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 |
|---|---|---|---|---|
| Stent placemt retro carotid CPT 37217 | $7,052.90 | $10,850.61 | $922.12 – $1,921.42 | 2 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $25,833.90 | $39,744.46 | not published | 0 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,281.49 – $2,670.24 | 2 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $410.84 – $856.07 | 3 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.31 – $0.31 | 1 |
| Sterile needle HCPCS A4215 | $41.67 | $64.11 | $0.28 – $0.36 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | $0.01 | $0.02 | $1.00 – $1.28 | 3 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $4.23 – $7.92 | 3 |
| Sternal debridement CPT 21627 | $10,599.52 | $16,306.96 | $525.55 – $1,095.09 | 2 |
| Sternal pad HCPCS L1050 | not published | not published | $199.37 – $199.37 | 1 |
| St evaluate speech sound production CPT 92522 | $352.99 | $543.06 | $76.82 – $227.48 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $288.16 | $443.32 | $76.51 – $184.87 | 3 |
| Stimulants synthetic CPT 80371 | $136.53 | $210.05 | not published | 0 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $506.00 – $1,054.35 | 2 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $38.99 – $38.99 | 1 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $1.92 – $1.92 | 1 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,067.57 | $1,642.41 | $241.06 – $502.30 | 3 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $396.75 – $826.71 | 2 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $320.72 – $320.72 | 1 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $26.98 – $26.98 | 1 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $9.79 – $9.79 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $484.07 | $744.72 | $14.97 – $31.21 | 3 |
| Strapping of chest CPT 29200 | $103.71 | $159.55 | $15.15 – $31.57 | 3 |
| Strapping of elbow or wrist 29260 CPT 29260 | $93.78 | $144.28 | $15.38 – $32.05 | 3 |
| Strapping of hand or finger CPT 29280 | $114.07 | $175.49 | $16.49 – $34.36 | 3 |
| Strapping of hip CPT 29520 | not published | not published | $15.15 – $31.57 | 2 |
| Strapping of knee CPT 29530 | $335.52 | $516.18 | $15.15 – $31.57 | 3 |
| Strapping of toes 29550 CPT 29550 | $192.19 | $295.67 | $9.44 – $19.67 | 2 |
| Strep a ag ia CPT 87430 | $49.27 | $75.80 | $6.04 – $26.22 | 7 |
| Strep a dna dir probe CPT 87650 | not published | not published | $7.65 – $31.28 | 5 |
| Strep a dna quant CPT 87652 | not published | not published | $35.91 – $65.15 | 4 |
| Strep b assay w/optic CPT 87802 | not published | not published | $10.09 – $19.86 | 6 |
| Strep b dna amp probe CPT 87653 | $127.02 | $195.41 | $24.89 – $54.74 | 7 |
| Streptokinase antibody CPT 86590 | not published | not published | $6.88 – $19.75 | 4 |
| Streptomycin injection HCPCS J3000 | $33.53 | $51.58 | $33.33 – $107.81 | 4 |
| Streptozocin injection HCPCS J9320 | not published | not published | $370.18 – $1,326.00 | 4 |
| Stress test pulmonary CPT 94618 | $335.52 | $516.18 | $13.56 – $28.25 | 2 |
| Stress tte complete CPT 93351 | $1,734.50 | $2,668.46 | $144.36 – $300.80 | 2 |
| Str markers spec anal addl CPT 81266 | not published | not published | $190.87 – $475.50 | 4 |
| Str markers specimen anal CPT 81265 | not published | not published | $183.71 – $363.59 | 4 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $102.96 – $214.54 | 2 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $329.23 – $686.02 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | $584.21 | $898.79 | $42.33 – $88.20 | 2 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $83.42 – $173.82 | 2 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $102.89 – $214.39 | 2 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $98.92 – $206.12 | 2 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $94.33 – $196.56 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $597.23 – $1,244.45 | 2 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $462.26 – $963.21 | 2 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $571.50 – $1,190.83 | 2 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $777.96 – $1,621.04 | 2 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,320.93 – $2,752.42 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $0.81 – $1.20 | 4 |
| Suction socket HCPCS L6686 | not published | not published | $1,528.04 – $1,528.04 | 1 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $1,112.17 – $1,112.17 | 1 |
| Sugars multiple quant CPT 84379 | not published | not published | $9.92 – $17.99 | 5 |
| Sugars single quant CPT 84378 | $237.30 | $365.07 | $9.92 – $17.99 | 7 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,436.25 | $6,825.00 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.04 – $0.04 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $140.35 | $215.93 | $14.62 – $14.62 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $25.50 – $37.00 | 4 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $7.23 – $7.23 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $2.56 – $5.33 | 2 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $53.91 – $53.91 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $119.57 | $183.96 | $159.59 – $159.59 | 1 |
| Supprelin la implant HCPCS J9226 | not published | not published | $42,492.74 – $62,347.28 | 4 |
| Surg dx exam anorectal CPT 45990 | $7,499.82 | $11,538.19 | $94.61 – $197.14 | 2 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $686.12 – $1,429.67 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $686.30 – $1,430.04 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $376.70 – $784.93 | 2 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,027.75 – $2,141.52 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $595.19 – $1,240.20 | 2 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $652.21 – $1,359.01 | 2 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $805.82 – $1,679.09 | 2 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $600.81 – $1,251.91 | 2 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $756.08 – $1,575.44 | 2 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,203.07 – $2,506.84 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $975.41 – $2,032.46 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $850.86 – $1,772.94 | 2 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $708.27 – $1,475.82 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $665.54 – $1,386.79 | 2 |
| Surgical pathology level 1 gross examination only CPT 88300 | $49.84 | $76.67 | $11.34 – $15.04 | 2 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $92.99 | $143.06 | $22.42 – $30.05 | 3 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $130.14 | $200.22 | $29.11 – $35.29 | 3 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $130.14 | $200.22 | $33.23 – $60.25 | 3 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $595.91 | $916.79 | $128.53 – $202.57 | 3 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,488.55 | $2,290.08 | $194.67 – $307.79 | 3 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,193.85 – $2,487.63 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,338.69 – $2,789.43 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $949.46 – $1,978.39 | 2 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $85.00 – $120.89 | 4 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $406.17 – $846.34 | 2 |
| Susceptibility agar dilution per agent CPT 87181 | $17.18 | $26.43 | $4.08 – $7.41 | 7 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $17.18 | $26.43 | $4.08 – $7.41 | 7 |
| Susceptibility mic per plate CPT 87186 | $31.27 | $48.11 | $7.39 – $13.49 | 7 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $5.23 – $10.36 | 5 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $873.58 – $1,820.28 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $262.05 – $546.03 | 2 |
| Suspension of uterus CPT 58410 | not published | not published | $687.44 – $1,432.42 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $397.35 – $827.96 | 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.