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 |
|---|---|---|---|---|
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $2,147.39 | $3,303.67 | $572.64 – $1,193.21 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $2,048.16 | $3,151.02 | $443.39 – $923.89 | 2 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $401.29 – $999.54 | 4 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $2,786.40 – $5,054.40 | 4 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $964.45 – $2,009.62 | 2 |
| Troponin quantitative CPT 84484 | $36.55 | $56.23 | $8.67 – $19.45 | 7 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $937.52 – $1,953.51 | 2 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $339.81 – $708.06 | 2 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $102.80 – $139.08 | 4 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $136.36 – $136.36 | 1 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $125.94 – $125.94 | 1 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $450.52 – $450.52 | 1 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $215.20 – $215.20 | 1 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,086.62 | $3,210.18 | not published | 0 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,086.62 | $3,210.18 | not published | 0 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $317.56 – $661.70 | 2 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $33.59 – $33.59 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $139.69 – $139.69 | 1 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $19.46 – $19.46 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $276.41 | $425.25 | $140.98 – $140.98 | 1 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.17 – $0.17 | 1 |
| Tubular dressing HCPCS A6457 | not published | not published | $3.38 – $3.38 | 1 |
| Tumor cell deplete of harvst CPT 38211 | $845.49 | $1,300.75 | not published | 0 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $965.50 – $2,011.81 | 2 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $896.98 – $1,869.04 | 2 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $1,355.34 – $1,355.34 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | $37,561.02 | $57,786.18 | $761.73 – $1,587.22 | 2 |
| Tx closed hip disl traumatic without anes CPT 27250 | $763.42 | $1,174.50 | $164.74 – $343.27 | 2 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $8,441.76 | $12,987.33 | $527.59 – $1,099.34 | 2 |
| Tx closed tib shaft fx without manip CPT 27750 | $763.42 | $1,174.50 | $316.88 – $660.28 | 2 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $91.50 – $190.66 | 2 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $1,651.23 | $2,540.35 | $59.22 – $123.40 | 2 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $795.38 – $1,657.33 | 2 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $753.97 – $1,571.05 | 2 |
| Tx l/r atrial fib addl CPT 93657 | $11,134.71 | $17,130.33 | $246.29 – $513.19 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $654.92 – $1,364.66 | 2 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $8,441.76 | $12,987.33 | $462.61 – $963.94 | 2 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $8,441.76 | $12,987.33 | $498.62 – $1,038.97 | 2 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $394.77 – $822.58 | 2 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $556.96 – $1,160.54 | 2 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $536.78 – $1,118.49 | 2 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $391.97 – $816.75 | 2 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $654.26 | $1,006.56 | $185.67 – $386.88 | 2 |
| Tympanic membrane repair CPT 69610 | not published | not published | $239.20 – $498.42 | 2 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $474.74 – $989.22 | 2 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $21.13 – $44.03 | 2 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $1,152.40 | $1,772.93 | $114.42 – $238.42 | 2 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,227.33 – $2,557.39 | 2 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,120.02 – $2,333.79 | 2 |
| Tyms gene com variants CPT 81346 | not published | not published | $109.47 – $272.70 | 4 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $102.06 – $130.41 | 2 |
| U2af1 gene common variants CPT 81357 | not published | not published | $121.03 – $301.47 | 5 |
| Ua w/micro/comp poc CPT 81000 | $11.78 | $18.13 | $2.79 – $6.27 | 7 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $69.06 – $70.18 | 2 |
| Ue triple control harness HCPCS L6677 | not published | not published | $742.88 – $742.88 | 1 |
| Ugt1a1 gene analy common variants CPT 81350 | $685.93 | $1,055.27 | $146.53 – $365.04 | 6 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $4.68 – $9.75 | 3 |
| Ultrasound breast complete CPT 76641 | $425.45 | $654.54 | $63.06 – $131.40 | 3 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $222.56 | $342.40 | $49.42 – $102.98 | 3 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $425.45 | $654.54 | $19.91 – $41.49 | 3 |
| Ultrasound dx ophth b-scan CPT 76512 | $425.45 | $654.54 | $17.37 – $36.19 | 3 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $34.82 – $72.55 | 3 |
| Ultrasound elastography parenchyma CPT 76981 | $328.61 | $505.56 | $79.24 – $165.11 | 3 |
| Ultrasound encephalogram CPT 76506 | $425.45 | $654.54 | $75.44 – $157.19 | 3 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $425.45 | $654.54 | $102.96 – $214.54 | 3 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $425.45 | $654.54 | $48.38 – $100.81 | 3 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $1,000.73 | $1,539.58 | $31.01 – $64.62 | 3 |
| Ultrasound guidance for vascular access CPT 76937 | $224.24 | $344.99 | $25.30 – $52.72 | 3 |
| Ultrasound guide intraoperative CPT 76998 | $586.68 | $902.59 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $686.19 | $1,055.67 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $222.56 | $342.40 | $92.49 – $192.72 | 3 |
| Ultrasound infant hips ltd without stress CPT 76886 | $222.56 | $342.40 | $64.97 – $135.38 | 3 |
| Ultrasound joint complete left CPT 76881 | $425.45 | $654.54 | $10.39 – $21.65 | 3 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $251.07 | $386.26 | $15.47 – $32.23 | 3 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $352.77 | $542.72 | $39.26 – $81.81 | 3 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $230.30 | $354.30 | $19.99 – $41.65 | 3 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $646.80 | $995.08 | $86.70 – $180.66 | 3 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $425.45 | $654.54 | $66.87 – $139.34 | 3 |
| Ultrasound prostate/transrectal CPT 76872 | $425.45 | $654.54 | $83.92 – $174.86 | 3 |
| Ultrasound spinal canal and contents CPT 76800 | $425.45 | $654.54 | $119.54 – $249.09 | 3 |
| Ultrasound transabd ea addl gest CPT 76812 | $230.30 | $354.30 | $103.28 – $215.20 | 3 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $435.65 | $670.23 | $91.85 – $191.39 | 3 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $435.65 | $670.23 | $64.01 – $133.38 | 3 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.98 – $16.63 | 3 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $56.29 – $117.29 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $431.25 – $898.60 | 2 |
| Unit mobile power mpu HCPCS Q0479 | $15,600.00 | $24,000.00 | $30,042.81 – $30,042.81 | 1 |
| Unlisted chemotherapy px CPT 96549 | $99.79 | $153.52 | not published | 0 |
| Unlisted CT procedure CPT 76497 | $211.95 | $326.07 | not published | 0 |
| Unlisted cytogenetic study CPT 88299 | $130.14 | $200.22 | not published | 0 |
| Unlisted dialysis procedure CPT 90999 | $1,033.55 | $1,590.08 | not published | 0 |
| Unlisted fetal invas px w/us CPT 59897 | $1,667.91 | $2,566.01 | not published | 0 |
| Unlisted fluoroscopic px CPT 76496 | $222.56 | $342.40 | not published | 0 |
| Unlisted laps px appendix CPT 44979 | $14,223.16 | $21,881.79 | not published | 0 |
| Unlisted misc path test CPT 89240 | $130.14 | $200.22 | not published | 0 |
| Unlisted mr procedure CPT 76498 | $344.66 | $530.25 | not published | 0 |
| Unlisted neurological dx px CPT 95999 | $689.09 | $1,060.14 | not published | 0 |
| Unlisted procedure liver CPT 47399 | $1,385.57 | $2,131.64 | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $1,043.48 | $1,605.35 | not published | 0 |
| Unlisted procedure rectum CPT 45999 | $2,393.41 | $3,682.17 | 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.