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 |
|---|---|---|---|---|
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $30.96 – $30.96 | 1 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $2,053.63 | $3,159.43 | $70.56 – $147.03 | 2 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $2,053.63 | $3,159.43 | $66.00 – $137.52 | 2 |
| Block paracervical nrv CPT 64435 | $1,276.42 | $1,963.73 | $36.95 – $76.99 | 2 |
| Block plantar digital nerve CPT 64455 | $418.44 | $643.75 | $29.20 – $60.84 | 2 |
| Block tap inj(s) w/wo img bi CPT 64488 | $166.97 | $256.88 | $55.24 – $115.10 | 2 |
| Block tap inj(s) w/wo img uni CPT 64486 | $133.59 | $205.52 | $47.22 – $98.39 | 2 |
| Blood clot lysis time CPT 85175 | not published | not published | $3.85 – $31.78 | 4 |
| Blood clot retraction CPT 85170 | not published | not published | $3.19 – $25.43 | 4 |
| Blood Clotting (PT/INR) Test CPT 85610 | $14.21 | $21.86 | $3.46 – $6.69 | 7 |
| Blood Clotting (PTT) Test CPT 85730 | $21.75 | $33.46 | $5.17 – $9.38 | 7 |
| Blood Count (CBC) Test CPT 85025 | $28.12 | $43.26 | $3.68 – $12.12 | 7 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $23.40 | $36.00 | $3.68 – $10.09 | 7 |
| Blood count spun microhematocrit CPT 85013 | $20.51 | $31.56 | $2.09 – $10.92 | 7 |
| Blood Culture Test CPT 87040 | $37.35 | $57.46 | $8.88 – $16.10 | 7 |
| Blood draw capillary 36416 CPT 36416 | $73.57 | $113.18 | not published | 0 |
| Blood Draw (Venipuncture) CPT 36415 | $22.86 | $35.17 | $1.88 – $9.34 | 5 |
| Blood gases o2 saturation direct measurement CPT 82805 | not published | not published | $25.01 – $122.88 | 7 |
| Blood gases ph venous CPT 82800 | $32.25 | $49.62 | $7.46 – $17.16 | 6 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $4.26 – $7.72 | 4 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.57 | $88.57 | $3.94 – $24.84 | 7 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $12.40 | $19.08 | $2.87 – $6.60 | 6 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $12.84 | $19.75 | $2.87 – $6.83 | 7 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $15.60 | $24.00 | $2.87 – $8.30 | 6 |
| Blood smear interpretation CPT 85060 | $72.19 | $111.06 | $14.24 – $23.48 | 3 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $12.43 | $19.12 | $1.66 – $5.93 | 7 |
| Blood split unit HCPCS P9011 | $351.12 | $540.18 | not published | 0 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $3.44 – $7.72 | 4 |
| Blood Transfusion CPT 36430 | $1,049.07 | $1,613.95 | $44.81 – $93.37 | 2 |
| Blood typing abo CPT 86900 | $273.52 | $420.80 | $2.57 – $4.66 | 7 |
| Blood typing ag donor ea ag CPT 86902 | $595.91 | $916.79 | $3.37 – $9.91 | 6 |
| Blood typing patient serum CPT 86904 | $92.99 | $143.06 | $8.38 – $25.49 | 6 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $595.91 | $916.79 | $3.29 – $5.97 | 7 |
| Blood typing rh (d) CPT 86901 | $92.99 | $143.06 | $2.57 – $4.66 | 7 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $6.66 – $12.09 | 4 |
| Blood volume CPT 78122 | not published | not published | $76.14 – $158.65 | 3 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $5,332.96 – $5,332.96 | 1 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $275.16 | $423.33 | $15.47 – $32.23 | 3 |
| Bone biopsy open superficial CPT 20240 | $5,754.62 | $8,853.26 | $122.03 – $254.27 | 2 |
| Bone Density Scan (DEXA) CPT 77080 | $275.16 | $423.33 | $28.48 – $59.34 | 3 |
| Bone imaging multiple areas CPT 78305 | $1,067.57 | $1,642.41 | $194.18 – $404.61 | 3 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $162.53 – $338.66 | 3 |
| Bone marrow;aspiration only 38220 CPT 38220 | $4,582.16 | $7,049.47 | $53.88 – $112.27 | 2 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $57.47 – $119.75 | 2 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,726.09 | $4,193.99 | $56.07 – $116.83 | 2 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $165.07 – $343.96 | 2 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $152.07 – $316.87 | 2 |
| Bone marrow imaging body CPT 78104 | not published | not published | $175.78 – $366.27 | 3 |
| Bone marrow imaging ltd CPT 78102 | $1,067.57 | $1,642.41 | $125.64 – $261.80 | 3 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $133.89 – $278.99 | 3 |
