Clifton-fine Hospital — procedure prices

Published prices for 395 procedures at Clifton-fine Hospital (Star Lake, NY), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $269 $269 $55 $51
Abdominal fluid drain (paracentesis) $1,919 $1,919 $1,132 $284
Abdominal ultrasound $797 $797 $144 $100
Abscess incision and drainage $607 $607 $286 $174
Achilles tendon repair $9,058 $624
ACL knee reconstruction $9,058 $889
Acupuncture $29 $38
Adenoid removal (adenoidectomy) $486 $486 $4,139 $204
Albumin blood test $114 $114 $7 $5
Aldosterone test $773 $773 $54 $41
Alkaline phosphatase test $52 $52 $8 $5
Allergy patch testing $58 $58 $49 $5
Allergy shots $53 $53 $44 $11
Allergy testing $1,072 $4
Alpha-fetoprotein (AFP) test $381 $381 $25 $17
ALT liver enzyme test $114 $114 $7 $5
Ammonia blood test $111 $111 $19 $15
Amniocentesis $1,150 $120
Amylase test $567 $567 $10 $6
Anal fistula repair $3,465 $541
Ankle fracture repair $9,058 $608
Ankle replacement $33,871 $885
Annual physical (established patient) $179 $179 $143
Annual physical (new patient) $234 $234 $166
Anoscopy $280 $280 $174 $129
Antinuclear antibody (ANA) test $246 $246 $16 $12
Aortic aneurysm repair (AAA) $1,481 $1,345
Aortic valve replacement $1,955 $1,603
Arterial blood gas (ABG) $224 $224 $35 $26
AST liver enzyme test $114 $114 $7 $5
Barium swallow study $452 $452 $191 $107
Bartholin cyst removal $584 $584 $257 $182
Basic metabolic panel $124 $124 $11 $8
Benign skin lesion removal $865 $865 $657 $171
Bilirubin blood test $65 $65 $7 $5
Bladder function test (urodynamics) $1,307 $1,307 $870 $345
Bladder scope (cystoscopy) $1,091 $1,091 $870 $216
Bladder tumor removal (TURBT) $1,526 $1,526 $1,220 $236
Blood clotting test (PT/INR) $78 $78 $7 $4
Blood crossmatch $469 $469 $259
Blood glucose test $65 $65 $8 $5
Blood transfusion $1,010 $1,010 $660 $47
Blood type and screen $222 $222 $87 $10
Blood type test $103 $103 $70 $3
BNP (heart failure) test $262 $262 $52 $39
Bone density scan (DEXA) $1,095 $1,095 $90 $39
Bone marrow biopsy $3,733 $3,733 $2,639 $172
Bone scan (nuclear) $2,120 $2,120 $426 $259
Botox for migraine $1,025 $1,025 $391 $157
Brain shunt (VP shunt) $972 $1,023
Breast biopsy $3,337 $3,337 $2,062 $478
Breast MRI $1,213 $1,213 $308 $216
Breast reconstruction $3,096 $3,096 $1,386 $1,227
Breast reduction $2,491 $2,491 $1,993 $980
Breast ultrasound $486 $486 $134 $92
Breathing tube insertion (intubation) $931 $931 $296 $133
Bronchoscopy $3,548 $3,548 $2,320 $303
Bunion surgery (bunionectomy) $4,493 $883
Burn treatment $689 $689 $258 $129
C-reactive protein (CRP) $102 $102 $7 $5
CA 19-9 tumor marker test $426 $426 $28 $21
CA-125 ovarian marker test $461 $461 $28 $21
Calcium blood test $114 $114 $8 $5
Capsule endoscopy $305 $305 $765 $802
Cardiac ablation $32,627 $759
Cardiac catheterization $1,044 $1,049
Cardiac event monitor $165 $170
Cardiac MRI $298 $322
Cardiac rehabilitation $161 $26
Cardiac stress test $648 $648 $270 $39
Cardioversion $2,349 $2,349 $833 $155
Carotid artery surgery $984 $1,026
Carotid artery ultrasound $796 $796 $305 $156
Carpal tunnel release $2,438 $483
Cataract surgery $2,881 $547
CEA tumor marker test $405 $405 $25 $19
Central line placement $4,701 $4,701 $3,714 $238
Cervical cerclage $386 $386 $4,041 $137
