Visits & medical services prices at Clifton-Fine Hospital
Star Lake, NY · every code in this section with a posted price and a Medicare benchmark.
81 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $42.85 | $42.85 | 0.8× |
| Advncd Care Plan 30 Min (99497) | $181.03 | $181.03 | 1.4× |
| Airway Inhalation Treatment (94640) | $48.42 | $48.42 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $85.44 | $85.44 | 5.9× |
| Assmt & care planning pt w/cognitive impairment (99483) | $227.36 | $227.36 | 1.8× |
| Brief Emotional/Behav Assmt (96127) | $92.59 | $92.59 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $416.70 | $416.70 | 0.9× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$472.38–$785.51 | $472.38–$785.51 | varies |
| Cardioversion (92960) | $524.46 | $524.46 | 0.6× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$134.71–$193.94 | $134.71–$193.94 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$348.89–$365.96 | $348.89–$365.96 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$720.76–$2,037.26 | $720.76–$2,037.26 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $491.15 | $491.15 | 2.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $631.98 | $631.98 | 2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $418.63 | $418.63 | 3.2× |
| Electrical Stimulation Ea 15 Min (97032) | $91.71 | $91.71 | 6.2× |
| Electrocardiogram Tracing (93005) | $152.25 | $152.25 | 2.1× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$144.96–$213.59 | $144.96–$213.59 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$229.08–$674.98 | $229.08–$674.98 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$333.84–$1,038.03 | $333.84–$1,038.03 | varies |
| Er level 1 (99281) | $140.23 | $140.23 | 1.3× |
| Er level v (99285) range across 2 matching MRF lines |
$473.40–$1,428.11 | $473.40–$1,428.11 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$51.42–$277.44 | $51.42–$277.44 | varies |
| Extracranial Bilat Study (93880) | $590.58 | $590.58 | 2.0× |
| Group Therapeutic Procedures (97150) | $52.27 | $52.27 | 2.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $169.57 | $169.57 | 1.9× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) range across 2 matching MRF lines |
$102.33–$308.40 | $102.33–$308.40 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$25.10–$169.57 | $25.10–$169.57 | varies |
| Inital newborn e/m (99460) | $231.21 | $231.21 | 1.4× |
| Iontophoresis 15 min (97033) | $82.94 | $82.94 | 4.4× |
| Irrig Drug Delivery Device (96523) range across 5 matching MRF lines |
$63.20–$152.25 | $63.20–$152.25 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$22.93–$109.46 | $22.93–$109.46 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$59.25–$559.52 | $59.25–$559.52 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$55.41–$112.48 | $55.41–$112.48 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$144.56–$559.52 | $144.56–$559.52 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $69.53 | $69.53 | 2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $79.60 | $79.60 | 2.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $35.43 | $35.43 | 2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $491.15 | $491.15 | 2.0× |
| Neuromuscular Reeducation (97112) range across 11 matching MRF lines |
$22.89–$91.05 | $22.89–$91.05 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $106.20 | $106.20 | 2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $93.29 | $93.29 | 2.0× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$148.80–$174.61 | $148.80–$174.61 | varies |
| Ot Eval Low Complex (97165) | $148.80 | $148.80 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $148.80 | $148.80 | 1.5× |
| Ot manual therapy 15 min (97140) | $75.06 | $75.06 | 2.7× |
| Ot paraffin bath (97018) | $17.73 | $17.73 | 3.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $66.02 | $66.02 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) | $131.91 | $131.91 | 1.9× |
| Phlebotomy therapeutic (99195) | $256.66 | $256.66 | 1.5× |
| Physical Performance Test (97750) | $80.88 | $80.88 | 2.4× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $90.98 | $90.98 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $109.46 | $109.46 | 1.9× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $109.46 | $109.46 | 1.9× |
| Psych diag eval w/med srvcs (90792) | $463.75 | $463.75 | 2.1× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$390.29–$407.59 | $390.29–$407.59 | varies |
| Pt Eval High Complex (97163) | $275.38 | $275.38 | 2.8× |
| Pt eval low complex 20 min (97161) | $148.80 | $148.80 | 1.5× |
| Pt Eval Mod Complex (97162) | $275.38 | $275.38 | 2.8× |
| Pt gait training 15 min (97116) | $66.02 | $66.02 | 2.3× |
| Pt mechanical traction (97012) | $50.51 | $50.51 | 3.5× |
| Pt Re-Eval Est Plan Care (97164) | $191.10 | $191.10 | 2.8× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$40.14–$72.35 | $40.14–$72.35 | varies |
| Sensory Integration Ea 15 Min (97533) | $90.06 | $90.06 | 1.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $674.68 | $674.68 | 2.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$94.37–$289.87 | $94.37–$289.87 | varies |
| Standardized Cognitive Performance Testing (96125) | $233.50 | $233.50 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $46.75 | $46.75 | 2.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $59.16 | $59.16 | 2.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $56.97 | $56.97 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $169.57 | $169.57 | 1.9× |
| Ther/Proph/Diag Iv Inf Init (96365) | $559.52 | $559.52 | 2.1× |
| Therapeutic Activities (97530) | $87.13 | $87.13 | 2.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $40.47 | $40.47 | 0.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $40.47 | $40.47 | 0.9× |
| Trans Care Mgmt 14 Day Disch (99495) | $188.27 | $188.27 | 1.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $253.99 | $253.99 | 1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $56.67 | $56.67 | 1.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $308.40 | $308.40 | 1.9× |
| Vent Mgmt Inpat Init Day (94002) | $235.72 | $235.72 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $81.02 | $81.02 | 2.6× |
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.