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 |
|---|---|---|---|---|
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $2,076.42 | $3,194.49 | $482.96 – $1,006.34 | 2 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $572.35 – $1,425.84 | 4 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $572.35 – $1,425.84 | 4 |
| Xm archive tissue molec anal CPT 88363 | $49.84 | $76.67 | $15.03 – $21.48 | 2 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $6,661.44 | $10,248.37 | $318.87 – $664.43 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $5,738.73 | $8,828.82 | $173.94 – $362.44 | 2 |
| X-ray abdomen >=3 views CPT 74021 | $275.16 | $423.33 | $28.16 – $58.68 | 3 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $732.28 | $1,126.58 | $102.41 – $213.39 | 3 |
| X-ray assay calculus CPT 82370 | not published | not published | $10.77 – $19.53 | 5 |
| X-ray bone length studies CPT 77073 | $275.16 | $423.33 | $31.65 – $65.95 | 3 |
| X-ray bone survey infant CPT 77076 | $275.16 | $423.33 | $68.69 – $143.13 | 3 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $275.16 | $423.33 | $59.57 – $124.13 | 3 |
| X-ray exam entire spi 6/> vw CPT 72084 | $275.16 | $423.33 | $74.72 – $155.69 | 3 |
| X-ray exam of arm infant CPT 73092 | $275.16 | $423.33 | $21.81 – $45.45 | 3 |
| X-ray exam of femur 1 CPT 73551 | $201.75 | $310.38 | $20.23 – $42.15 | 3 |
| X-ray exam of jaw joint CPT 70328 | $201.75 | $310.38 | $24.03 – $50.07 | 3 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $51.96 – $108.27 | 3 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $28.48 – $59.34 | 3 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $42.12 – $87.77 | 3 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $27.21 – $56.70 | 3 |
| X-ray exam of teeth CPT 70300 | not published | not published | $8.48 – $17.67 | 3 |
| X-ray exam of teeth CPT 70310 | not published | not published | $32.92 – $68.60 | 3 |
| X-ray exam si joints CPT 72200 | $275.16 | $423.33 | $24.03 – $50.07 | 3 |
| X-ray exam thorac spine4/>vw CPT 72074 | $275.16 | $423.33 | $31.01 – $64.62 | 3 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $201.75 | $310.38 | $22.76 – $47.43 | 3 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $9.12 – $19.00 | 3 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $275.16 | $423.33 | $46.88 – $97.68 | 3 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $275.16 | $423.33 | $44.34 – $92.39 | 3 |
| X-ray joint survey 1 view CPT 77077 | $275.16 | $423.33 | $29.43 – $61.32 | 3 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $201.75 | $310.38 | $21.81 – $45.45 | 3 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $275.16 | $423.33 | $29.74 – $61.97 | 3 |
| X-ray male genital tract CPT 74440 | not published | not published | $78.61 – $163.80 | 3 |
| X-ray mandible ltd <4 views CPT 70100 | $201.75 | $310.38 | $29.74 – $61.97 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $201.75 | $310.38 | $19.27 – $40.15 | 3 |
| X-ray of mammary ducts CPT 77054 | $875.65 | $1,347.15 | $44.98 – $93.72 | 3 |
| X-ray optic foramina CPT 70190 | not published | not published | $24.98 – $52.05 | 3 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $732.28 | $1,126.58 | $53.54 – $111.56 | 3 |
| X-ray ribs 2 views left CPT 71100 | $201.75 | $310.38 | $24.35 – $50.74 | 3 |
| X-ray sella turcica CPT 70240 | not published | not published | $21.81 – $45.45 | 3 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,211.40 | $1,863.69 | $32.92 – $68.60 | 3 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $56.08 – $116.85 | 3 |
| X-ray small intestine follow-through study CPT 74248 | $648.60 | $997.85 | $44.98 – $93.72 | 3 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $201.75 | $310.38 | $29.43 – $61.32 | 3 |
| X-ray surgical specimen CPT 76098 | $1,211.40 | $1,863.69 | $26.89 – $56.03 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $201.75 | $310.38 | $29.74 – $61.97 | 3 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $336.54 | $517.76 | $60.84 – $126.77 | 3 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $265.76 – $553.76 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $67.34 – $140.32 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $120.89 – $621.00 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $10.01 – $20.14 | 5 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.56 – $2.20 | 4 |
| Yersinia antibody CPT 86793 | not published | not published | $8.20 – $20.58 | 7 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $66,711.99 – $85,243.09 | 3 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $75.79 – $1,311.00 | 4 |
| Ziconotide injection HCPCS J2278 | $25.88 | $39.82 | $10.18 – $13.01 | 4 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.49 – $2.01 | 4 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.18 – $1.51 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | $129.92 | $199.88 | $39.67 – $80.04 | 7 |
| Zika virus igm antibody CPT 86794 | $42.67 | $65.64 | $13.02 – $26.29 | 7 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $3.73 – $3.73 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $9.00 – $22.62 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.11 – $22.08 | 4 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.13 – $33.67 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $12.17 | $18.72 | $5.00 – $27.94 | 4 |
| Zoster vaccine-live inj CPT 90736 | $449.25 | $691.16 | $229.68 – $293.48 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $121.03 – $301.47 | 5 |
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.