Supplies, drugs & other prices at Clifton-Fine Hospital
Star Lake, NY · every code in this section with a posted price and a Medicare benchmark.
22 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $73.21 | $73.21 | 1.6× |
| Admin influenza virus vac (G0008) | $109.46 | $109.46 | 1.9× |
| Admin pneumococcal vaccine (G0009) | $169.57 | $169.57 | 2.9× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$97.29–$204.65 | $97.29–$204.65 | varies |
| Cbc without platelet (G0307) | $38.82 | $38.82 | 6.0× |
| Cbc/diffwbc w/o platelet (G0306) | $91.64 | $91.64 | 11.8× |
| Comm hlth intg svs sdoh 60mn (G0019) | $70.98 | $70.98 | 0.6× |
| Depression screen annual (G0444) | $71.87 | $71.87 | 1.5× |
| Direct refer hospital observ (G0379) | $1.07 | $1.07 | 0.0× |
| Drug test def 1-7 classes (G0480) range across 34 matching MRF lines |
$143.54–$438.55 | $143.54–$438.55 | varies |
| Drug test def 22+ classes (G0483) | $661.25 | $661.25 | 2.7× |
| Elec stim other than wound (G0283) | $90.51 | $90.51 | 7.1× |
| Hiv combination assay (G0475) | $242.02 | $242.02 | 10.1× |
| Home sleep test/type 3 porta (G0399) | $674.68 | $674.68 | 2.5× |
| Hospital outpt clinic visit (G0463) | $62.91 | $62.91 | 0.4× |
| Limit oral eval problm focus (D0140) | $134.92 | $134.92 | 0.8× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$48.94–$116.52 | $48.94–$116.52 | varies |
| Ppps, initial visit (G0438) | $495.02 | $495.02 | 2.8× |
| Ppps, subseq visit (G0439) | $407.81 | $407.81 | 3.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $54.57 | $54.57 | 2.1× |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$73.07–$144.80 | $73.07–$144.80 | varies |
| Visit to determ ldct elig (G0296) | $62.05 | $62.05 | 0.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.