Visits & medical services prices at Clifton Springs Hospital and Clinic
Clifton Springs, NY · every code in this section with a posted price and a Medicare benchmark.
209 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) range across 2 matching MRF lines |
$162.92–$203.93 | $250.64–$313.74 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $106.35 | $163.62 | 2.1× |
| Advncd Care Plan 30 Min (99497) | $223.89 | $344.44 | 1.8× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $366.43 | $563.74 | 1.4× |
| Aep neurodiagnostic i&r (92653) | $689.09 | $1,060.14 | 2.6× |
| Aep threshold estimation mlt frequencies i&r (92652) | $689.09 | $1,060.14 | 2.6× |
| Airway Inhalation Treatment (94640) | $258.91 | $398.32 | 0.9× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $335.52 | $516.18 | 2.0× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $335.52 | $516.18 | 2.0× |
| Analyze Pacemaker System (93724) | $277.41 | $426.78 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $45.07 | $69.34 | 3.1× |
| Application on-body injector (96377) | $133.11 | $204.79 | 2.3× |
| Arrhythmia Induction (93618) | $2,506.71 | $3,856.48 | 1.6× |
| Assessment of aphasia per hr (96105) | $263.89 | $405.99 | 2.7× |
| Behavral qualit analys voice (92524) | $345.81 | $532.02 | 3.2× |
| Breath hydrogen/methane test (91065) | $381.27 | $586.57 | 1.4× |
| Brief Emotional/Behav Assmt (96127) | $87.68 | $134.90 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $662.54 | $1,019.29 | 1.4× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$93.74–$137.74 | $144.22–$211.90 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $577.26 | $888.10 | 2.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$662.54–$829.29 | $1,019.29–$1,275.83 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,293.66–$1,353.13 | $1,990.24–$2,081.74 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$83.12–$104.03 | $127.88–$160.05 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $83.12 | $127.88 | 1.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $18.64 | $28.67 | 0.7× |
| Cbt 1st hour (94644) | $255.27 | $392.72 | 1.5× |
| Chemo Admin Peritoneal Cavity (96446) | $443.44 | $682.21 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $61.08 | $93.97 | 0.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $61.08 | $93.97 | 0.7× |
| Chemo Ia Push (96420) | $10.11 | $15.55 | 0.0× |
| Chemo intralesional up to 7 (96405) | $39.92 | $61.42 | 0.4× |
| Chemo IV infusion addl hr (96415) | $61.08 | $93.97 | 0.7× |
| Chemo IV push addl drug (96411) | $61.08 | $93.97 | 0.7× |
| Chemotherapy Into Cns (96450) | $728.29 | $1,120.44 | 1.8× |
| Chemotherapy Unspecified (96549) | $99.79 | $153.52 | 1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $61.08 | $93.97 | 0.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$652.39–$728.29 | $1,003.67–$1,120.44 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $71.31 | $109.71 | 0.2× |
| Chest Wall Manipulation (94668) | $255.27 | $392.72 | 1.5× |
| Color/duplex Doppler, complete (93975) | $666.26 | $1,025.02 | 2.2× |
| Color/duplex Doppler, limited (93976) | $323.71 | $498.02 | 2.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $99.94 | $153.75 | 3.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $297.56 | $457.78 | 1.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $139.95 | $215.31 | 1.9× |
| Continuous Pulse Ox (94762) | $367 | $564.61 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $401.62 | $617.88 | 1.5× |
| Cpt initial (94667) | $255.27 | $392.72 | 1.5× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $637.83 | $981.28 | 2.4× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,746.64–$1,830.98 | $2,687.14–$2,816.89 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $444.52 | $683.87 | 1.8× |
| Developmental tst admin phys/qhp 1st hour (96112) | $324.94 | $499.91 | 2.0× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $643.99 | $990.75 | 1.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $666.26 | $1,025.01 | 2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $323.71 | $498.02 | 2.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $666.26 | $1,025.02 | 2.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $323.71 | $498.02 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $323.71 | $498.02 | 2.5× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $328.15 | $504.84 | 2.0× |
| Echo Heart Xthoracic,Limited (93308) | $539.02 | $829.26 | 1.8× |
| Echo transesophageal (93312) | $1,319.72 | $2,030.34 | 1.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,151.46 | $1,771.47 | 1.7× |
| Eeg 41-60 Minutes (95812) | $637.83 | $981.28 | 2.4× |
| EEG awake drowsy (95816) | $643.99 | $990.75 | 2.4× |
| EEG extended monitoring 61-119 minutes (95813) | $689.36 | $1,060.55 | 2.6× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $233.80 | $359.70 | 2.0× |
| Electrical Stimulation Ea 15 Min (97032) | $46.34 | $71.29 | 3.2× |
| Electrocardiogram Tracing (93005) | $146.22 | $224.95 | 2.0× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$353.61–$1,568.87 | $544.02–$2,413.65 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$563–$1,568.87 | $866.15–$2,413.65 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$267.87–$893.34 | $412.11–$1,374.37 | varies |
