Clifton Springs Hospital and Clinic

2 Coulter Road, Clifton Springs, NY 14432 · Acute care hospital · Emergency room

These are Clifton Springs Hospital and Clinic's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

233 of the services we track have a posted price here; 152 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge
Critical care, first 30 to 74 minutes CPT 99291	$1,830.98	$2,816.89
Emergency room visit, level 1 (minor) CPT 99281	$214.43	$329.89
Emergency room visit, level 2 CPT 99282	$1,568.87	$2,413.65
Emergency room visit, level 3 (moderate) CPT 99283	$1,568.87	$2,413.65
Emergency room visit, level 4 CPT 99284	$893.34	$1,374.37
Emergency room visit, level 5 (most severe) CPT 99285	$1,568.87	$2,413.65
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$444.52	$683.87

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$307.90	$473.69
New patient office visit, about 30 minutes CPT 99203	$356.62	$548.65
New patient office visit, about 45 minutes CPT 99204	$443.20	$681.84
New patient office visit, about 60 minutes CPT 99205	$584.79	$899.68
Office consultation, about 40 minutes CPT 99243	not posted		$66.75 – $151.95
Office consultation, about 60 minutes CPT 99244	not posted		$66.75 – $227.79
Office visit, established patient, about 10 to 19 minutes CPT 99212	$256.59	$394.76
Office visit, established patient, about 20 to 29 minutes CPT 99213	$297.19	$457.22
Office visit, established patient, about 30 to 39 minutes CPT 99214	$369.35	$568.23
Office visit, established patient, about 40 to 54 minutes CPT 99215	$487.32	$749.72
Office visit, established patient, brief (often a nurse) CPT 99211	$210.10	$323.23
Preventive checkup, new patient, age 18 to 39 CPT 99385	$323.18	$497.20
Preventive checkup, new patient, age 40 to 64 CPT 99386	$374.22	$575.73

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$80.17	$123.34
Abdominal X-ray, 1 view CPT 74018	$201.75	$310.38
Ankle X-ray, 3 or more views CPT 73610	$201.75	$310.38
Bone density scan (DEXA), hips and spine CPT 77080	$275.16	$423.33
Breast ultrasound, one breast, complete CPT 76641	$323.71	$498.02
Breast ultrasound, one breast, limited CPT 76642	$169.33	$260.51
Chest X-ray, 1 view CPT 71045	$201.75	$310.38
Chest X-ray, 2 views CPT 71046	$201.75	$310.38
CT angiogram of the chest (checks for lung clots) CPT 71275	$799.16	$1,229.47
CT angiogram of the head CPT 70496	$799.16	$1,229.47
CT scan of the abdomen and pelvis, with contrast CPT 74177	$914.36	$1,406.70
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$914.36	$1,406.70
CT scan of the abdomen and pelvis, without contrast CPT 74176	$719.44	$1,106.83
CT scan of the abdomen, without contrast CPT 74150	$499.36	$768.24
CT scan of the chest, with contrast CPT 71260	$799.16	$1,229.47
CT scan of the chest, without contrast CPT 71250	$499.36	$768.24
CT scan of the head, without contrast CPT 70450	$499.36	$768.24
CT scan of the neck (cervical spine), without contrast CPT 72125	$499.36	$768.24
CT scan of the pelvis, with contrast CPT 72193	$799.16	$1,229.47
CT scan of the sinuses or face, without contrast CPT 70486	$499.36	$768.24
Diagnostic mammogram, both breasts CPT 77066	$334.81	$515.09
Diagnostic mammogram, one breast CPT 77065	$261.55	$402.39
Foot X-ray, 3 or more views CPT 73630	$201.75	$310.38
Hand X-ray, 3 or more views CPT 73130	$201.75	$310.38
Knee X-ray, 3 views CPT 73562	$201.75	$310.38
Leg or arm vein ultrasound, both sides CPT 93970	$666.26	$1,025.02
Leg or arm vein ultrasound, one side CPT 93971	$323.71	$498.02
Lower back X-ray, 2 or 3 views CPT 72100	$275.16	$423.33
MRI of both breasts, without and with contrast CPT 77049	not posted		$190.81 – $388.27
MRI of the abdomen, without and with contrast CPT 74183	$1,510.60	$2,324.00
MRI of the brain, without and with contrast CPT 70553	$1,510.60	$2,324.00
MRI of the brain, without contrast CPT 70551	$956.04	$1,470.83
MRI of the knee or other leg joint, without contrast CPT 73721	$956.04	$1,470.83
MRI of the lower back (lumbar spine), without contrast CPT 72148	$956.04	$1,470.83
MRI of the mid back (thoracic spine), without contrast CPT 72146	$956.04	$1,470.83
MRI of the neck (cervical spine), without contrast CPT 72141	$956.04	$1,470.83
MRI of the pelvis, without and with contrast CPT 72197	$1,510.60	$2,324.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$956.04	$1,470.83
Neck X-ray, 2 or 3 views CPT 72040	$201.75	$310.38
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$323.71	$498.02
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$323.71	$498.02
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$323.71	$498.02
Screening mammogram, both breasts CPT 77067	$276.63	$425.58
Shoulder X-ray, 2 or more views CPT 73030	$201.75	$310.38
Transvaginal pregnancy ultrasound CPT 76817	$323.71	$498.02
Transvaginal ultrasound CPT 76830	$323.71	$498.02
Ultrasound of the abdomen, complete CPT 76700	$323.71	$498.02
Ultrasound of the neck or thyroid CPT 76536	$323.71	$498.02
Wrist X-ray, 3 or more views CPT 73110	$201.75	$310.38
X-ray of the lower back, 4 or more views CPT 72110	$275.16	$423.33

