90 | 2 |
| Revision of iris CPT 66762 | $1,335.24 | $2,054.22 | $304.46 – $498.96 | 2 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $151.99 – $209.56 | 2 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $304.03 – $456.00 | 2 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $854.87 – $1,318.19 | 2 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,029.17 – $1,587.61 | 2 |
| Revision of knee joint CPT 27440 | not published | not published | $608.49 – $885.76 | 2 |
| Revision of knee joint CPT 27441 | not published | not published | $627.03 – $916.65 | 2 |
| Revision of knee joint CPT 27442 | not published | not published | $657.02 – $967.24 | 2 |
| Revision of knee joint CPT 27443 | not published | not published | $621.61 – $904.71 | 2 |
| Revision of knee joint CPT 27446 | not published | not published | $854.71 – $1,296.33 | 2 |
| Revision of knee joint CPT 27445 | not published | not published | $1,394.96 – $1,394.96 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $767.52 – $1,097.66 | 2 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $178.85 – $258.27 | 2 |
| Revision of lung CPT 32940 | not published | not published | $952.79 – $1,356.81 | 2 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,126.70 – $1,615.24 | 2 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,289.83 – $1,840.13 | 2 |
| Revision of neck muscle CPT 21700 | not published | not published | $269.21 – $392.39 | 2 |
| Revision of neck muscle CPT 21720 | not published | not published | $460.61 – $559.69 | 2 |
| Revision of neck muscle CPT 21725 | not published | not published | $420.63 – $601.45 | 2 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $400.17 – $588.42 | 2 |
| Revision of nose CPT 30120 | not published | not published | $308.14 – $480.78 | 2 |
| Revision of nose CPT 30430 | not published | not published | $869.62 – $1,138.83 | 2 |
| Revision of nose CPT 30435 | not published | not published | $1,055.86 – $1,418.59 | 2 |
| Revision of nose CPT 30450 | not published | not published | $1,342.68 – $1,850.04 | 2 |
| Revision of nose CPT 30460 | not published | not published | $628.27 – $913.33 | 2 |
| Revision of nose CPT 30462 | not published | not published | $1,196.50 – $1,755.09 | 2 |
| Revision of pelvis CPT 27158 | not published | not published | $1,034.12 – $1,544.25 | 2 |
| Revision of penis CPT 54300 | not published | not published | $486.36 – $732.73 | 2 |
| Revision of penis CPT 54304 | not published | not published | $559.14 – $852.12 | 2 |
| Revision of penis CPT 54420 | not published | not published | $526.27 – $800.46 | 2 |
| Revision of penis CPT 54430 | not published | not published | $480.85 – $728.06 | 2 |
| Revision of penis CPT 54435 | not published | not published | $316.98 – $472.62 | 2 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,351.15 – $2,112.89 | 2 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $1,706.41 – $2,674.35 | 2 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,165.82 – $1,698.86 | 2 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $1,651.16 – $2,414.51 | 2 |
| Revision of radius CPT 25350 | not published | not published | $512.72 – $751.46 | 2 |
| Revision of radius CPT 25355 | not published | not published | $586.18 – $845.13 | 2 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $454.83 – $649.04 | 2 |
| Revision of scrotum CPT 55175 | not published | not published | $280.42 – $412.28 | 2 |
| Revision of scrotum CPT 55180 | not published | not published | $515.61 – $781.90 | 2 |
| Revision of spinal shunt CPT 63744 | not published | not published | $587.92 – $732.88 | 2 |
| Revision of testis CPT 54660 | not published | not published | $276.16 – $405.80 | 2 |
| Revision of thigh muscles CPT 27430 | not published | not published | $570.48 – $823.04 | 2 |
| Revision of toe CPT 28312 | not published | not published | $284.71 – $358.52 | 2 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $1,840.19 – $2,684.05 | 2 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $1,821.89 – $2,660.34 | 2 |
| Revision of ulna CPT 25360 | not published | not published | $498.68 – $729.41 | 2 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $575.31 – $826.82 | 2 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $570.41 – $826.70 | 2 |
| Revision of upper arm CPT 24940 | not published | not published | $1,917.19 – $1,917.19 | 1 |
| Revision of ureter CPT 50700 | not published | not published | $689.38 – $1,052.50 | 2 |
| Revision of urethra CPT 53450 | not published | not published | $313.10 – $464.34 | 2 |
| Revision of urethra CPT 53460 | not published | not published | $348.21 – $520.32 | 2 |
| Revision of urethra CPT 57220 | not published | not published | $255.65 – $362.46 | 2 |
| Revision of urinary tract CPT 51820 | not published | not published | $806.46 – $1,233.07 | 2 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $557.76 – $837.34 | 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.