| Er level 1 (99281) | $214.43 | $329.89 | 2.0× |
| Er level v (99285) range across 2 matching MRF lines |
$1,236.02–$1,568.87 | $1,901.57–$2,413.65 | varies |
| Evaluate pt use of inhaler (94664) | $401.62 | $617.88 | 1.5× |
| Evaluate Speech Production (92522) | $352.99 | $543.06 | 3.2× |
| Evaluate Swallowing Function (92610) | $266.71 | $410.32 | 3.1× |
| Evaluation of speech fluency (92521) | $422.25 | $649.62 | 3.2× |
| Exercise test for bronchospasm (94617) | $255.27 | $392.72 | 1.5× |
| External ECG rec>48hr<7d recording (93242) | $89.86 | $138.25 | 1.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $243.18 | $374.13 | 1.5× |
| External ECG rec>7d<15d recording (93246) | $143.86 | $221.32 | 3.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $266.86 | $410.55 | 1.6× |
| Extracranial Bilat Study (93880) | $666.26 | $1,025.02 | 2.2× |
| Extracranial Uni/Ltd Study (93882) | $323.71 | $498.02 | 2.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $613.05 | $943.16 | 3.1× |
| Fundus photography (92250) | $261.42 | $402.19 | 1.6× |
| Gi tract capsule endoscopy (91110) | $1,569.26 | $2,414.24 | 1.4× |
| Group Therapeutic Procedures (97150) | $56.01 | $86.17 | 3.1× |
| Health Behavior Assessment/Re-Assessment (96156) | $219.19 | $337.21 | 1.7× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $76.08 | $117.04 | 1.6× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $76.08 | $117.04 | 1.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $219.19 | $337.21 | 1.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,417.36 | $2,180.56 | 1.7× |
| Icd Device Interrogate (93289) | $129.11 | $198.63 | 2.8× |
| Immunization administration (90471) | $67.74 | $104.21 | 0.8× |
| Ingestion challenge test initial 120 minutes (95076) | $1,062.35 | $1,634.39 | 2.3× |
| Insert/Place Heart Catheter (93503) | $2,785.63 | $4,285.59 | 1.4× |
| Interrogation vad in person (93750) | $328.13 | $504.82 | 2.8× |
| Intra-atrial recording (93602) | $10,088.55 | $15,520.85 | 1.0× |
| Iontophoresis 15 min (97033) | $63.26 | $97.32 | 3.3× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$139.95–$146.22 | $215.31–$224.95 | varies |
| IV infusion hydration each additional hour (96361) | $133.11 | $204.79 | 2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $348.36 | $535.94 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $80.28 | $123.50 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $133.11 | $204.79 | 2.3× |
| IV push initial (96374) | $348.36 | $535.94 | 1.3× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $6,095.95 | $9,378.39 | 1.5× |
| Lung Function Test (Mbc/Mvv) (94200) | $255.27 | $392.72 | 3.5× |
| Mechanical chest wall oscillation per session (94669) | $401.62 | $617.88 | 1.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $66.87 | $102.87 | 2.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $78.65 | $121 | 2.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $37.62 | $57.87 | 2.2× |
| Methacholine challenge (94070) | $662.54 | $1,019.29 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) | $288.16 | $443.32 | 3.1× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $724.57 | $1,114.73 | 1.3× |
| Multiple Family Group Psychotherapy (90849) | $294.41 | $452.94 | 1.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$842.52–$1,107.30 | $1,296.18–$1,703.54 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$842.52–$1,107.30 | $1,296.18–$1,703.54 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $444.52 | $683.87 | 1.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $842.52 | $1,296.18 | 1.7× |
| Nerve conduction studies 7-8 studies (95910) | $637.83 | $981.28 | 1.4× |
| Neuromuscular Reeducation (97112) | $108.48 | $166.90 | 3.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$142.51–$152.13 | $219.25–$234.05 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) range across 2 matching MRF lines |
$175.18–$187 | $269.50–$287.69 | varies |
| Nonphysician Telephone Assessment 5-10 Min (98966) range across 2 matching MRF lines |
$122.86–$131.16 | $189.02–$201.78 | varies |
| Oral Function Therapy (92526) | $266.90 | $410.62 | 3.2× |
| Oral Speech Device Eval (92597) | $224.37 | $345.18 | 3.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $153.80 | $236.62 | 3.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $73.40 | $112.92 | 2.7× |
| Ot eval high complexity (97167) | $338.45 | $520.69 | 3.4× |
| Ot Eval Low Complex (97165) | $181.16 | $278.70 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $255.04 | $392.37 | 2.5× |
| Ot manual therapy 15 min (97140) | $86 | $132.31 | 3.1× |
| Ot paraffin bath (97018) | $18 | $27.69 | 3.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $130.62 | $200.95 | 3.2× |
| Ot Re-Eval Est Plan Care (97168) | $169.70 | $261.08 | 2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $365.87 | $562.87 | 2.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $365.87 | $562.87 | 2.3× |
| Peripheral arterial disease rehab per session (93668) | $167.65 | $257.93 | 2.3× |
