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 |
|---|---|---|---|---|
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,262.06 – $2,629.75 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $10.51 – $19.06 | 4 |
| Sialography s&i CPT 70390 | $579.34 | $891.29 | $88.45 – $184.30 | 3 |
| Sialolithotomy 42330 CPT 42330 | $6,419.65 | $9,876.39 | $143.74 – $299.51 | 2 |
| Sickling rbc CPT 85660 | $19.93 | $30.66 | $4.74 – $8.60 | 6 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $64.16 – $133.69 | 2 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $96.32 – $200.70 | 2 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $102.03 – $212.60 | 2 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $59.87 – $124.75 | 2 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $137.90 – $287.34 | 2 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $92.13 – $191.97 | 2 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $131.73 – $274.49 | 2 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $169.10 – $352.35 | 2 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $104.72 – $218.21 | 2 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $107.54 – $224.08 | 2 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $145.95 – $304.12 | 2 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $82.89 – $172.72 | 2 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $19.59 – $40.82 | 2 |
| Sig w/tndsc balloon dilation CPT 45340 | $3,186.98 | $4,903.04 | $69.49 – $144.80 | 2 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $0.83 | 3 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $1,446.96 – $1,446.96 | 1 |
| Simple cystometrogram 51725 CPT 51725 | $293.47 | $451.49 | $115.97 – $241.65 | 2 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $108.36 – $139.61 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $27.21 – $56.70 | 2 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $629.97 – $629.97 | 1 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,802.76 – $5,840.11 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $845.92 | $1,301.42 | $119.14 – $248.25 | 3 |
| Sinus CT scan (with contrast) CPT 70487 | $845.92 | $1,301.42 | $94.39 – $196.68 | 3 |
| Sinus CT scan (without contrast) CPT 70486 | $520.31 | $800.48 | $84.00 – $175.03 | 3 |
| Sinus/juglr venogram s&i CPT 75860 | $5,491.15 | $8,447.92 | $72.18 – $150.40 | 3 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $312.59 – $651.34 | 2 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $527.41 – $1,098.96 | 2 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $455.43 – $948.98 | 2 |
| Sinus X-ray (complete) CPT 70220 | $201.75 | $310.38 | $25.94 – $54.05 | 3 |
| Sinus X-ray (limited) CPT 70210 | $201.75 | $310.38 | $22.76 – $47.43 | 3 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $618.59 – $618.59 | 1 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $250.71 – $250.71 | 1 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $54,404.11 – $89,493.00 | 3 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $0.97 – $19.64 | 3 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $73.28 – $93.63 | 4 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $773.45 – $773.45 | 1 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $139.67 | $214.88 | not published | 0 |
| Skin and muscle repair face CPT 15845 | not published | not published | $921.19 – $1,919.48 | 2 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $6.59 – $18.63 | 3 |
| Skin Biopsy CPT 11102 | $497.06 | $764.71 | $29.13 – $60.70 | 2 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $577.48 – $1,203.30 | 2 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $85.67 – $178.51 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $638.48 – $1,330.40 | 2 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $639.26 – $1,332.03 | 2 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $95.18 – $198.33 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $3.06 – $6.26 | 2 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,227.61 – $4,641.67 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,887.14 – $8,099.63 | 2 |
| Skull X-ray (1 to 3 views) CPT 70250 | $275.16 | $423.33 | $25.62 – $53.38 | 3 |
| Skull X-ray (complete) CPT 70260 | $275.16 | $423.33 | $29.11 – $60.66 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | $2,136.54 | $3,286.99 | $943.56 – $1,205.66 | 3 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $109.47 – $272.70 | 4 |
| Sleep study attended CPT 95807 | $1,454.78 | $2,238.13 | $364.00 – $758.47 | 2 |
| Sleep Study (Polysomnography) CPT 95810 | $3,243.02 | $4,989.26 | $525.18 – $1,094.32 | 2 |
| Sleep study unattended CPT 95806 | $328.15 | $504.84 | $55.36 – $115.35 | 2 |
| Sleeve fing rolyan med HCPCS L3933 | $413.35 | $635.92 | $485.27 – $485.27 | 1 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $4.64 – $5.92 | 2 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,662.42 – $5,547.68 | 2 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $4.88 | $7.50 | $22.88 – $22.88 | 1 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $139.86 – $139.86 | 1 |
| Slitting of prepuce CPT 54000 | not published | not published | $100.57 – $209.56 | 2 |
| Slitting of prepuce CPT 54001 | $3,698.92 | $5,690.64 | $124.53 – $259.48 | 2 |
| Slp pure tone screening CPT 92551 | $37.84 | $58.22 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $59.49 – $123.96 | 2 |
| Sm-153 lexidron ther HCPCS A9604 | $25,564.12 | $39,329.42 | $17,585.51 – $22,470.38 | 2 |
| Small animal inoculation CPT 87003 | not published | not published | $14.48 – $26.27 | 4 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $336.54 | $517.76 | $76.71 – $159.84 | 3 |
| Small bowel endoscopy CPT 44360 | not published | not published | $123.13 – $256.57 | 2 |
| Small bowel endoscopy CPT 44364 | not published | not published | $174.04 – $362.65 | 2 |
| Small bowel endoscopy CPT 44366 | not published | not published | $203.19 – $423.39 | 2 |
| Small bowel endoscopy CPT 44369 | not published | not published | $208.29 – $434.01 | 2 |
| Small bowel endoscopy CPT 44376 | not published | not published | $240.01 – $500.11 | 2 |
| Small bowel endoscopy CPT 44378 | not published | not published | $323.41 – $673.89 | 2 |
| Small bowel endoscopy CPT 44382 | not published | not published | $65.24 – $135.94 | 2 |
| Small bowel endoscopy CPT 44384 | not published | not published | $129.87 – $270.61 | 2 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $163.59 – $340.87 | 2 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $155.28 – $323.56 | 2 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $135.70 – $282.76 | 2 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $251.77 – $524.61 | 2 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $51.13 – $106.54 | 2 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $74.47 – $155.17 | 2 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $227.29 – $473.60 | 2 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $275.40 – $275.40 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $19.49 | $29.99 | $4.64 – $8.41 | 7 |
| Smear gram stain CPT 87205 | $15.44 | $23.76 | $2.78 – $6.66 | 7 |
| Smear nasal eosinophil CPT 89190 | $17.18 | $26.43 | $4.18 – $9.03 | 7 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $21.70 | $33.38 | $5.15 – $9.34 | 7 |
| Smear wet mount CPT 87210 | $17.06 | $26.25 | $3.68 – $9.08 | 7 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $188.71 – $470.11 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $108.30 – $288.91 | 5 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $29.43 – $73.32 | 4 |
| Snrpn/ube3a gene CPT 81331 | $142.57 | $219.34 | $31.98 – $79.67 | 6 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $2,688.74 – $2,688.74 | 1 |
| So cap design without jnts cf HCPCS L3671 | $1,745.84 | $2,685.90 | $2,049.69 – $2,049.69 | 1 |
| Socket insert above knee HCPCS L5658 | not published | not published | $998.55 – $998.55 | 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.