Cervical LEEP procedure $6,226 $6,226 $4,041 $325
Cesarean section (C-section) $12,115 $7,552
Chalazion (eyelid cyst) removal $396 $131
Chemotherapy infusion $599 $599 $181 $81
Chest fluid drain (thoracentesis) $1,704 $1,704 $783 $311
Chest tube insertion $2,242 $2,242 $1,883 $143
Chest X-ray $346 $346 $137 $37
Chickenpox (varicella) vaccine $374 $374 $243
Chiropractic adjustment $28 $38
Circumcision $2,513 $2,513 $1,416 $167
CK-MB heart enzyme test $168 $168 $15 $12
Clotting time test (PTT) $98 $98 $8 $6
Colon resection (colectomy) $1,215 $1,238
Colonoscopy $1,072 $1,072 $1,161 $480
Colostomy $1,082 $1,122
Colposcopy $721 $721 $380 $161
Complete blood count (CBC) $119 $119 $9 $7
Complex wound repair $1,936 $1,936 $923 $390
Comprehensive eye exam $262 $262 $166 $138
Comprehensive metabolic panel $293 $293 $14 $11
Contact lens fitting $98
Continuous glucose monitor setup $117 $117 $34 $35
Contraceptive implant (Nexplanon) $593 $593 $300 $115
Copper blood test $209 $209 $17 $12
Corneal transplant $5,160 $1,066
Coronary artery bypass (CABG) $58,928 $36,593
Coronary CT angiography $312 $326
Cortisol test $281 $281 $22 $16
COVID-19 PCR test $52 $51
CPAP titration study $272 $272 $231 $69
Craniotomy (brain surgery) $2,039 $2,161
Creatine kinase (CK) test $114 $114 $9 $7
CT angiography of the chest $4,899 $4,899 $228 $281
CT angiography of the head $4,502 $4,502 $228 $274
CT colonography (virtual colonoscopy) $298 $835
CT scan of the abdomen $3,548 $3,548 $219 $230
CT scan of the abdomen and pelvis $3,548 $3,548 $316 $300
CT scan of the arm $3,248 $3,248 $210 $199
CT scan of the chest $3,525 $3,525 $177 $167
CT scan of the head $3,320 $3,320 $157 $148
CT scan of the leg $2,161 $2,161 $159 $166
CT scan of the lower back (lumbar spine) $2,689 $2,689 $178 $169
CT scan of the neck $3,870 $3,870 $195 $183
CT scan of the neck (cervical spine) $3,502 $3,502 $178 $168
CT scan of the pelvis $1,317 $1,317 $216 $226
CT scan of the sinuses $1,694 $1,694 $164 $152
D-dimer test $246 $246 $14 $10
Defibrillator (ICD) implant $39,182 $798
Developmental screening (child) $16 $16 $12
DHEA-sulfate test $480 $480 $30 $22
Diagnostic mammogram $676 $676 $136 $140
Dialysis fistula creation $3,941 $601
Dilation and curettage (D&C) $6,117 $6,117 $4,041 $298
Droopy eyelid repair (ptosis) $2,968 $745
Drug screen (urine) $541 $541 $62 $17
Ear pressure test (tympanometry) $64 $64 $21 $16
Ear tubes (myringotomy) $1,021 $1,021 $690 $174
Eardrum repair (tympanoplasty) $1,955 $1,955 $7,390 $799
Echocardiogram $1,488 $1,488 $298 $138
Elbow replacement $21,887 $1,301
Electrocardiogram (EKG) $255 $255 $74 $8
Electroencephalogram (EEG) $961 $961 $379 $448
Electrolyte panel $54 $54 $9 $7
Electromyography (EMG) $137 $141
Emergency department visit $895 $895 $148 $69
Endometrial biopsy $425 $425 $255 $98
Epidural steroid injection $1,591 $1,591 $881 $275
ERCP (bile duct endoscopy) $850 $850 $4,813 $311
Esophageal dilation $455 $455 $1,144 $522
Esophageal variceal banding $2,395 $126
Estradiol (estrogen) test $464 $464 $37 $28
Eye refraction (glasses prescription) $19
Eyelid surgery (blepharoplasty) $2,576 $552
Facet joint injection (spine) $589 $589 $97 $99
Fallopian tube X-ray (HSG) $812 $812 $298 $164
Family therapy session $329 $329 $226 $110
