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 |
|---|---|---|---|---|
| Socket insert below knee HCPCS L5655 | $652.18 | $1,003.35 | $870.51 – $870.51 | 1 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $1,236.72 – $1,236.72 | 1 |
| Socket insert symes HCPCS L5654 | not published | not published | $895.93 – $895.93 | 1 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $1,420.46 – $1,420.46 | 1 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $1,704.59 – $1,704.59 | 1 |
| Sock fracture or equal each HCPCS L3995 | $76.54 | $117.76 | $102.14 – $102.14 | 1 |
| Sock wool above knee HCPCS L8430 | not published | not published | $66.43 – $66.43 | 1 |
| Sodium 24 hour urine CPT 84300 | $17.59 | $27.06 | $4.29 – $7.89 | 7 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $4.57 | $7.03 | $1.99 – $7.24 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.29 – $6.12 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $3.27 | $5.03 | $0.66 – $5.52 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.08 – $0.16 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $3.56 | $5.47 | $2.18 – $8.77 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $388.93 | $598.36 | $71.79 – $131.10 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $17.41 | $26.79 | $4.14 – $7.50 | 7 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.79 – $0.82 | 2 |
| Soft interface below knee se HCPCS L2820 | $178.91 | $275.25 | $238.79 – $238.79 | 1 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,156.97 – $2,098.68 | 4 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,028.41 – $1,865.49 | 4 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,828.12 – $5,130.08 | 4 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $899.86 – $1,632.31 | 4 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.85 – $10.31 | 3 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $18.82 – $18.82 | 1 |
| Somatosensory testing CPT 95927 | $482.35 | $742.07 | $135.48 – $282.30 | 2 |
| Somatropin injection HCPCS J2941 | not published | not published | $155.10 – $209.50 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | $9,754.50 | $15,006.92 | $2,571.01 – $4,663.70 | 6 |
| So neo gsap dna mcrstl ins CPT 81457 | $2,438.62 | $3,751.73 | $771.31 – $1,399.12 | 6 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $19.68 – $25.15 | 3 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $399.20 – $399.20 | 1 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $19.84 – $25.36 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $137.96 – $287.47 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $152.15 – $317.03 | 2 |
| Special casting material HCPCS A4590 | $82.73 | $127.28 | not published | 0 |
| Special physics consult CPT 77370 | $286.81 | $441.24 | $142.19 – $296.28 | 3 |
| Special radiation dosimetry CPT 77331 | $450.54 | $693.14 | $18.32 – $38.17 | 3 |
| Special radiation treatment CPT 77470 | $1,869.52 | $2,876.18 | $36.64 – $76.35 | 3 |
| Special supplies phys/qhp CPT 99070 | $72.60 | $111.69 | not published | 0 |
| Special teletx port plan CPT 77321 | $1,157.38 | $1,780.58 | $42.44 – $88.43 | 3 |
| Specific gravity body fluid CPT 84315 | $9.62 | $14.80 | $1.72 – $5.12 | 6 |
| Specimen fat stain CPT 89125 | $17.24 | $26.52 | $3.81 – $9.17 | 6 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $726.03 | $1,116.97 | $161.55 – $461.48 | 4 |
| Speech audiometry complete CPT 92556 | not published | not published | $44.02 – $91.72 | 2 |
| Speech evaluation complex CPT 70371 | not published | not published | $66.55 – $138.67 | 3 |
| Speech recep thresh CPT 92555 | not published | not published | $28.16 – $58.68 | 2 |
| Speech Therapy Session (one-on-one) CPT 92507 | $241.41 | $371.40 | $66.15 – $155.09 | 4 |
| Sperm antibody test CPT 89325 | not published | not published | $9.18 – $16.65 | 4 |
| Sperm evaluation test CPT 89329 | not published | not published | $16.85 – $30.56 | 4 |
| Sperm washing 58323 CPT 58323 | not published | not published | $9.87 – $20.57 | 2 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $606.67 – $1,264.12 | 2 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $655.50 – $1,365.87 | 2 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $91.36 – $190.37 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,231.28 | $1,894.28 | $71.15 – $148.26 | 2 |
| Spine X-ray (single view, one level) CPT 72020 | $201.75 | $310.38 | $15.15 – $31.57 | 3 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $114.62 – $238.83 | 2 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $70.33 – $146.55 | 2 |
| Spleen imaging CPT 78185 | not published | not published | $131.35 – $273.69 | 3 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,012.38 – $2,109.50 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,009.69 – $4,187.59 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $991.59 – $2,066.18 | 2 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $814.88 | $1,253.66 | $956.71 – $956.71 | 1 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $86.65 | $133.31 | $115.65 – $115.65 | 1 |
| Splint finger fold over sm HCPCS L3924 | $152.70 | $234.93 | $203.81 – $203.81 | 1 |
| Splint finger frog med HCPCS L3927 | $59.55 | $91.61 | $79.49 – $79.49 | 1 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $2.89 | $4.45 | $5.58 – $5.58 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $152.70 | $234.93 | $203.81 – $203.81 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $6,649.42 | $10,229.87 | $587.25 – $1,223.65 | 2 |
| Split blood or products CPT 86985 | $390.47 | $600.72 | $15.21 – $15.21 | 1 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $183.72 – $183.72 | 1 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $113.07 – $235.60 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $77.34 – $161.15 | 2 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $1,636.35 – $1,636.35 | 1 |
| Sputum specimen collection CPT 89220 | $318.32 | $489.72 | $9.24 – $19.91 | 2 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,975.00 – $5,175.00 | 3 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,238.10 – $2,579.83 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $937.90 – $1,954.30 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $253.69 – $528.61 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $184.01 – $383.42 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $109.85 – $273.62 | 5 |
| Srs linear based CPT 77372 | $26,584.59 | $40,899.37 | $885.46 – $1,845.03 | 3 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,030.19 – $2,146.61 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $212.24 – $442.24 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $57.35 – $119.50 | 2 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $549.78 – $549.78 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $345.81 | $532.02 | $75.10 – $223.04 | 4 |
| Stance phase only HCPCS L5858 | not published | not published | $46,542.50 – $46,542.50 | 1 |
| Standard control cable extra HCPCS L6655 | not published | not published | $203.93 – $203.93 | 1 |
| Staph a dna amp probe CPT 87640 | $77.79 | $119.68 | $24.89 – $54.74 | 7 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $419.37 – $419.37 | 1 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $129.02 – $129.02 | 1 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $129.02 – $129.02 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $329.97 | $507.64 | $90.91 – $208.87 | 4 |
| Stem cells total count CPT 86367 | $196.95 | $303.00 | $26.91 – $121.34 | 7 |
| Stenger test pure tone CPT 92565 | not published | not published | $21.18 – $44.13 | 2 |
| Stenger test speech CPT 92577 | not published | not published | $21.49 – $44.78 | 2 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $25,833.90 | $39,744.46 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $13,429.65 | $20,661.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $195.62 | $300.96 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $17,189.25 | $26,445.00 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $20,251.58 | $31,156.28 | not published | 0 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $10,582.23 | $16,280.36 | not published | 0 |
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.