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 |
|---|---|---|---|---|
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $434.17 | $667.96 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $169.88 | $261.36 | $66.26 – $87.83 | 3 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $56.40 – $87.83 | 3 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $38.47 | $59.18 | $19.75 – $19.75 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $40.94 | $62.98 | $20.77 – $20.77 | 1 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $36.51 | $56.17 | $18.68 – $24.79 | 3 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $67.91 – $86.78 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $37.99 | $58.44 | $20.50 – $26.20 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $39.11 | $60.17 | $20.00 – $26.05 | 3 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.34 – $12.40 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $45.34 | $69.75 | $24.79 – $31.67 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $127.48 | $196.13 | $65.67 – $84.66 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $68.98 | $106.13 | $44.29 – $44.29 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $9.88 – $9.88 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $330.07 | $507.80 | $217.26 – $277.61 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $343.22 | $528.03 | $181.47 – $231.87 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $315.15 | $484.85 | $160.47 – $205.04 | 3 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $330.07 | $507.80 | $152.90 – $195.37 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | $183.83 | $282.81 | $93.90 – $119.98 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | $568.55 | $874.69 | $282.82 – $361.38 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $208.94 | $321.45 | $119.43 – $161.57 | 3 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $462.57 | $711.65 | $230.83 – $312.31 | 3 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $439.52 | $676.19 | $233.24 – $298.02 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $462.57 | $711.65 | $268.79 – $343.45 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $87.84 | $135.14 | $41.71 – $53.29 | 3 |
| Vaccine rabies im CPT 90675 | $791.49 | $1,217.68 | $314.62 – $523.08 | 3 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $531.55 | $817.77 | $325.45 – $325.45 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,031.86 | $1,587.47 | $606.96 – $606.96 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,031.86 | $1,587.47 | $606.96 – $606.96 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $508.64 | $782.53 | $312.48 – $312.48 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $174.28 | $268.12 | $141.15 – $180.35 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $174.28 | $268.12 | $97.60 – $124.72 | 2 |
| Vaccine tdap >=7 years im CPT 90715 | $97.06 | $149.33 | $39.05 – $61.31 | 3 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $83.37 | $128.26 | $29.34 – $38.35 | 3 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $86.72 – $164.83 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | $385.63 | $593.28 | $172.66 – $220.62 | 3 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $151.91 – $261.45 | 3 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $122.65 – $122.65 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,072.50 | $1,650.00 | $1,172.37 – $1,172.37 | 1 |
| Vad cable power module dc input HCPCS Q0478 | $438.75 | $675.00 | $460.23 – $460.23 | 1 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $10,530.00 | $16,200.00 | $10,460.51 – $10,460.51 | 1 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $837.54 – $1,745.18 | 2 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,042.74 – $2,172.76 | 2 |
| Vag hyst including t/o CPT 58262 | not published | not published | $781.57 – $1,628.56 | 2 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,098.24 – $2,288.40 | 2 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,020.75 – $2,126.94 | 2 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $756.98 – $1,577.32 | 2 |
| Vaginal bx CPT 58999 | $199.89 | $307.53 | not published | 0 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $2,837.29 | $4,365.06 | $766.55 – $1,597.26 | 2 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,078.59 – $4,331.16 | 2 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $707.99 – $1,475.24 | 2 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,536.98 – $3,202.61 | 2 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $3,417.89 – $3,417.89 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,536.98 – $3,202.61 | 2 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $762.21 – $1,588.22 | 2 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $94.81 – $197.56 | 2 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,066.71 – $2,222.70 | 2 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,055.38 – $2,199.10 | 2 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | not published | not published | $0.04 – $0.05 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $49.02 | $75.41 | $11.64 – $21.12 | 7 |
| Valrubicin injection HCPCS J9357 | $2,820.82 | $4,339.73 | $1,282.44 – $1,940.28 | 4 |
| Valvuloplasty aortic CPT 92986 | $12,648.13 | $19,458.66 | $1,103.78 – $2,299.95 | 2 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,672.08 – $3,484.11 | 2 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,000.79 – $4,169.05 | 2 |
| Valvuloplasty mitral CPT 92987 | $20,251.58 | $31,156.28 | $1,139.20 – $2,373.75 | 2 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $912.25 – $1,900.86 | 2 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,703.26 – $5,632.78 | 2 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,145.80 – $4,471.20 | 2 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.03 – $0.03 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.10 – $0.10 | 2 |
| Vancomycin hcl injection HCPCS J3370 | $3.74 | $5.76 | $6.71 – $8.58 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $49.02 | $75.41 | $11.64 – $21.12 | 7 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $24.89 – $54.74 | 5 |
| Vantas implant HCPCS J9225 | not published | not published | $5,263.77 – $6,725.92 | 2 |
| Variable concentration mask HCPCS A4620 | not published | not published | $1.79 – $1.79 | 1 |
| Varicella zoster antibody igg CPT 86787 | $46.60 | $71.70 | $8.20 – $20.09 | 7 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,280.76 – $3,011.94 | 4 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $131.44 – $131.44 | 1 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $659.79 – $1,374.80 | 2 |
| Vasectomy CPT 55250 | not published | not published | $209.23 – $435.97 | 2 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $0.52 – $0.53 | 2 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,176.20 – $4,534.55 | 2 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $993.17 – $2,069.47 | 2 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $65.91 | $101.40 | $21.03 – $35.48 | 4 |
| Veeg cont 2-12 hrs CPT 95713 | $1,240.57 | $1,908.57 | not published | 0 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $2,535.17 | $3,900.26 | not published | 0 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $10,989.17 | $16,906.41 | $1,225.22 – $2,552.99 | 2 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $11,171.29 | $17,186.60 | $1,418.83 – $2,956.42 | 2 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,140.63 – $2,376.73 | 2 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $11,729.85 | $18,045.93 | $1,412.80 – $2,943.85 | 2 |
| Vein x-ray adrenal gland CPT 75840 | $5,491.15 | $8,447.92 | $69.33 – $144.46 | 3 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $69.01 – $143.80 | 3 |
| Vein x-ray kidney CPT 75831 | $5,491.15 | $8,447.92 | $65.20 – $135.86 | 3 |
| Vein x-ray liver CPT 75891 | $5,491.15 | $8,447.92 | $68.69 – $143.13 | 3 |
| Vein x-ray liver w/hemodynam CPT 75885 | $5,491.15 | $8,447.92 | $68.06 – $141.82 | 3 |
| Vein x-ray liver w/hemodynam CPT 75889 | $5,491.15 | $8,447.92 | $68.37 – $142.46 | 3 |
| Vein x-ray liver without hemodyn CPT 75887 | $5,491.15 | $8,447.92 | $68.37 – $142.46 | 3 |
| Vein x-ray skull CPT 75870 | not published | not published | $115.34 – $240.33 | 3 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $69.33 – $144.46 | 3 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $380.23 – $489.31 | 4 |
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.