Fecal occult blood (stool) test $60 $60 $16 $10
Feeding tube (PEG) placement $476 $476 $2,395 $178
Femoral hernia repair $4,469 $584
Ferritin (iron) test $259 $259 $18 $14
Fibrinogen test $115 $115 $13 $10
Fibroid removal (myomectomy) $2,548 $2,548 $968 $914
Flexible sigmoidoscopy $710 $710 $1,161 $323
Flu test $139 $139 $25 $17
Flu vaccine $26
Folate (folic acid) test $302 $302 $20 $15
Foreign body removal (skin) $607 $607 $507 $157
Free T4 thyroid test $288 $288 $14 $9
FSH hormone test $309 $309 $25 $19
Gallbladder removal (laparoscopic) $1,160 $1,160 $7,547 $658
Gallbladder scan (HIDA) $1,910 $1,910 $499 $334
Ganglion cyst removal $2,007 $321
GGT liver test $212 $212 $10 $7
Glaucoma surgery $2,881 $984
Glucose tolerance test $149 $149 $14 $8
Group therapy session $227 $227 $131 $30
H. pylori test $379 $379 $90 $67
Hammertoe repair $4,084 $548
HDL cholesterol test $8 $8
Hearing test (audiometry) $161 $36
Hematocrit test $37 $37 $3 $2
Hemodialysis $1,770 $1,770 $874 $75
Hemoglobin A1c (diabetes test) $194 $194 $13 $10
Hemorrhoid removal $1,190 $338
Hepatitis A vaccine $170 $170 $116
Hepatitis B test $171 $171 $14 $10
Hepatitis B vaccine $143 $143 $87
Hepatitis C test $256 $256 $19 $14
Hip arthroscopy $9,058 $931
Hip fracture repair $9,058 $1,120
Hip replacement $16,026 $1,162
HIV test $130 $130 $24 $19
Holter heart monitor $307 $307 $74 $26
Home sleep apnea test $97 $123
HPV vaccine $637 $637 $423
Hydrocele repair $2,721 $2,721 $673 $315
Hysterectomy $3,609 $3,609 $1,319 $933
Hysteroscopy $6,226 $6,226 $4,041 $1,270
Ileostomy $4,688 $4,688 $934 $968
Inguinal hernia repair $3,634 $3,634 $4,469 $538
Iron blood test $201 $201 $9 $6
IUD insertion $439 $439 $153
IUD removal $439 $439 $380 $112
IV infusion therapy $351 $351 $266 $44
IVC filter placement $5,562 $5,562 $6,946 $1,885
Joint aspiration (small/intermediate) $623 $623 $391 $57
Kidney biopsy $1,318 $1,318 $2,062 $492
Kidney removal (nephrectomy) $7,413 $7,413 $1,142 $1,164
Kidney scan (nuclear) $1,721 $1,721 $451 $172
Kidney stone shock-wave (lithotripsy) $6,940 $6,940 $1,478 $760
Kidney ultrasound $958 $958 $137 $84
Knee arthroscopy $4,084 $524
Knee joint injection $1,025 $1,025 $383 $69
Knee replacement $27,716 $18,054
Lactate test $113 $113 $15 $12
Laminectomy (spine) $9,058 $1,157
Laryngoscopy $621 $621 $261 $189
LDH test $114 $114 $8 $6
LDL cholesterol test $155 $155 $14 $11
Leg artery angiogram $5,079 $5,079 $3,941 $149
Leg artery angioplasty $5,950
Leg vein ultrasound (Doppler) $696 $696 $305 $150
LH hormone test $309 $309 $25 $19
Lipase test $139 $139 $9 $7
Lipid (cholesterol) panel $259 $259 $18 $13
Liver biopsy $3,510 $3,510 $2,062 $288
Liver function panel $135 $135 $11 $8
Lower back (lumbar) spinal fusion $58,186 $1,511
Lumbar discectomy $9,058 $898
Lumpectomy (breast) $1,793 $1,793 $4,888 $750
Lung function test (PFT) $315 $315 $278 $37
Lung scan (V/Q) $1,750 $1,750 $537 $291
Magnesium blood test $146 $146 $10 $7
Mastectomy $2,445 $2,445 $8,289 $1,021
Mastoidectomy $7,390 $840
Meniscus repair (knee) $4,084 $714
MMR vaccine $134 $134 $125
Mohs skin cancer surgery $1,395 $1,395 $613 $535
MRA of the brain $5,131 $5,131 $313 $226
MRA of the neck $5,131 $5,131 $320 $245
MRI of the abdomen $4,751 $4,751 $319 $300
