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 |
|---|---|---|---|---|
| Above knee manual lock HCPCS L5925 | not published | not published | $857.15 – $857.15 | 1 |
| Above knee wood socket HCPCS L5644 | not published | not published | $1,506.70 – $1,506.70 | 1 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $14.01 – $29.19 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $114.70 – $239.00 | 2 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,582.16 | $7,049.47 | $161.39 – $336.29 | 2 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $9.04 – $9.04 | 1 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $9.67 – $9.67 | 1 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $3.54 – $3.54 | 1 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $5.92 – $5.92 | 1 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $18.82 – $18.82 | 1 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $6,025.66 | $9,270.24 | $103.84 – $216.37 | 2 |
| Access thoracic lymph duct CPT 38794 | $919.24 | $1,414.22 | $248.74 – $518.30 | 2 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.06 – $0.17 | 4 |
| Acetaminophen level CPT 80143 | $49.56 | $76.25 | $11.67 – $29.08 | 6 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $25.18 – $54.99 | 4 |
| Acetone qualitative CPT 82009 | $16.35 | $25.16 | $0.59 – $7.05 | 7 |
| Acetylcholine receptor modulating antibody CPT 86043 | $26.72 | $41.10 | $7.55 – $18.80 | 7 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $9.84 – $19.17 | 5 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.36 – $3.45 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.46 – $15.63 | 3 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $108.67 – $226.44 | 2 |
| Acne surgery 10040 CPT 10040 | $584.21 | $898.79 | $41.12 – $85.68 | 2 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $211.28 | $325.05 | $168.57 – $351.25 | 2 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $141.73 | $218.05 | $132.87 – $276.86 | 2 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $42.66 – $88.89 | 2 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $29.95 – $62.41 | 2 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $42.66 – $88.89 | 2 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $77.15 – $160.76 | 2 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $391.06 | $601.63 | $144.60 – $301.30 | 2 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $109.25 | $168.07 | $7.83 – $16.32 | 2 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $37.62 | $57.87 | $12.08 – $25.17 | 2 |
| Acoustic immitance testing CPT 92570 | not published | not published | $23.36 – $48.68 | 2 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $12.46 – $25.96 | 2 |
| Acromp/acromionectomy prtl CPT 23130 | $8,441.76 | $12,987.33 | $560.86 – $1,168.66 | 2 |
| Acth stimulation panel CPT 80402 | not published | not published | $74.79 – $135.66 | 5 |
| Acth stimulation panel CPT 80406 | not published | not published | $67.30 – $122.09 | 5 |
| Actigraphy testing CPT 95803 | $192.19 | $295.67 | $87.81 – $182.97 | 2 |
| Actinotherapy uv light CPT 96900 | $81.33 | $125.12 | $22.45 – $46.78 | 2 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $32.55 – $67.82 | 2 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $20.53 – $42.78 | 2 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $20.19 – $42.07 | 2 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $26.71 – $55.66 | 2 |
| Acute hepatitis panel CPT 80074 | $172.39 | $265.21 | $40.96 – $74.30 | 6 |
| Acute venous thrombus image CPT 78456 | not published | not published | $226.15 – $471.23 | 3 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.12 – $0.16 | 4 |
| #acylcarnitineprfl CPT 82017 | $61.05 | $93.92 | $9.42 – $26.32 | 7 |
| Acylcarnitines qual CPT 82016 | not published | not published | $12.22 – $25.72 | 5 |
| Adapter b 8 channel 10cm HCPCS C1883 | $128.43 | $197.59 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $24.96 – $52.01 | 2 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $1,031.12 – $1,031.12 | 1 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $396.28 – $396.28 | 1 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $1,391.95 – $1,391.95 | 1 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $859.30 – $859.30 | 1 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $922.20 – $922.20 | 1 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $767.53 – $767.53 | 1 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $1,820.42 – $1,820.42 | 1 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $927.93 – $927.93 | 1 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $1,268.89 – $1,268.89 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.52 – $2.21 | 4 |
| Adenovirus ag ia CPT 87301 | $28.22 | $43.42 | $9.33 – $18.69 | 7 |
| Adenovirus antibody,serum - quest CPT 86603 | $46.58 | $71.66 | $8.60 – $20.08 | 7 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $10.09 – $33.95 | 5 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $783.93 – $1,633.47 | 2 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $6.80 – $8.73 | 3 |
| Adh-sendout CPT 84588 | $122.82 | $188.96 | $27.63 – $52.95 | 7 |
| Adj gastric band via subq port CPT 43999 | $2,195.76 | $3,378.09 | not published | 0 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $14,590.10 | $22,446.30 | $409.58 – $853.44 | 2 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,699.50 | $4,153.08 | $627.10 – $1,306.69 | 2 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $0.51 | $0.78 | $0.22 – $0.68 | 4 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $34.10 – $71.05 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $80.28 | $123.50 | $27.12 – $56.51 | 2 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $80.28 | $123.50 | $63.25 – $131.79 | 2 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $636.72 | $979.57 | $126.50 – $263.59 | 2 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $93.72 | $144.19 | $99.22 – $206.74 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $80.28 | $123.50 | $36.96 – $77.01 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $80.28 | $123.50 | $68.24 – $142.19 | 2 |
| Administration immunization each additional component CPT 90461 | not published | not published | $8.47 – $17.65 | 2 |
| Administration immunization each additional vaccine CPT 90472 | $80.22 | $123.41 | $15.40 – $32.09 | 2 |
| Administration immunization first component each vaccine CPT 90460 | $67.74 | $104.21 | $22.43 – $46.74 | 2 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $80.28 | $123.50 | $16.70 – $34.80 | 2 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $90.69 | $139.52 | $11.91 – $24.82 | 2 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $67.74 | $104.21 | $28.86 – $60.14 | 2 |
| Administration vaccine hepatitis b HCPCS G0010 | $67.74 | $104.21 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $67.74 | $104.21 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $67.74 | $104.21 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $67.74 | $104.21 | $23.36 – $48.68 | 2 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $37.94 – $48.48 | 4 |
| Adrenal cortex & medulla img CPT 78075 | $3,133.32 | $4,820.50 | $335.13 – $698.31 | 3 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,109.48 – $2,311.82 | 2 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.68 – $0.87 | 2 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $61.88 – $128.94 | 2 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $10.72 – $22.34 | 2 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $32.92 – $68.60 | 2 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $70.97 – $147.88 | 2 |
| Aep hearing status deter i&r CPT 92651 | $366.43 | $563.74 | $77.46 – $161.40 | 2 |
| Aep neurodiagnostic i&r CPT 92653 | $689.09 | $1,060.14 | $77.44 – $161.36 | 2 |
| Aep thrshld est mlt freq i&r CPT 92652 | $689.09 | $1,060.14 | $104.35 – $217.43 | 2 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,172.45 – $4,053.68 | 4 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $726,970.92 – $726,970.92 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $72.57 | $111.65 | $17.24 – $31.28 | 6 |
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.