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 |
|---|---|---|---|---|
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $0.06 – $4.34 | 3 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $250.00 – $345.00 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $2.01 – $6.69 | 4 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $3.07 | $4.72 | $24.70 – $33.50 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.20 – $2.23 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $338.83 | $521.28 | $168.23 – $214.96 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $35.60 – $59.51 | 4 |
| Baclofen eval charges CPT 97750 | $106.11 | $163.25 | $28.94 – $68.18 | 4 |
| Bacterial meningitis antigen CPT 86403 | $36.88 | $56.74 | $4.36 – $18.00 | 7 |
| Bacterial vaginosis pcr CPT 87801 | $254.02 | $390.80 | $46.46 – $109.51 | 7 |
| Bactericidal level serum CPT 87197 | not published | not published | $12.92 – $23.43 | 4 |
| #bac vag cand-c. albicans naa CPT 87481 | $84.68 | $130.27 | $24.21 – $54.74 | 7 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $18.63 – $18.63 | 1 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $108.48 | $166.90 | $29.30 – $66.37 | 4 |
| Balloon dilate urtrl strix CPT 50706 | $774.08 | $1,190.89 | $150.36 – $313.31 | 2 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,089.87 – $2,270.96 | 2 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $2,496.36 | $3,840.55 | not published | 0 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $336.54 | $517.76 | $145.80 – $303.80 | 3 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $336.54 | $517.76 | $95.74 – $199.49 | 3 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $336.54 | $517.76 | $63.06 – $131.40 | 3 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.18 – $0.69 | 3 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $7.21 – $17.65 | 3 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $8.44 – $29.32 | 3 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $6.16 – $18.42 | 3 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $4.48 – $14.61 | 3 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $8.30 – $26.00 | 3 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $7,627.40 | $11,734.46 | $156.23 – $325.54 | 2 |
| Bartonella dna pcr-sendout CPT 87471 | $127.02 | $195.41 | $30.18 – $54.74 | 6 |
| Bartonella dna quant CPT 87472 | not published | not published | $36.84 – $66.83 | 4 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $27.52 – $57.34 | 2 |
| Basiliximab HCPCS J0480 | not published | not published | $4,459.73 – $5,698.55 | 4 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $1,825.68 – $1,825.68 | 1 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $712.81 – $712.81 | 1 |
| Battery elec/combo vad, rep HCPCS Q0496 | $175.50 | $270.00 | $3,754.45 – $3,754.45 | 1 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $3,256.49 – $3,256.49 | 1 |
| B cells total count CPT 86355 | $95.54 | $146.98 | $26.91 – $58.86 | 7 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $6.25 | $9.61 | $3.23 – $4.34 | 4 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $161.34 – $216.75 | 3 |
| Bcg vaccine percut CPT 90585 | not published | not published | $169.63 – $216.75 | 3 |
| Bckdhb gene CPT 81205 | not published | not published | $59.48 – $148.18 | 4 |
| Bebtelovimab injection HCPCS M0222 | $887.52 | $1,365.42 | not published | 0 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $45.32 – $59.57 | 3 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $4.02 – $28.84 | 3 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $25.74 – $53.63 | 2 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.83 – $5.22 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $113.98 | $175.35 | $52.27 – $66.79 | 4 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $20,022.42 – $20,022.42 | 1 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $6,889.40 – $6,889.40 | 1 |
| Below knee acrylic socket HCPCS L5629 | $809.82 | $1,245.88 | $1,080.90 – $1,080.90 | 1 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $200.62 – $200.62 | 1 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $1,480.03 – $1,480.03 | 1 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $1,499.43 – $1,499.43 | 1 |
| Below knee leather socket HCPCS L5638 | not published | not published | $1,493.62 – $1,493.62 | 1 |
| Below knee suction socket HCPCS L5647 | not published | not published | $2,124.00 – $2,124.00 | 1 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $320.76 – $320.76 | 1 |
| Below knee total contact HCPCS L5637 | $704.41 | $1,083.71 | $940.25 – $940.25 | 1 |
| Below knee wood socket HCPCS L5639 | not published | not published | $3,643.60 – $3,643.60 | 1 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $7.11 – $20.32 | 3 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.01 – $41.01 | 4 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.43 – $35.88 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.63 – $34.14 | 4 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $31.48 – $31.99 | 2 |
| Benign lesion paring 2-4 CPT 11056 | $584.21 | $898.79 | $19.21 – $40.03 | 2 |
| Benign lesion paring 4+ CPT 11057 | $584.21 | $898.79 | $24.76 – $51.59 | 2 |
| #_benzodiazconfur CPT 80346 | $111.08 | $170.90 | $5.81 – $5.81 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $13.59 – $33.79 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $92.10 | $141.69 | $9.09 – $39.70 | 7 |
| Beta-2 microglobulin CPT 82232 | $58.54 | $90.06 | $13.91 – $25.24 | 7 |
| Beta-amyloid 1-40 CPT 82233 | $251.39 | $386.76 | $110.87 – $201.12 | 6 |
| Beta-amyloid 1-42 CPT 82234 | $35.95 | $55.31 | $110.87 – $201.12 | 6 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $14.61 | $22.48 | $6.80 – $10.83 | 4 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $72.45 – $109.97 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $19.07 – $96.29 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $21.11 – $84.65 | 4 |
| Bevacizumab injection HCPCS C9257 | $4.21 | $6.48 | $2.03 – $2.75 | 3 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $36.63 – $76.33 | 2 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $20.58 – $42.88 | 2 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $9.42 – $26.32 | 5 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,053.63 | $3,159.43 | $47.06 – $98.06 | 2 |
| Bilateral n block inj occipital 64405 CPT 64405 | $418.44 | $643.75 | $43.59 – $90.83 | 2 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $418.44 | $643.75 | $44.54 – $92.81 | 2 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $18.87 – $41.46 | 5 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $136.76 – $284.97 | 2 |
| Bile duct revision CPT 47701 | not published | not published | $1,524.33 – $3,176.25 | 2 |
| Biliary endo perq dx w/speci CPT 47552 | $8,417.52 | $12,950.03 | $245.49 – $511.53 | 2 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $243.52 – $507.42 | 2 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $381.06 – $794.01 | 2 |
| Biliary endoscopy thru skin CPT 47555 | $8,417.52 | $12,950.03 | $289.95 – $604.17 | 2 |
| Biliary endoscopy thru skin CPT 47556 | $14,223.16 | $21,881.79 | $328.59 – $684.68 | 2 |
| Bilicheck CPT 88720 | not published | not published | $4.32 – $7.83 | 4 |
| Bilirubin direct CPT 82248 | $18.15 | $27.92 | $4.32 – $7.83 | 7 |
| Bilirubin total CPT 82247 | $18.15 | $27.92 | $4.32 – $7.83 | 7 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,418.24 – $2,955.19 | 2 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $103.12 | $158.65 | $78.24 – $78.24 | 1 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $120.89 – $604.44 | 4 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $98.11 – $270.63 | 4 |
| Biofeedback, pt CPT 90901 | not published | not published | $16.15 – $33.65 | 2 |
| Biopsy abdominal mass CPT 49180 | $2,726.09 | $4,193.99 | $68.92 – $143.61 | 2 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $393.87 – $820.71 | 2 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $289.22 – $602.65 | 2 |
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.