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 |
|---|---|---|---|---|
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $282.65 – $282.65 | 1 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $920.26 – $1,917.55 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,221.34 – $2,544.91 | 2 |
| Svc venogram s&i CPT 75827 | $2,652.99 | $4,081.52 | $62.74 – $130.73 | 3 |
| Swallowing Evaluation (Bedside) CPT 92610 | $266.71 | $410.32 | $56.98 – $118.73 | 3 |
| Swallowing Therapy Session CPT 92526 | $266.90 | $410.62 | $72.82 – $171.11 | 4 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.59 – $7.41 | 3 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $5,933.73 – $5,933.73 | 1 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $9,394.38 – $9,394.38 | 1 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $866.63 – $866.63 | 1 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $909.64 – $909.64 | 1 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $616.96 – $616.96 | 1 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $1,156.47 – $1,156.47 | 1 |
| Sympathectomy cervical CPT 64802 | not published | not published | $816.90 – $1,702.17 | 2 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $665.10 – $1,385.87 | 2 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $682.17 – $1,421.44 | 2 |
| Sympathectomy supfc palmar CPT 64823 | $4,572.13 | $7,034.04 | $702.25 – $1,463.28 | 2 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,013.62 – $2,112.08 | 2 |
| Synch audio-only est high 40 CPT 98015 | $197.76 | $304.24 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | $152.13 | $234.05 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $187.00 | $287.69 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | $131.16 | $201.78 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $207.64 | $319.45 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $159.74 | $245.75 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $196.35 | $302.07 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $137.72 | $211.87 | not published | 0 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $3.07 – $32.13 | 4 |
| Synthetic sentence id test CPT 92576 | not published | not published | $40.22 – $83.81 | 2 |
| Synvisc or synvisc-one HCPCS J7325 | $28.03 | $43.13 | $7.44 – $39.38 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $15.95 | $24.54 | $3.78 – $6.86 | 7 |
| System cardiomems hosp electronics HCPCS C2624 | $41,225.28 | $63,423.51 | not published | 0 |
| System pacing micra av HCPCS C1786 | $21,958.22 | $33,781.88 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $13,055.04 | $20,084.68 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $61.33 | $94.35 | $10.45 – $26.43 | 7 |
| T3 (triiodothyronine) total CPT 84480 | $51.34 | $78.98 | $6.62 – $22.12 | 7 |
| T4 (thyroxine) free CPT 84439 | $32.62 | $50.19 | $7.76 – $14.07 | 7 |
| T4 (thyroxine) total CPT 84436 | $24.86 | $38.25 | $5.91 – $10.72 | 7 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.56 – $0.71 | 3 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.66 – $2.12 | 3 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.20 – $1.14 | 3 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $244.93 – $312.96 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $49.71 | $76.48 | $11.81 – $21.42 | 7 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.55 – $17.32 | 4 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,890.74 – $3,939.73 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,748.98 – $3,644.35 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,040.43 – $2,167.94 | 2 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $201.75 | $310.38 | $22.45 – $46.78 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $64.62 – $82.57 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $73.71 – $74.92 | 2 |
| Talymed HCPCS Q4127 | $85.37 | $131.34 | $54.00 – $120.89 | 4 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.38 – $0.53 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $68.89 – $143.55 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $54.67 – $113.92 | 2 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $1.04 – $1.04 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,979.87 | $7,661.34 | $475.62 – $1,184.87 | 6 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,762.52 | $11,942.34 | $1,828.25 – $4,554.58 | 6 |
| Target gsa panel organ neop CPT 81445 | $1,780.75 | $2,739.61 | $374.41 – $932.74 | 6 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,541.46 – $1,566.59 | 2 |
| Tas congenital car anomal CPT 33741 | not published | not published | $613.07 – $1,277.45 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $110.36 – $229.96 | 2 |
| Tavr perq femoral CPT 33361 | $21,540.15 | $33,138.69 | $1,018.42 – $2,122.08 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.25 – $1.15 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $85.79 – $213.72 | 5 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $37.85 – $78.87 | 3 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $9.77 – $20.36 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $25.30 – $52.72 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.77 – $5.77 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $293.13 | $450.97 | $53.80 – $156.00 | 7 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $224.30 | $345.07 | $53.30 – $96.69 | 7 |
| Tc-99m bicisate HCPCS A9557 | $3,383.26 | $5,205.01 | $379.53 – $513.49 | 3 |
| Tc-99m diag per dose HCPCS A4641 | $9,070.35 | $13,954.39 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | $138.94 | $213.75 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,651.07 – $2,109.70 | 3 |
| Tc-99m exametazime diag HCPCS A9521 | $2,958.76 | $4,551.94 | $1,651.07 – $2,109.70 | 3 |
| Tc-99m gluceptate HCPCS A9550 | $5.40 | $8.30 | not published | 0 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $328.60 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $398.04 | $612.37 | $100.87 – $128.89 | 3 |
| Tc-99m maa HCPCS A9540 | $391.76 | $602.71 | $31.80 – $41.40 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $140.12 | $215.57 | $8.53 – $76.34 | 3 |
| Tc-99m medronate HCPCS A9503 | $110.53 | $170.04 | $13.78 – $17.94 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $752.37 | $1,157.49 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $112.42 | $172.95 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $342.80 | $527.38 | not published | 0 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $385.37 | $592.87 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $1.37 | $2.11 | $1.34 – $2.21 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $101.55 | $156.23 | $16.33 – $88.39 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $67.60 | $104.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $635.39 – $827.20 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | $922.89 | $1,419.83 | $283.41 – $368.97 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $101.34 | $155.90 | $92.10 – $117.68 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,685.00 | $2,592.30 | $497.99 – $648.32 | 3 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $343.71 – $716.19 | 2 |
| Tcd emboli detect w/inj CPT 93893 | $425.45 | $654.54 | $290.72 – $605.77 | 2 |
| Tcd emboli detect without inj CPT 93892 | $425.45 | $654.54 | $235.11 – $489.90 | 2 |
| T-cell depletion of harvest CPT 38210 | $845.49 | $1,300.75 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $170.05 | $261.61 | $40.40 – $73.29 | 7 |
| T cells absolute cd 4 count CPT 86361 | $96.91 | $149.09 | $23.03 – $41.78 | 7 |
| T cells total count CPT 86359 | $136.54 | $210.06 | $26.91 – $58.86 | 7 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $463.89 – $966.61 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $10,013.41 | $15,405.24 | $877.58 – $1,828.61 | 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.