Lab tests

Service	Cash price	Gross charge
Basic metabolic panel (blood test) CPT 80048	$30.61	$47.09
Blood culture CPT 87040	$37.35	$57.46
Blood draw (venipuncture) CPT 36415	$22.86	$35.17
BNP test (heart failure) CPT 83880	$122.82	$188.96
C-reactive protein (CRP) test CPT 86140	$18.74	$28.83
Chlamydia test (DNA/NAAT) CPT 87491	$127.02	$195.41
Complete blood count (CBC) with differential CPT 85025	$28.12	$43.26
Complete blood count (CBC), automated CPT 85027	$23.40	$36.00
Comprehensive metabolic panel (blood test) CPT 80053	$38.23	$58.81
COVID-19 PCR test CPT 87635	$143.24	$220.37
D-dimer test (blood clots) CPT 85379	$74.42	$114.50
Drug screen, instrument chemistry CPT 80307	$121.92	$187.57
Ferritin (iron stores) test CPT 82728	$49.33	$75.89
Free T4 (thyroid) test CPT 84439	$32.62	$50.19
General health panel (blood tests) CPT 80050	$56.84	$87.44
Glucose (blood sugar) test CPT 82947	$14.21	$21.86
Gonorrhea test (DNA/NAAT) CPT 87591	$127.02	$195.41
Hemoglobin A1c test CPT 83036	$35.15	$54.07
Hepatitis C antibody test CPT 86803	$51.62	$79.41
HIV-1/HIV-2 antigen and antibody test CPT 87389	$87.15	$134.08
Iron test CPT 83540	$23.42	$36.03
Kidney function panel CPT 80069	$31.42	$48.34
Lipase test (pancreas) CPT 83690	$24.96	$38.40
Lipid panel, cholesterol and triglycerides CPT 80061	$48.45	$74.54
Liver function panel CPT 80076	$29.58	$45.50
Magnesium test CPT 83735	$24.24	$37.29
Obstetric blood test panel CPT 80055	$105.99	$163.06
Partial thromboplastin time (PTT), clotting test CPT 85730	$21.75	$33.46
Pregnancy blood test (hCG), quantitative CPT 84702	$54.49	$83.83
Prothrombin time (PT/INR), clotting test CPT 85610	$14.21	$21.86
PSA (prostate specific antigen), free CPT 84154	$66.59	$102.44
PSA (prostate specific antigen), total CPT 84153	$66.59	$102.44
Rapid strep test CPT 87880	$48.45	$74.54
Sed rate (ESR) test CPT 85652	$9.76	$15.02
TB skin test CPT 86580	$54.85	$84.38
Thyroid stimulating hormone (TSH) CPT 84443	$60.82	$93.57
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$591.66	$910.24
Troponin test (heart damage) CPT 84484	$36.55	$56.23
Urinalysis, automated, with microscope CPT 81001	$11.50	$17.69
Urinalysis, automated, without microscope CPT 81003	$8.13	$12.51
Urinalysis, manual, with microscope CPT 81000	$11.78	$18.13
Urinalysis, manual, without microscope CPT 81002	$10.20	$15.70
Urine culture, colony count CPT 87086	$29.19	$44.91
Urine pregnancy test CPT 81025	$25.23	$38.82
Vitamin B12 test CPT 82607	$54.55	$83.93
Vitamin D test CPT 82306	$107.13	$164.82

