Newark Wayne Community Hospital
1200 Driving Park Avenue, Newark, NY · Rochesterregional · · NPI 1770671182
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $105.94 | $162.98 | $17.42 – $45.68 | 7 |
| 17-hydroxypregnenolone CPT 84143 | $82.55 | $127.00 | $19.62 – $35.58 | 7 |
| 17-ketosteroids CPT 83586 | $46.32 | $71.26 | $10.91 – $19.97 | 7 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $17.11 – $17.11 | 1 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $5.42 – $13.88 | 3 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $28.51 – $28.51 | 1 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $79.01 – $164.63 | 2 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $761.07 – $1,585.84 | 2 |
| 1st psyc collab care mgmt CPT 99492 | $214.12 | $329.42 | $80.04 – $166.78 | 2 |
| 1st/sbsq psyc collab care CPT 99494 | $87.29 | $134.29 | $35.14 – $73.22 | 2 |
| 2019-ncov diagnostic p HCPCS U0001 | $100.26 | $154.24 | $22.50 – $56.04 | 6 |
| 24 hr ambulatory b/p monitor CPT 93786 | $335.52 | $516.18 | $22.45 – $46.78 | 2 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,086.62 | $3,210.18 | not published | 0 |
| 2nd order venous cath CPT 36012 | $738.11 | $1,135.56 | $146.56 – $305.39 | 2 |
| 3d ech img cgen car anomal CPT 93319 | $587.18 | $903.35 | $20.16 – $42.01 | 2 |
| 3-d radiotherapy plan CPT 77295 | $4,233.80 | $6,513.54 | $246.92 – $514.51 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $443.83 | $682.82 | $15.15 – $31.57 | 3 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $4,225.87 – $4,225.87 | 1 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $3.06 – $10.90 | 3 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.62 – $6.46 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $40.37 | $62.11 | $9.59 – $17.39 | 6 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $160.48 | $246.89 | $17.77 – $33.36 | 2 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $269.62 | $414.80 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $282.54 | $434.68 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $294.61 | $453.24 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $243.57 | $374.72 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $259.43 | $399.12 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $258.55 | $397.77 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $284.42 | $437.57 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $333.37 | $512.88 | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,739.66 – $5,708.63 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $126.91 | $195.25 | $44.05 – $71.88 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $43.44 | $66.83 | $8.60 – $18.74 | 6 |
| Abd aorta w/runoff s&i CPT 75630 | $5,491.15 | $8,447.92 | $61.08 – $127.27 | 3 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,059.48 – $2,207.64 | 2 |
| Abd/low ext cath 1st CPT 36245 | $827.33 | $1,272.81 | $197.20 – $410.91 | 2 |
| Abd/low ext cath 2nd CPT 36246 | $1,111.21 | $1,709.55 | $209.88 – $437.33 | 2 |
| Abd/low ext cath 3rd CPT 36247 | $1,322.09 | $2,033.99 | $247.58 – $515.88 | 2 |
| Abd/low ext cath addl CPT 36248 | $303.85 | $467.46 | $39.99 – $83.33 | 2 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $875.65 | $1,347.15 | $195.45 – $407.26 | 2 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $425.45 | $654.54 | $112.80 – $235.04 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $845.92 | $1,301.42 | $184.83 – $385.13 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $845.92 | $1,301.42 | $162.93 – $339.50 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $520.31 | $800.48 | $77.34 – $161.15 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,648.98 | $2,536.89 | $222.50 – $463.62 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $1,648.98 | $2,536.89 | $209.81 – $437.18 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $1,006.36 | $1,548.25 | $120.73 – $251.57 | 3 |
| Abdominal pad HCPCS L1270 | not published | not published | $185.51 – $185.51 | 1 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,195.76 | $3,378.09 | $89.74 – $186.99 | 2 |
| Abdominal Ultrasound (complete) CPT 76700 | $425.45 | $654.54 | $72.82 – $151.74 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $425.45 | $654.54 | $55.76 – $116.19 | 3 |
| Abdominal X-ray (2 views) CPT 74019 | $275.16 | $423.33 | $24.03 – $50.07 | 3 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $275.16 | $423.33 | $32.60 – $67.93 | 3 |
| Abdominal X-ray (single view) CPT 74018 | $201.75 | $310.38 | $19.91 – $41.49 | 3 |
| Abdominoplasty 15830 CPT 15830 | $15,027.54 | $23,119.29 | $1,014.02 – $2,112.91 | 2 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,195.76 | $3,378.09 | $67.96 – $141.61 | 2 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $405.74 – $405.74 | 1 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $859.57 – $859.57 | 1 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $294.57 – $294.57 | 1 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $222.54 – $222.54 | 1 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $203.43 – $203.43 | 1 |
| Abl1 gene CPT 81170 | $879.38 | $1,352.90 | $206.34 – $468.00 | 7 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $182.09 – $379.42 | 2 |
| Ablate arrhythmia add on CPT 93655 | $8,445.81 | $12,993.55 | $246.29 – $513.19 | 2 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,221.24 – $2,544.70 | 2 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,725.27 – $3,594.95 | 2 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,464.37 – $3,051.31 | 2 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $601.19 – $1,252.70 | 2 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,641.77 – $3,420.96 | 2 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $14,590.10 | $22,446.30 | $291.84 – $608.11 | 2 |
| Ablate bone tumor(s) perq CPT 20982 | $14,590.10 | $22,446.30 | $308.08 – $641.95 | 2 |
| Ablate heart dysrhythm focus CPT 93650 | $11,565.71 | $17,793.40 | $469.43 – $978.15 | 2 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,314.48 – $2,738.98 | 2 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,444.97 – $3,010.88 | 2 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,448.49 – $3,018.22 | 2 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $175.20 – $365.06 | 2 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $133.80 – $278.80 | 2 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $368.18 – $767.18 | 2 |
| Ablate pulm tumor perq rf CPT 32998 | $14,223.16 | $21,881.79 | $368.01 – $766.82 | 2 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $21,158.42 | $32,551.42 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $2,195.76 | $3,378.09 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $14,223.16 | $21,881.79 | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $8,911.31 | $13,709.71 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $388.21 – $808.91 | 2 |
| Ablation cryo retro lymph node CPT 38999 | $1,049.07 | $1,613.95 | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | $544.83 | $838.20 | not published | 0 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $409.46 – $853.19 | 2 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,467.95 | $2,258.39 | not published | 0 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $266.17 – $554.62 | 2 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $846.12 – $1,763.06 | 2 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $413.79 – $862.21 | 2 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $507.03 – $1,056.50 | 2 |
| Abobotulinumtoxina HCPCS J0586 | $18.61 | $28.63 | $8.66 – $11.86 | 4 |
| Abortion CPT 59850 | not published | not published | $331.40 – $690.54 | 2 |
| Abortion (mpr) CPT 59866 | not published | not published | $198.94 – $414.53 | 2 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $8,155.98 – $8,155.98 | 1 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $1,866.50 – $1,866.50 | 1 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $2,600.65 – $2,600.65 | 1 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $5,281.47 – $5,281.47 | 1 |
| Above knee leather socket HCPCS L5642 | not published | not published | $1,886.17 – $1,886.17 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.