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 |
|---|---|---|---|---|
| Unlisted procedure spine CPT 22899 | $763.42 | $1,174.50 | not published | 0 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $765.30 – $1,594.66 | 2 |
| Unlisted px abdomen muscskel CPT 22999 | $18,672.82 | $28,727.42 | not published | 0 |
| Unlisted px biliary tract CPT 47999 | $2,195.76 | $3,378.09 | not published | 0 |
| Unlisted px casting/strpg CPT 29799 | $368.32 | $566.65 | not published | 0 |
| Unlisted px diaphragm CPT 39599 | $18,105.47 | $27,854.57 | not published | 0 |
| Unlisted px foot/toes CPT 28899 | $654.26 | $1,006.56 | not published | 0 |
| Unlisted px hands/fingers CPT 26989 | $3,251.90 | $5,002.93 | not published | 0 |
| Unlisted px lacrimal system CPT 68899 | $918.99 | $1,413.83 | not published | 0 |
| Unlisted px pelvis/hip joint CPT 27299 | $3,251.90 | $5,002.93 | not published | 0 |
| Unlisted px small intestine CPT 44799 | $2,195.76 | $3,378.09 | not published | 0 |
| Unlisted px tongue flr mouth CPT 41599 | $618.08 | $950.90 | not published | 0 |
| Unlisted spec derm svc/px CPT 96999 | $584.21 | $898.79 | not published | 0 |
| Unlisted transfusion med px CPT 86999 | $61.13 | $94.05 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $222.56 | $342.40 | not published | 0 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $4.39 – $4.39 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,806.38 | $2,779.05 | not published | 0 |
| Upgrade pm system CPT 33214 | $11,881.43 | $18,279.12 | $402.50 – $838.69 | 2 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $201.75 | $310.38 | $22.76 – $47.43 | 3 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $845.92 | $1,301.42 | $107.40 – $223.79 | 3 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $520.31 | $800.48 | $79.56 – $165.78 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,648.98 | $2,536.89 | $202.20 – $421.32 | 3 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,648.98 | $2,536.89 | $179.35 – $373.71 | 3 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,006.36 | $1,548.25 | $115.97 – $241.65 | 3 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $275.16 | $423.33 | $22.13 – $46.11 | 3 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $275.16 | $423.33 | $26.89 – $56.03 | 3 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,706.99 | $2,626.14 | $106.46 – $221.83 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,195.76 | $3,378.09 | $119.07 – $248.11 | 2 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $1,166.27 – $1,166.27 | 1 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $159.31 – $331.95 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $336.54 | $517.76 | $88.13 – $183.64 | 3 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $336.54 | $517.76 | $79.88 – $166.45 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $119.07 – $248.11 | 2 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $557.85 – $1,162.39 | 2 |
| Urea nitrogen CPT 84520 | $14.31 | $22.01 | $3.40 – $6.16 | 7 |
| Urea nitrogen 24 hour urine CPT 84540 | $17.18 | $26.43 | $3.62 – $8.67 | 7 |
| Urea nitrogen clearance CPT 84545 | $23.92 | $36.80 | $3.62 – $11.23 | 6 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $3.31 – $8.00 | 4 |
| Ureteral embolization/occl CPT 50705 | $829.86 | $1,276.70 | $154.19 – $321.29 | 2 |
| Ureteral reflux study CPT 78740 | not published | not published | $183.71 – $382.80 | 3 |
| Ureter endoscopy CPT 50970 | not published | not published | $312.92 – $652.03 | 2 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $298.10 – $621.15 | 2 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $398.25 – $829.83 | 2 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $302.62 – $630.57 | 2 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $299.76 – $624.61 | 2 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $268.84 – $560.18 | 2 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $392.73 – $818.33 | 2 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $300.73 – $626.63 | 2 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $963.69 – $2,008.04 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $981.02 – $2,044.15 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $579.34 | $891.29 | not published | 0 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $644.31 – $1,342.55 | 2 |
| Urethrocystography void s&i CPT 74455 | $579.34 | $891.29 | $85.27 – $177.68 | 3 |
| Uric acid blood CPT 84550 | $16.35 | $25.16 | $3.89 – $7.05 | 7 |
| Uric acid urine CPT 84560 | $17.18 | $26.43 | $4.18 – $7.92 | 7 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.25 – $7.33 | 4 |
| Urinalysis microscopic only CPT 81015 | $11.02 | $16.95 | $2.32 – $4.76 | 7 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $7.83 | $12.04 | $1.58 – $3.39 | 6 |
| Urinalysis (with microscopy) CPT 81001 | $11.50 | $17.69 | $2.73 – $4.95 | 7 |
| Urinalysis (without microscopy) CPT 81003 | $8.13 | $12.51 | $1.94 – $3.51 | 7 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $62.11 – $129.42 | 3 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.08 – $9.11 | 3 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $4.18 – $17.86 | 3 |
| Urinary reflex study CPT 51792 | $192.19 | $295.67 | $181.25 – $377.67 | 2 |
| Urinary suspensory HCPCS A5105 | not published | not published | $121.08 – $121.08 | 1 |
| Urine Culture Test CPT 87086 | $29.19 | $44.91 | $6.94 – $12.59 | 7 |
| Urine flow measurement 51736 CPT 51736 | $335.52 | $516.18 | $5.63 – $11.73 | 2 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $6.62 – $19.36 | 3 |
| Urine pregnancy test CPT 81025 | $25.23 | $38.82 | $2.32 – $13.43 | 7 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.26 – $46.77 | 5 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,055.66 – $2,199.68 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $1.88 – $9.34 | 3 |
| Urography, antegrade CPT 74425 | $732.28 | $1,126.58 | $104.63 – $218.02 | 3 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $115.34 – $240.33 | 3 |
| Use 1st target lesion CPT 76982 | not published | not published | $61.16 – $127.44 | 3 |
| User adjustable heel height HCPCS L5990 | not published | not published | $4,543.32 – $4,543.32 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $34.43 | $52.97 | $12.29 – $19.68 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $663.04 | $1,020.06 | $85.84 – $390.95 | 4 |
| Vaccine Administration (one shot) CPT 90471 | $67.74 | $104.21 | $21.14 – $44.05 | 2 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $239.41 | $368.32 | not published | 0 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $236.64 | $364.06 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $196.27 | $301.96 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $243.53 | $374.66 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $243.53 | $374.66 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $57.91 | $89.09 | $28.79 – $36.79 | 3 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $135.58 | $208.58 | $96.57 – $123.40 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $122.60 | $188.62 | $61.25 – $78.27 | 3 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $211.02 | $324.64 | $150.19 – $191.91 | 3 |
| Vaccine dtap-ipv/hib im CPT 90698 | $226.53 | $348.51 | $113.99 – $145.66 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $59.05 | $90.84 | $31.04 – $39.66 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $26.03 | $40.04 | $12.82 – $16.39 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $142.10 | $218.61 | $72.36 – $105.64 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $208.36 | $320.56 | $125.86 – $160.83 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $59.94 | $92.22 | $37.50 – $47.92 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $47.20 | $72.61 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $43.41 | $66.78 | $67.94 – $86.81 | 3 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $78.97 | $121.49 | $66.67 – $85.19 | 3 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $271.43 | $417.59 | $144.07 – $184.09 | 3 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $45.38 | $69.81 | $28.30 – $36.17 | 3 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $641.57 | $987.03 | $290.14 – $370.74 | 3 |
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.