Clifton Springs Hospital and Clinic

2 Coulter Road, Clifton Springs, NY 14432 · (315) 462-9561

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Rochester, NY metro Website ↗

Price file

Prices published

File dated 2026-04-01

706 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $31

$31

cash

$6 to $16

18 negotiated rates

$47

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $669

$914

cash

$177 to $360

4 negotiated rates

$1,407

list

CT scan of the head, no contrast

CPT 70450 · metro median $304

$499

cash

$55 to $148

4 negotiated rates

$768

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $438

$799

cash

$141 to $286

4 negotiated rates

$1,229

list

Cataract surgery with lens implant

CPT 66984

—

cash

$384 to $683

2 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,987 to $2,230

2 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$4,475 to $12,384

4 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $127

$127

cash

$22 to $61

18 negotiated rates

$195

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$136 to $278

2 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$147 to $303

2 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$185 to $384

2 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $28

$28

cash

$3 to $14

18 negotiated rates

$43

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $38

$38

cash

$7 to $23

18 negotiated rates

$59

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $311

$335

cash

$90 to $184

4 negotiated rates

$515

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$13 to $26

3 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 7 lines · metro median $234

$234

cash

$74 to $178

6 negotiated rates

$360

list

Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $294

$294

cash

$66 to $113

7 negotiated rates

$453

list

Family psychotherapy without the patient

CPT 90846 · lowest of 3 lines · metro median $294

$294

cash

$66 to $109

7 negotiated rates

$453

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$512 to $730

2 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · metro median $127

$127

cash

$22 to $61

18 negotiated rates

$195

list

Group psychotherapy

CPT 90853 · lowest of 3 lines · metro median $171

$171

cash

$21 to $56

7 negotiated rates

$264

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$9,002 to $24,914

4 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$3,638 to $10,069

4 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$5,790 to $16,025

4 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$412 to $577

2 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$421 to $602

2 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$228 to $365

2 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$527 to $873

3 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $48

$48

cash

$6 to $23

18 negotiated rates

$75

list

Liver function panel

CPT 80076 · metro median $30

$30

cash

$5 to $16

18 negotiated rates

$46

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $907

$1,511

cash

$173 to $352

4 negotiated rates

$2,324

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $592

$956

cash

$116 to $263

4 negotiated rates

$1,471

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $592

$956

cash

$101 to $263

4 negotiated rates

$1,471

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $592

$956

cash

$100 to $263

4 negotiated rates

$1,471

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$3,909 to $31,532

16 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,448

$1,785

cash

$83 to $126

2 negotiated rates

$2,746

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 5 lines · metro median $183

$278

cash

$30 to $132

6 negotiated rates

$428

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 5 lines · metro median $224

$224

cash

$43 to $202

6 negotiated rates

$345

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $281

$281

cash

$53 to $256

6 negotiated rates

$432

list

PSA test (prostate)

CPT 84153 · metro median $67

$67

cash

$12 to $41

18 negotiated rates

$102

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $22

$22

cash

$4 to $14

18 negotiated rates

$33

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $70

$93

cash

$15 to $66

11 negotiated rates

$144

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $324

$324

cash

$72 to $147

4 negotiated rates

$498

list

Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $323

$323

cash

$164 to $164

1 negotiated rates

$497

list

Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $374

$374

cash

$190 to $190

1 negotiated rates

$576

list

Prostate biopsy

CPT 55700

—

cash

$148 to $148

1 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$895 to $1,643

2 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $14

$14

cash

$3 to $9

18 negotiated rates

$22

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $227

$227

cash

$47 to $80

6 negotiated rates

$349

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $297

$297

cash

$66 to $106

6 negotiated rates

$457

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $294

$294

cash

$79 to $160

6 negotiated rates

$453

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $7,392

$7,392

cash

$331 to $457

2 negotiated rates

$11,373

list

Screening mammogram (both breasts)

CPT 77067 · metro median $284

$277

cash

$74 to $151

4 negotiated rates

$426

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$121 to $196

2 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$452 to $696

3 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$62 to $95

2 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $838

$648

cash

$74 to $112

2 negotiated rates

$998

list

TSH test (thyroid)

CPT 84443 · metro median $61

$61

cash

$9 to $29

18 negotiated rates

$94

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$215 to $324

2 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $151

$324

cash

$69 to $141

4 negotiated rates

$498

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $288

$324

cash

$63 to $127

4 negotiated rates

$498

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$92 to $159

2 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239 · metro median $1,077

$1,575

cash

$102 to $180

2 negotiated rates

$2,422

list

Urinalysis with microscope

CPT 81001 · metro median $12

$12

cash

$2 to $7

18 negotiated rates

$18

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,872 to $2,230

2 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,146 to $8,708

4 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,788 to $2,230

2 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $256

$275

cash

$33 to $68

4 negotiated rates

$423

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/160743966_clifton-springs-hospital-and-clinic_standardcharges.csv
Clifton Springs Hospital and Clinic · parsed · tall v3.0.0 · file dated 2026-04-01 · 28.2 MB · 706 price rows read · read Nov 2026
https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/160743134_rochester-general-hospital_standardcharges.csv
Rochester General Hospital · unmatched · tall v3.0.0 · file dated 2026-04-01 · 29.6 MB · read Oct 2026
https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/843134268_massena-hospital-inc_standardcharges.csv
Massena Hospital · unmatched · tall v3.0.0 · file dated 2026-04-01 · 10.3 MB · read Oct 2026
https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/464249555_gouverneur-hospital_standardcharges.csv
Gouverneur Hospital · unmatched · tall v3.0.0 · file dated 2026-04-01 · 8.6 MB · read Oct 2026