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 |
|---|---|---|---|---|
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $202.61 – $258.89 | 4 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $136.04 – $136.04 | 1 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.25 – $10.97 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | $73.28 | $112.74 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $1,157.38 | $1,780.58 | $131.04 – $273.05 | 3 |
| Telethx isodose plan simple CPT 77306 | $1,157.38 | $1,780.58 | $72.50 – $151.07 | 3 |
| Temozolomide HCPCS J8700 | not published | not published | $0.54 – $3.67 | 3 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.23 – $13.85 | 4 |
| Temperature gradient studies CPT 93740 | $482.35 | $742.07 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $19.99 – $71.20 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $615.37 – $1,282.25 | 2 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $514.50 – $1,072.06 | 2 |
| Tendon shortening CPT 26477 | not published | not published | $583.71 – $1,216.28 | 2 |
| Tendon transfer with graft CPT 26492 | not published | not published | $856.47 – $1,784.63 | 2 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $149.64 – $191.21 | 4 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,695.63 – $3,444.41 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $554.13 – $1,154.64 | 2 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $575.05 – $1,198.23 | 2 |
| Tenolysis triceps CPT 24332 | not published | not published | $559.71 – $1,166.27 | 2 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $692.13 – $1,442.19 | 2 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $463.22 – $965.21 | 2 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $640.15 – $1,333.88 | 2 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $266.72 – $555.76 | 2 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $222.48 – $463.58 | 2 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $7,999.74 – $7,999.74 | 1 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $26.84 – $26.84 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $2.43 – $5.52 | 4 |
| Teriparatide injection HCPCS J3110 | not published | not published | $39.36 – $68.86 | 4 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $10,238.11 – $10,238.11 | 1 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $7,906.33 – $7,906.33 | 1 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $3,137.28 – $3,137.28 | 1 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $2,343.43 – $2,343.43 | 1 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $3,496.97 – $3,496.97 | 1 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $890.07 – $890.07 | 1 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $1,018.80 – $1,018.80 | 1 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $1,105.72 – $1,105.72 | 1 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $475.83 – $475.83 | 1 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $1,496.76 – $1,496.76 | 1 |
| Tert gene targeted seq alys CPT 81345 | $492.40 | $757.54 | $108.30 – $288.91 | 7 |
| Test for chlorohydrocarbons CPT 82441 | $12.51 | $19.25 | $5.17 – $9.38 | 6 |
| Test for porphobilinogen CPT 84106 | not published | not published | $3.77 – $9.08 | 5 |
| Test for urine cystines CPT 82615 | not published | not published | $5.75 – $14.90 | 5 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $149.12 – $310.72 | 3 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $113.54 – $145.08 | 2 |
| Testosterone response panel CPT 80414 | not published | not published | $44.41 – $80.56 | 5 |
| Testosterone undecanoate 1mg HCPCS J3145 | $9.91 | $15.24 | $2.04 – $2.86 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $103.27 | $158.88 | not published | 0 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $799.89 – $799.89 | 1 |
| Test socket above knee HCPCS L5624 | not published | not published | $1,071.52 – $1,071.52 | 1 |
| Test socket below knee HCPCS L5620 | not published | not published | $839.09 – $839.09 | 1 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $1,271.70 – $1,271.70 | 1 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $1,216.26 – $1,216.26 | 1 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $1,233.05 – $1,233.05 | 1 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $1,135.49 – $1,135.49 | 1 |
| Test socket symes HCPCS L5618 | not published | not published | $756.11 – $756.11 | 1 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $745.82 – $745.82 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $870.76 | $1,339.63 | $36.96 – $77.01 | 2 |
| Test urine for lactose CPT 83633 | not published | not published | $3.85 – $17.55 | 4 |
| Test urine for porphyrins CPT 84119 | not published | not published | $4.91 – $20.84 | 5 |
| Test urine urobilinogen CPT 84578 | $13.09 | $20.14 | $2.86 – $6.97 | 6 |
| Tetanus ig im CPT 90389 | not published | not published | $649.17 – $844.42 | 4 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $579.10 – $844.42 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.54 – $23.87 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $85.79 – $213.72 | 4 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $475.69 – $1,184.87 | 4 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $7,305.90 | $11,239.84 | $1,828.55 – $4,554.58 | 6 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $374.47 – $932.74 | 4 |
| Thaw preserved stem cells CPT 38208 | $845.49 | $1,300.75 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $51.18 | $78.74 | $9.29 – $22.06 | 7 |
| Therapeutic procd strg endur HCPCS G0237 | $114.07 | $175.49 | $11.98 – $24.96 | 2 |
| Therapeutic pulpotomy HCPCS D3220 | $71.50 | $110.00 | not published | 0 |
| Therapy activation ipnss CPT 93150 | not published | not published | $35.40 – $73.76 | 2 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $120.82 | $185.87 | $32.67 – $70.78 | 4 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $93.49 | $143.83 | $25.49 – $58.91 | 4 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $78.65 | $121.00 | $25.87 – $53.91 | 2 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $66.86 | $102.86 | $21.61 – $45.03 | 2 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $122.72 – $255.71 | 2 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $104.10 – $216.91 | 2 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $336.54 | $517.76 | $168.41 – $350.92 | 3 |
| Ther/proph/diag inj ia CPT 96373 | $348.36 | $535.94 | $18.92 – $39.42 | 2 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $163.05 – $339.75 | 3 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $104.12 – $216.95 | 3 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $67.86 – $141.40 | 3 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $4.06 | $6.25 | $1.78 – $6.13 | 4 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $201.75 | $310.38 | $25.62 – $53.38 | 3 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $835.75 – $835.75 | 1 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $1,034.10 – $1,034.10 | 1 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $733.11 – $733.11 | 1 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $755.38 – $755.38 | 1 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $37.93 – $38.55 | 2 |
| Thiotepa injection HCPCS J9340 | not published | not published | $810.00 – $1,035.00 | 2 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,285.60 – $2,678.80 | 2 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,367.48 – $2,849.42 | 2 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $468.92 – $468.92 | 1 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $504.46 – $504.46 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,053.14 | $3,158.68 | $91.04 – $189.70 | 2 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,390.82 – $4,981.75 | 2 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $446.27 – $446.27 | 1 |
| Thoracic duct procedure CPT 38380 | $6,184.83 | $9,515.12 | $495.27 – $1,031.99 | 2 |
| Thoracic duct procedure CPT 38381 | not published | not published | $728.29 – $1,517.54 | 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.