| Bone marrow interpretation CPT 85097 | $1,488.55 | $2,290.08 | $23.48 – $49.86 | 3 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,532.51 – $5,276.99 | 2 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,409.80 – $5,021.30 | 2 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,401.28 – $5,003.55 | 2 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,223.95 – $4,634.04 | 2 |
| Bone survey-lead poisoning CPT 77074 | $275.16 | $423.33 | $41.80 – $87.10 | 3 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $87.06 – $111.24 | 2 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $2.60 – $2.60 | 1 |
| Boot j walker l HCPCS L4386 | $296.89 | $456.75 | $396.24 – $396.24 | 1 |
| Boot mlti podous univ xlg HCPCS L4396 | $314.20 | $483.38 | $419.37 – $419.37 | 1 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $396.24 – $396.24 | 1 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $80.86 | $124.40 | $687.81 – $687.81 | 1 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $687.81 – $687.81 | 1 |
| Borrelia antibody CPT 86619 | $33.88 | $52.13 | $8.60 – $20.87 | 7 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $61.62 | $94.80 | $8.60 – $26.57 | 7 |
| Borrelia miyamotoi amp prb CPT 87478 | $82.65 | $127.16 | $21.98 – $54.74 | 7 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.64 – $9.86 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | $12.43 | $19.12 | $2.29 – $5.35 | 6 |
| Botulism ig IV CPT 90288 | not published | not published | $58,905.00 – $58,905.00 | 2 |
| Bowel imaging CPT 78290 | $1,067.57 | $1,642.41 | $246.45 – $513.53 | 3 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $1,124.95 – $2,344.06 | 2 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $851.49 – $1,774.25 | 2 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,543.12 – $3,215.40 | 2 |
| Bpg ilio-mesenteric CPT 35633 | $11,725.60 | $18,039.39 | $1,695.69 – $3,533.31 | 2 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,510.47 – $3,147.37 | 2 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $968.56 – $2,018.19 | 2 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,363.80 – $2,841.75 | 2 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $943.28 – $1,965.51 | 2 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $813.26 – $1,694.59 | 2 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $396.38 – $396.38 | 1 |
| Brace afo dbl upright cust HCPCS L1990 | $953.62 | $1,467.11 | $1,272.87 – $1,272.87 | 1 |
| Brace afo lg left 6607 HCPCS L1930 | $424.36 | $652.86 | $566.43 – $566.43 | 1 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,325.79 | $2,039.68 | $1,769.60 – $1,769.60 | 1 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $2,099.06 – $2,099.06 | 1 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $247.73 | $381.12 | $290.84 – $290.84 | 1 |
| Brace ank air stirrup univ HCPCS L4350 | $160.37 | $246.73 | $214.04 – $214.04 | 1 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $175.91 – $175.91 | 1 |
| Brace ankle stablizing lg HCPCS L1902 | $187.40 | $288.30 | $250.13 – $250.13 | 1 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $583.81 – $583.81 | 1 |
| Brace back epic lso 637 HCPCS L0650 | $2,011.64 | $3,094.83 | $1,686.98 – $1,686.98 | 1 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $1,412.23 – $1,412.23 | 1 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $1,027.43 – $1,027.43 | 1 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $3,164.42 | $4,868.34 | $3,715.17 – $3,715.17 | 1 |
| Brace back t-lso custom HCPCS L0486 | $3,630.46 | $5,585.32 | $4,845.79 – $4,845.79 | 1 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $1,457.99 – $1,457.99 | 1 |
| Brace cust back lso HCPCS L0631 | not published | not published | $2,565.83 – $2,565.83 | 1 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $2,289.63 – $2,289.63 | 1 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $620.54 | $954.68 | $828.25 – $828.25 | 1 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $277.01 – $277.01 | 1 |
| Brace kafo dbl upright cust HCPCS L2036 | $4,437.69 | $6,827.21 | $5,923.25 – $5,923.25 | 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.