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$666.26	$1,025.02
ECG tracing only (no interpretation) CPT 93005	$146.22	$224.95
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,151.46	$1,771.47
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$12.66 – $25.76
Holter monitor, up to 48 hours CPT 93224	not posted		$57.91 – $117.84
Left heart catheterization CPT 93452	not posted		$526.59 – $873.40
Left heart catheterization with coronary angiogram CPT 93458	not posted		$590.17 – $985.59
Nuclear stress test (heart perfusion imaging) CPT 78452	$2,384.04	$3,667.76
Treadmill stress test, complete CPT 93015	not posted		$60.80 – $123.72

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$727.28 – $1,095.40
Appendix removal, laparoscopic CPT 44970	not posted		$468.71 – $757.94
Breast biopsy with ultrasound guidance CPT 19083	$3,486.44	$5,363.76
Carpal tunnel release CPT 64721	not posted		$345.69 – $476.51
Colonoscopy with biopsy CPT 45380	not posted		$147.18 – $302.62
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$185.35 – $383.98
Colonoscopy, diagnostic CPT 45378	not posted		$136.19 – $278.34
Colposcopy with biopsy CPT 57454	$742.46	$1,142.25
Cystoscopy (bladder scope) CPT 52000	not posted		$58.85 – $92.33
Ear tubes, under general anesthesia CPT 69436	not posted		$118.99 – $176.08
Flexible sigmoidoscopy, diagnostic CPT 45330	$1,821.08	$2,801.66
Gallbladder removal, laparoscopic CPT 47562	not posted		$512.02 – $729.98
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$1,309.10 – $2,183.18
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$676.97 – $953.54
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$167.74 – $243.26
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$343.91 – $475.74
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted		$411.66 – $577.30
Kidney stone shock-wave lithotripsy CPT 50590	$9,119.56	$14,030.09
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$421.24 – $602.34
Lower colon endoscopy with ultrasound CPT 45391	not posted		$187.76 – $389.69
Nasal endoscopy, diagnostic CPT 31231	$456.76	$702.70
Prostate biopsy CPT 55700	not posted		$148.34 – $148.34
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$895.25 – $1,642.66
Removal of a breast lump, open surgery CPT 19120	$7,392.41	$11,372.94
Rotator cuff repair, arthroscopic CPT 29827	not posted		$797.84 – $1,180.16
Screening colonoscopy, average risk HCPCS G0121	not posted		$136.40 – $189.07
Screening colonoscopy, high risk HCPCS G0105	not posted		$136.19 – $188.79
Septoplasty (nasal septum repair) CPT 30520	not posted		$503.66 – $703.83
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$120.71 – $195.61
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$808.24 – $1,404.19
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$214.84 – $323.89
Total hip replacement CPT 27130	not posted		$948.08 – $1,509.57
Total knee replacement CPT 27447	$13,931.12	$21,432.50
Upper endoscopy (EGD) with biopsy CPT 43239	$1,670.68	$2,570.28
Upper endoscopy (EGD), diagnostic CPT 43235	not posted		$91.56 – $159.03
Vasectomy CPT 55250	not posted		$179.94 – $258.22

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	not posted		$1,987.43 – $2,229.77
Fetal non-stress test CPT 59025	not posted		$17.12 – $18.81
IUD insertion CPT 58300	$199.89	$307.53
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$1,871.53 – $2,229.77
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$1,787.59 – $2,229.77

