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 |
|---|---|---|---|---|
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $115.25 – $240.15 | 2 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $165.08 – $210.93 | 4 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $13.38 – $13.38 | 1 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $19.48 – $28.80 | 4 |
| Tissue culture placenta CPT 88235 | $532.94 | $819.91 | $129.26 – $234.47 | 7 |
| Tissue culture skin/biopsy CPT 88233 | $509.28 | $783.50 | $121.03 – $219.54 | 7 |
| Tissue culture tumor CPT 88239 | not published | not published | $126.87 – $230.13 | 7 |
| Tissue exam koh skin/hair/nails CPT 87220 | $15.44 | $23.76 | $3.67 – $6.66 | 6 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $108.90 – $139.15 | 4 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $120.89 – $251.90 | 2 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | not published | $17.83 – $22.78 | 2 |
| Tissue transglutaminase iga CPT 86364 | $29.19 | $44.91 | $7.22 – $17.99 | 7 |
| Tixagev and cilgav inj HCPCS M0220 | $381.09 | $586.29 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | $44.04 | $67.76 | $71.80 – $186.96 | 3 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $692.08 – $1,442.09 | 2 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $898.51 – $1,872.23 | 2 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $787.17 – $1,640.23 | 2 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,050.40 – $2,188.72 | 2 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $2,229.04 – $2,229.04 | 1 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $1,919.55 – $1,919.55 | 1 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $2,136.99 | $3,287.68 | $2,508.94 – $2,508.94 | 1 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $2,338.05 | $3,597.00 | $3,120.74 – $3,120.74 | 1 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $1,261.01 – $1,261.01 | 1 |
| Tlso corset front HCPCS L0970 | not published | not published | $283.24 – $283.24 | 1 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $492.46 – $492.46 | 1 |
| Tlso full corset HCPCS L0974 | not published | not published | $428.68 – $428.68 | 1 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $894.57 – $894.57 | 1 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $552.31 – $552.31 | 1 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $1,097.57 – $1,097.57 | 1 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $703.73 – $703.73 | 1 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $1,779.88 – $1,779.88 | 1 |
| Tlso rigid lined custom fab HCPCS L0482 | $3,437.06 | $5,287.78 | $4,587.66 – $4,587.66 | 1 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $2,508.94 – $2,508.94 | 1 |
| Tlso rigid plastic cust fab HCPCS L0484 | $3,414.61 | $5,253.24 | $4,557.70 – $4,557.70 | 1 |
| Tlso rigid plastic custom fa HCPCS L0480 | $3,084.14 | $4,744.83 | $4,116.58 – $4,116.58 | 1 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $707.06 – $707.06 | 1 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $866.84 – $866.84 | 1 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,104.68 – $4,385.52 | 2 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,145.89 – $4,471.39 | 2 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $420.60 – $876.40 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $2.75 | $4.23 | $2.04 – $2.74 | 4 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $12.47 – $121.95 | 3 |
| Tobramycin peak therapeutic drug level CPT 80200 | $58.37 | $89.80 | $12.20 – $25.16 | 7 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $26.02 | $40.03 | $5.52 – $8.48 | 4 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.63 – $8.48 | 4 |
| Toe joint transfer CPT 26556 | not published | not published | $2,921.36 – $6,087.24 | 2 |
| Toe X-ray (both feet) CPT 73660 | $201.75 | $310.38 | $21.18 – $44.13 | 3 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $76.37 | $117.49 | $12.06 – $25.13 | 2 |
| Tomosynthesis breast screen bilateral CPT 77063 | $80.17 | $123.34 | $22.21 – $46.28 | 3 |
| Tone decay hearing test CPT 92563 | not published | not published | $33.87 – $70.57 | 2 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,834.15 – $3,821.82 | 2 |
| Tongue base vol reduction CPT 41530 | not published | not published | $345.38 – $719.67 | 2 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $6,419.65 | $9,876.39 | $96.25 – $200.56 | 2 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,501.62 – $5,212.63 | 2 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,858.21 – $3,871.95 | 2 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,011.27 – $4,190.88 | 2 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,312.62 – $4,818.81 | 2 |
| Tongue suspension CPT 41512 | not published | not published | $590.98 – $1,231.43 | 2 |
| Tongue to lip surgery CPT 41510 | not published | not published | $411.08 – $856.57 | 2 |
| Tonsillectomy (age 12+) CPT 42826 | $7,267.74 | $11,181.14 | $221.55 – $461.64 | 2 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $233.07 – $485.65 | 2 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.23 – $4.83 | 4 |
| Topotecan oral HCPCS J8705 | not published | not published | $108.53 – $138.68 | 3 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.57 – $40.21 | 2 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $270.55 – $270.55 | 1 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $294.78 – $294.78 | 1 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,190.73 – $2,481.12 | 2 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,426.87 – $2,973.17 | 2 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,102.42 – $2,297.11 | 2 |
| Total hysterectomy CPT 58150 | not published | not published | $886.62 – $1,847.45 | 2 |
| Total Knee Replacement CPT 27447 | $13,931.12 | $21,432.50 | $1,100.13 – $2,292.34 | 2 |
| Total lung lavage CPT 32997 | $6,482.18 | $9,972.59 | $292.30 – $609.07 | 2 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,334.58 – $4,864.56 | 2 |
| Total tau CPT 84394 | $35.95 | $55.31 | $110.87 – $201.12 | 6 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $1,660.46 – $1,660.46 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,424.09 – $2,967.38 | 2 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,488.12 – $3,100.80 | 2 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $324.49 – $676.14 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $419.50 – $874.11 | 2 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,599.96 – $5,417.54 | 2 |
| Tot estradiol response panel CPT 80415 | not published | not published | $48.07 – $87.19 | 5 |
| Toxoplasma antibody igg CPT 86777 | $52.10 | $80.15 | $8.32 – $22.45 | 7 |
| Toxoplasma antibody igm CPT 86778 | $52.12 | $80.18 | $8.20 – $22.48 | 7 |
| Tp53 gene full gene sequence CPT 81351 | $1,511.87 | $2,325.95 | $401.99 – $1,001.29 | 7 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $192.90 – $480.48 | 5 |
| Tp53 gene trgt sequence alys CPT 81352 | $876.10 | $1,347.84 | $206.37 – $514.04 | 7 |
| Tpmt gene com vrnts CPT 81335 | $512.41 | $788.33 | $109.47 – $272.70 | 6 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $11,985.71 | $18,439.55 | $137.69 – $286.90 | 2 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $341.20 – $435.98 | 4 |
| Trabeculoplasty laser surg CPT 65855 | $1,639.22 | $2,521.88 | $165.86 – $345.60 | 2 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $20.57 – $20.57 | 1 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $323.45 – $673.97 | 2 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,628.32 | $2,505.11 | $97.71 – $203.60 | 2 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,699.72 – $5,625.41 | 2 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,239.08 – $2,581.87 | 2 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $2.02 – $2.02 | 1 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $377.81 – $787.24 | 2 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $229.89 – $229.89 | 1 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $13.81 – $13.81 | 1 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $10.63 – $10.63 | 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.