MRI of the ankle $3,808 $3,808 $317 $261
MRI of the brain $6,108 $6,108 $304 $269
MRI of the chest $7,145 $7,145 $404 $371
MRI of the knee $4,970 $4,970 $344 $315
MRI of the lower back (lumbar spine) $2,689 $2,689 $305 $270
MRI of the mid-back (thoracic spine) $2,689 $2,689 $305 $271
MRI of the neck (cervical spine) $5,867 $5,867 $304 $274
MRI of the pelvis $5,749 $5,749 $316 $268
MRI of the shoulder $4,751 $4,751 $345 $313
MRI of the wrist $3,817 $3,817 $358 $330
Nebulizer breathing treatment $249 $249 $279 $9
Neck (cervical) spinal fusion $16,026 $1,410
Nerve conduction study $114 $118
Newborn hospital care $283 $283 $79 $58
Nuchal translucency ultrasound $418 $418 $150 $116
Nuclear cardiac stress test $2,928 $2,928 $723 $428
Occupational therapy evaluation $224 $224 $108 $101
Office visit (established patient) $193 $193 $131 $115
Office visit (new patient) $282 $282 $166 $177
Orthopedic hardware removal $3,626 $632
Ovarian cyst removal $4,803 $4,803 $6,244 $698
Ovary removal (oophorectomy) $1,350 $1,350 $1,069 $822
Pacemaker insertion $26,332 $15,506
Pap smear (cervical screening) $219 $219 $27 $20
Parathyroid hormone (PTH) test $125 $125 $55 $41
Parathyroid removal $2,433 $2,433 $7,390 $891
Pelvic ultrasound $742 $742 $150 $78
PET scan $7,627 $7,627 $2,397
Phosphorus blood test $114 $114 $6 $5
Physical therapy evaluation $230 $230 $105 $98
Pilonidal cyst removal $6,192 $6,192 $3,626 $541
Platelet count $49 $49 $6 $4
Pneumonia vaccine $179 $179 $137
Pregnancy blood test (hCG) $160 $160 $10 $8
Pregnancy ultrasound $496 $496 $150 $126
Procalcitonin test $309 $309 $36 $27
Prolactin test $380 $380 $26 $19
Prostate biopsy $397 $397 $317
Prostate removal (prostatectomy) $9,695 $9,695 $1,145 $1,063
Prostate surgery (TURP) $1,778 $1,778 $1,422 $526
Prostate test (PSA) $383 $383 $21 $18
Psychiatric evaluation $329 $329 $228 $188
Psychotherapy session $329 $329 $228 $140
Pterygium removal (eye) $2,968 $540
Pulmonary rehabilitation $74 $87
Radiofrequency nerve ablation $6,377 $6,377 $2,438 $462
Retina scan (OCT) $31 $33
Retinal (fundus) photography $292 $292 $106 $37
Retinal detachment repair $5,160 $966
Rheumatoid factor test $124 $124 $8 $6
Rotator cuff repair $9,058 $792
Routine eye exam $166 $88
RSV vaccine $594 $594 $395
Sacroiliac joint injection $1,499 $1,499 $772 $176
Scoliosis spine X-ray $826 $826 $144 $58
Screening colonoscopy $1,161 $378
Screening mammogram $418 $418 $127 $126
Scrotal ultrasound $901 $901 $144 $99
Sedimentation rate (ESR) test $78 $78 $4 $3
Semen analysis $250 $250 $16 $12
Septoplasty (deviated septum) $1,484 $1,484 $4,139 $613
Sex hormone binding globulin test $343 $343 $29 $22
Shingles vaccine $419 $419 $278
Shoulder arthroscopy $9,058 $962
Shoulder replacement $21,887 $1,300
Simple wound stitches $344 $344 $250 $127
Sinus surgery (endoscopic) $576 $576 $4,770 $224
Skin biopsy $413 $413 $507 $121
Skin cancer lesion removal $865 $865 $687 $240
Skin graft $7,056 $7,056 $2,962 $898
Skin lesion freezing (cryotherapy) $135 $135 $91 $36
Skin tag removal $431 $431 $250 $92
Sleep study (polysomnography) $5,710 $5,710 $1,072 $691
Small bowel resection $1,093 $1,136
Soft tissue ultrasound $1,218 $1,218 $150 $64
Speech therapy $312 $312 $82 $76
Spinal cord stimulator $3,462 $3,462 $7,955 $2,388
