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 |
|---|---|---|---|---|
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $763.42 | $1,174.50 | $105.81 – $220.48 | 2 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $543.85 – $1,133.22 | 2 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $165.06 – $343.94 | 2 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $300.41 – $625.96 | 2 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $4,572.13 | $7,034.04 | $529.22 – $1,102.74 | 2 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $269.21 – $560.95 | 2 |
| Closed tx sesamoid fx 28530 CPT 28530 | $623.11 | $958.63 | $98.86 – $205.99 | 2 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $623.11 | $958.63 | $206.49 – $430.26 | 2 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $713.58 – $1,486.89 | 2 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,030.69 – $2,147.65 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $618.08 | $950.90 | $132.74 – $276.59 | 2 |
| Close mastoid fistula CPT 69700 | not published | not published | $571.94 – $1,191.75 | 2 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $623.68 – $1,299.56 | 2 |
| Close mult vsd CPT 33675 | not published | not published | $1,729.22 – $3,603.18 | 2 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,773.53 – $3,695.50 | 2 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,297.09 – $2,702.75 | 2 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,385.65 – $2,887.28 | 2 |
| Close tear duct opening CPT 68760 | not published | not published | $122.96 – $256.21 | 2 |
| Close tear duct opening CPT 68761 | $918.99 | $1,413.83 | $100.08 – $208.54 | 2 |
| Close tear system fistula CPT 68770 | not published | not published | $516.86 – $1,076.98 | 2 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $10.09 – $24.96 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | $3,762.02 | $5,787.73 | $51.34 – $106.98 | 2 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $762.18 – $1,588.15 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,377.58 – $2,870.46 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $886.31 – $1,846.80 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,214.35 – $2,530.34 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,628.32 | $2,505.11 | $185.11 – $385.71 | 2 |
| Closure of eyelid by suture CPT 67875 | $2,693.73 | $4,144.20 | $78.40 – $163.36 | 2 |
| Closure of salivary fistula CPT 42600 | not published | not published | $305.62 – $636.82 | 2 |
| Closure of valve CPT 33600 | not published | not published | $1,532.31 – $3,192.87 | 2 |
| Closure of valve CPT 33602 | not published | not published | $1,489.72 – $3,104.13 | 2 |
| Closure of windpipe lesion 31820 CPT 31820 | $6,419.65 | $9,876.39 | $287.12 – $598.27 | 2 |
| Closure paravalvlr leak pq CPT 33999 | $21,540.15 | $33,138.69 | not published | 0 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $948.71 – $1,976.83 | 2 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $764.59 – $1,593.18 | 2 |
| Clot factor fletcher fact CPT 85292 | $68.51 | $105.40 | $16.28 – $29.53 | 7 |
| Clot factor viii reltd antgn CPT 85244 | $73.90 | $113.69 | $10.91 – $31.86 | 7 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $16.28 – $29.53 | 7 |
| Clot factor xii hageman CPT 85280 | $70.02 | $107.72 | $16.64 – $30.19 | 7 |
| Clot factor xiii fibrin scrn CPT 85291 | $32.19 | $49.52 | $5.82 – $14.21 | 7 |
| Clot factor xiii fibrin stab CPT 85290 | $59.13 | $90.97 | $9.21 – $25.49 | 7 |
| Clotting assay whole blood CPT 85396 | not published | not published | $12.32 – $15.35 | 2 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.70 – $0.90 | 3 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.50 – $5.33 | 3 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $3.09 – $4.42 | 3 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $763.42 | $1,174.50 | $348.34 – $725.84 | 2 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $654.26 | $1,006.56 | $304.12 – $633.69 | 2 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $763.42 | $1,174.50 | $338.65 – $705.65 | 2 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $234.02 – $487.63 | 2 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $763.42 | $1,174.50 | $243.81 – $508.03 | 2 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $4,572.13 | $7,034.04 | $327.64 – $682.70 | 2 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $763.42 | $1,174.50 | $232.78 – $485.04 | 2 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $190.61 – $397.17 | 2 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $763.42 | $1,174.50 | $197.89 – $412.34 | 2 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $763.42 | $1,174.50 | $392.84 – $818.56 | 2 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $567.91 | $873.71 | $301.79 – $628.84 | 2 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $763.42 | $1,174.50 | $69.36 – $144.53 | 2 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $4,572.13 | $7,034.04 | $712.61 – $1,484.87 | 2 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $4,572.13 | $7,034.04 | $515.89 – $1,074.96 | 2 |
| Clsd tx fracture of radius 25500 CPT 25500 | $623.11 | $958.63 | $259.28 – $540.26 | 2 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $763.42 | $1,174.50 | $126.16 – $262.88 | 2 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $763.42 | $1,174.50 | $138.77 – $289.16 | 2 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $763.42 | $1,174.50 | $324.91 – $677.01 | 2 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $4,572.13 | $7,034.04 | $520.84 – $1,085.27 | 2 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $763.42 | $1,174.50 | $259.89 – $541.53 | 2 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $4,572.13 | $7,034.04 | $482.92 – $1,006.26 | 2 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $763.42 | $1,174.50 | $258.01 – $537.62 | 2 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $763.42 | $1,174.50 | $467.05 – $973.19 | 2 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $763.42 | $1,174.50 | $341.25 – $711.06 | 2 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $763.42 | $1,174.50 | $331.04 – $689.79 | 2 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $850.82 | $1,308.96 | $339.60 – $707.62 | 2 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,628.32 | $2,505.11 | $439.60 – $915.99 | 2 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $763.42 | $1,174.50 | $214.97 – $447.93 | 2 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $763.42 | $1,174.50 | $285.78 – $595.48 | 2 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $763.42 | $1,174.50 | $296.26 – $617.32 | 2 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $471.99 – $983.49 | 2 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $763.42 | $1,174.50 | $214.91 – $447.81 | 2 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $763.42 | $1,174.50 | $199.23 – $415.14 | 2 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $5,718.87 | $8,798.26 | $78.43 – $163.42 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $312.29 – $650.72 | 2 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $763.42 | $1,174.50 | $377.22 – $786.01 | 2 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $763.42 | $1,174.50 | $295.33 – $615.38 | 2 |
| Clsd tx pelvic ring fx CPT 27197 | $484.69 | $745.67 | $117.42 – $244.67 | 2 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $269.59 – $561.74 | 2 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $4,572.13 | $7,034.04 | $387.24 – $806.89 | 2 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $763.42 | $1,174.50 | $194.73 – $405.76 | 2 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $763.42 | $1,174.50 | $245.64 – $511.84 | 2 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $4,572.13 | $7,034.04 | $418.82 – $872.70 | 2 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $763.42 | $1,174.50 | $240.17 – $500.44 | 2 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $4,572.13 | $7,034.04 | $395.02 – $823.10 | 2 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $4,572.13 | $7,034.04 | $484.71 – $1,009.99 | 2 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $4,572.13 | $7,034.04 | $397.24 – $827.73 | 2 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $324.34 – $675.83 | 2 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $763.42 | $1,174.50 | $28.79 – $59.99 | 2 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $763.42 | $1,174.50 | $95.85 – $199.72 | 2 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $727.07 | $1,118.57 | $297.83 – $620.59 | 2 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $4,572.13 | $7,034.04 | $451.44 – $940.67 | 2 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $763.42 | $1,174.50 | $241.48 – $503.17 | 2 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $495.44 | $762.22 | $276.10 – $575.31 | 2 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $763.42 | $1,174.50 | $276.20 – $575.52 | 2 |
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.