| Phlebotomy therapeutic (99195) | $255.27 | $392.73 | 1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $139.96 | $215.32 | 1.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $139.96 | $215.32 | 1.9× |
| Physical Performance Test (97750) | $106.11 | $163.25 | 3.1× |
| Plethysmography (94726) | $662.54 | $1,019.29 | 1.4× |
| Pm device eval in person (93288) | $82.44 | $126.83 | 1.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $101.01 | $155.40 | 1.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $101.01 | $155.40 | 1.7× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $20,565.38 | $31,639.05 | 0.9× |
| Psych diag eval w/med srvcs (90792) | $294.41 | $452.94 | 1.3× |
| Psychiatric diagnostic evaluation (90791) range across 9 matching MRF lines |
$280.40–$390.67 | $431.38–$601.03 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $341.19 | $524.91 | 1.3× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $42.77 | $65.80 | 1.2× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $42.77 | $65.80 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $42.77 | $65.80 | 0.3× |
| Psytx Crisis Initial 60 Min (90839) | $294.41 | $452.94 | 1.3× |
| Pt Eval High Complex (97163) | $361.30 | $555.84 | 3.7× |
| Pt eval low complex 20 min (97161) | $181.16 | $278.70 | 1.9× |
| Pt Eval Mod Complex (97162) | $272.25 | $418.85 | 2.8× |
| Pt gait training 15 min (97116) | $93.49 | $143.83 | 3.2× |
| Pt group caregiver training (97552) | $15.56 | $23.94 | 0.7× |
| Pt mechanical traction (97012) | $46.34 | $71.29 | 3.2× |
| Pt Re-Eval Est Plan Care (97164) | $181.16 | $278.70 | 2.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $83.12 | $127.88 | 1.8× |
| Pulm function test by gas (94727) | $367 | $564.61 | 1.4× |
| Pulmonary service/procedure (94799) | $367 | $564.61 | 2.3× |
| Pulmonary Stress Testing (94618) | $255.27 | $392.72 | 1.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $6,095.95 | $9,378.39 | 1.5× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $6,095.95 | $9,378.39 | 1.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $6,095.95 | $9,378.39 | 1.5× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $6,095.95 | $9,378.39 | 1.5× |
| Refill/Maint Portable Pump (96521) | $50 | $76.92 | 0.2× |
| Rem interrog icpms <30 d phys/qhp (93297) | $79.66 | $122.55 | 1.7× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $79.66 | $122.55 | 1.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $146.22 | $224.95 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $444.52 | $683.87 | 1.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $157.50 | $242.31 | 3.3× |
| Sbsq Psyc Collab Care Mgmt (99493) range across 2 matching MRF lines |
$162.92–$203.93 | $250.64–$313.74 | varies |
| Self Care Mngment Training (97535) | $104.03 | $160.04 | 3.2× |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$37.38–$38.11 | $57.50–$58.63 | varies |
| Speech sound lang comprehen (92523) | $726.03 | $1,116.97 | 3.2× |
| Spirometry (94010) | $367 | $564.61 | 1.4× |
| Standardized Cognitive Performance Testing (96125) | $329.97 | $507.64 | 3.2× |
| Subcutaneous Infusion Each Additional Hour (96370) | $95.48 | $146.90 | 1.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $50 | $76.92 | 0.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $72.64 | $111.76 | 3.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $70.43 | $108.36 | 3.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $117.88 | $181.35 | 3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $91.08 | $140.13 | 3.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $328.83 | $505.89 | 3.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$80.28–$98.09 | $123.50–$150.91 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $348.36 | $535.94 | 1.3× |
| Therapeutic Activities (97530) | $120.82 | $185.87 | 3.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,106.90 | $1,702.92 | 2.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $83.12 | $127.88 | 1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $83.12 | $127.88 | 1.8× |
| Trans Care Mgmt 14 Day Disch (99495) | $297.56 | $457.78 | 1.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $297.56 | $457.78 | 1.8× |
| Tte w/doppler, complete (93306) | $1,151.46 | $1,771.47 | 1.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $241.41 | $371.40 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $133.11 | $204.79 | 2.3× |
| Unlisted cardiovascular service/procedure (93799) range across 8 matching MRF lines |
$265.94–$19,890.17 | $409.14–$30,600.26 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $255.27 | $392.73 | 1.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $367 | $564.61 | 1.4× |
| Vent Mgmt Inpat Init Day (94002) | $1,007.26 | $1,549.63 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,007.26 | $1,549.63 | 1.3× |
| Visual reinforcement audiometry (vra) (92579) | $356.57 | $548.57 | 1.3× |
| Vital capacity, total (94150) | $367 | $564.61 | 2.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $101.01 | $155.40 | 3.3× |
| Whirlpool Therapy (97022) | $55.41 | $85.25 | 3.5× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $143.86 | $221.32 | 2.0× |
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.