Spinal tap (lumbar puncture) $1,766 $1,766 $881 $165
Spine fracture repair (kyphoplasty) $8,401 $8,401 $9,058 $5,803
Spleen removal (splenectomy) $7,453 $7,453 $1,114 $1,036
Stomach removal (gastrectomy) $1,725 $1,595
Strabismus (eye muscle) surgery $3,042 $475
Strep throat test $78 $78 $25 $17
Stress echocardiogram $1,138 $1,138 $224 $209
Swallow study $731 $731 $85 $85
T3 thyroid test $389 $389 $19 $14
Tdap (tetanus) vaccine $98 $98 $64
Testicle removal (orchiectomy) $640 $640 $512 $306
Testosterone test $494 $494 $34 $26
Thyroid removal (thyroidectomy) $1,986 $1,986 $7,464 $1,004
Thyroid test (TSH) $398 $398 $22 $17
Thyroid ultrasound $1,008 $1,008 $150 $109
Thyroid uptake scan $965 $965 $345 $145
Tilt table test $162 $168
Tonsillectomy $653 $653 $4,146 $252
Total IgE allergy test $322 $322 $22 $16
Total protein test $114 $114 $5 $4
Tracheostomy $657 $657 $4,139 $273
Transesophageal echocardiogram (TEE) $1,810 $1,810 $313 $239
Transvaginal ultrasound $1,161 $1,161 $150 $118
Trigger finger release $2,007 $630
Trigger point injection $639 $639 $383 $56
Triglycerides test $230 $230 $8 $6
Troponin (heart) test $514 $514 $17 $12
Tubal ligation $7,547 $333
Turbinate reduction $649 $649 $4,139 $294
Turning a breech baby (version) $6,879 $6,879 $4,041 $94
Ulnar nerve surgery (elbow) $2,438 $575
Umbilical hernia repair $3,822 $3,822 $3,058
Upper GI endoscopy (EGD) $826 $826 $1,132 $371
Upper GI series (barium) $733 $733 $221 $128
Ureteral stent placement $1,623 $1,623 $810 $373
Ureteroscopy (stone removal) $998 $998 $798 $365
Uric acid (gout) test $65 $65 $6 $5
Urinalysis $64 $64 $3 $3
Urine microalbumin test $169 $169 $7 $5
Urine pregnancy test $68 $68 $13 $9
UV light therapy (skin) $85 $106
Vaccine administration $81 $81 $90 $19
Vaginal delivery $9,360 $5,487
Varicocele repair $735 $735 $588 $327
Varicose vein ablation $1,539 $1,539 $3,941 $1,018
Vasectomy $2,270 $2,270 $1,816 $347
Visual field test $61 $64
Vitamin B12 test $298 $298 $20 $15
Vitamin D test $68 $68 $37 $30
Vitrectomy (eye) $5,160 $814
Vocal cord injection $4,654 $211
Wart removal $413 $413 $255 $121
Weight-loss (bariatric) surgery $19,791 $11,645
Well-child visit $160 $160 $132
Whipple procedure (pancreas) $2,761 $2,871
Wound debridement $1,138 $1,138 $528 $186
Wrist fracture repair $9,058 $735
X-ray of the abdomen $328 $328 $150 $36
X-ray of the ankle $328 $328 $125 $37
X-ray of the collarbone $230 $230 $125 $33
X-ray of the elbow $316 $316 $125 $33
X-ray of the facial bones $438 $438 $137 $39
X-ray of the foot $328 $328 $125 $34
X-ray of the forearm $272 $272 $125 $29
X-ray of the hand $297 $297 $125 $38
X-ray of the hip $350 $350 $137 $49
X-ray of the knee $318 $318 $134 $42
X-ray of the lower back (lumbar spine) $530 $530 $150 $47
X-ray of the lower leg $338 $338 $125 $31
X-ray of the mid-back (thoracic spine) $356 $356 $137 $36
X-ray of the neck (cervical spine) $364 $364 $150 $47
X-ray of the pelvis $349 $349 $150 $36
X-ray of the ribs $383 $383 $150 $42
X-ray of the shoulder $310 $310 $125 $36
X-ray of the skull $444 $444 $150 $40
X-ray of the upper arm $276 $276 $125 $32
X-ray of the wrist $297 $297 $125 $43
YAG laser capsulotomy (eye) $687 $335
Zinc blood test $211 $211 $15 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.