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$4,120.03 – $11,402.21
C-section, without complications MS-DRG 788	not posted	$4,474.72 – $12,383.82
Chest pain MS-DRG 313	not posted	$3,360.24 – $9,299.49
COPD flare-up, with major complications MS-DRG 190	not posted	$5,169.64 – $14,307.01
COPD flare-up, without complications MS-DRG 192	not posted	$2,996.21 – $8,292.05
Fainting (syncope) MS-DRG 312	not posted	$4,067.76 – $11,257.55
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$4,576.93 – $12,666.68
Heart failure, with major complications MS-DRG 291	not posted	$5,991.49 – $16,581.51
Heart failure, without complications MS-DRG 293	not posted	$2,641.52 – $7,310.43
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$45,656.33 – $126,354.25
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$9,002.18 – $24,913.60
Irregular heartbeat, without complications MS-DRG 310	not posted	$2,641.99 – $7,311.72
Kidney failure, with complications MS-DRG 683	not posted	$4,087.36 – $11,311.80
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$3,777.94 – $10,455.47
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$11,393.55 – $31,531.73
Normal newborn care MS-DRG 795	not posted	$932.47 – $2,580.61
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$3,631.86 – $10,051.20
Pneumonia, with complications MS-DRG 194	not posted	$3,761.14 – $10,408.97
Pneumonia, with major complications MS-DRG 193	not posted	$6,134.30 – $16,976.74
Pneumonia, without complications MS-DRG 195	not posted	$2,933.21 – $8,117.68
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$6,518.87 – $18,041.01
Sepsis, with major complications MS-DRG 871	not posted	$9,065.65 – $25,089.25
Sepsis, without major complications MS-DRG 872	not posted	$4,775.74 – $13,216.90
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$4,064.49 – $11,248.51
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$3,638.39 – $10,069.28
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$4,715.07 – $13,048.99
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$5,790.35 – $16,024.83
Vaginal delivery, without complications MS-DRG 807	not posted	$3,146.49 – $8,707.94
Weight loss surgery, without complications MS-DRG 621	not posted	$7,039.70 – $19,482.43

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$318.37	$489.80
Lower back nerve root injection with imaging guidance CPT 64483	$1,784.85	$2,745.92
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$648.41	$997.55
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$61.69 – $94.76

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$384.41 – $682.80
Eye exam, new patient, comprehensive CPT 92004	not posted	$65.91 – $144.30
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$227.87 – $364.67

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$21.80 – $37.09

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$47.61 – $182.84
Sleep study with CPAP titration CPT 95811	not posted	$475.80 – $750.57
Sleep study, overnight in a sleep lab CPT 95810	not posted	$451.65 – $695.59

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$367.00	$564.61

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	$86.00	$132.31
Physical therapy evaluation, low complexity CPT 97161	$181.16	$278.70
Physical therapy evaluation, moderate complexity CPT 97162	$272.25	$418.85
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$93.49	$143.83
Therapeutic activities, 15 minutes CPT 97530	$120.82	$185.87

Mental health

Service	Cash price	Gross charge
Family psychotherapy, with the patient, 50 minutes CPT 90847	$321.46	$494.55
Family psychotherapy, without the patient, 50 minutes CPT 90846	$294.41	$452.94
Group psychotherapy CPT 90853	$225.39	$346.75
Psychiatric diagnostic evaluation CPT 90791	$390.67	$601.03
Psychotherapy, 30 minutes CPT 90832	$240.84	$370.52
Psychotherapy, 45 minutes CPT 90834	$312.53	$480.82
Psychotherapy, 60 minutes CPT 90837	$300.20	$461.85

Infusions and injections

Service	Cash price	Gross charge
Injection under the skin or into a muscle CPT 96372	$98.09	$150.91
IV hydration, each additional hour CPT 96361	$133.11	$204.79
IV hydration, first hour CPT 96360	$348.36	$535.94
IV push injection of a drug, first CPT 96374	$348.36	$535.94
IV push injection, each additional drug CPT 96375	$133.11	$204.79

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	not posted	$1.39
Fentanyl injection, per 0.1 mg HCPCS J3010	$1.25	$1.93
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted		$2.26 – $7.98
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$2.27	$3.49
Midazolam (Versed) injection, per 1 mg HCPCS J2250	not posted	$1.03
Morphine injection, up to 10 mg HCPCS J2270	$11.15	$17.16
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	not posted		? – $3.39
Propofol injection, per 10 mg HCPCS J2704	$4.48	$6.89
Saline IV solution, 1000 ml HCPCS J7030	$4.57	$7.03

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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