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 |
|---|---|---|---|---|
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $845.92 | $1,301.42 | $186.96 – $389.57 | 3 |
| CT Angiogram of the Head CPT 70496 | $845.92 | $1,301.42 | $183.79 – $382.96 | 3 |
| CT Angiogram of the Neck CPT 70498 | $845.92 | $1,301.42 | $183.79 – $382.96 | 3 |
| CT angio hrt w/3d image CPT 75574 | $845.92 | $1,301.42 | $204.02 – $425.12 | 3 |
| CT angio pelvis CPT 72191 | $845.92 | $1,301.42 | $210.13 – $437.85 | 3 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $845.92 | $1,301.42 | $202.20 – $421.32 | 3 |
| CT bone density axial CPT 77078 | not published | not published | $83.05 – $173.05 | 3 |
| CT cerebral perf w cont & prcssng CPT 70473 | $267.13 | $410.97 | $183.79 – $382.96 | 3 |
| CT colonography dx CPT 74261 | $540.57 | $831.64 | $283.11 – $589.92 | 3 |
| CT colonography dx w/dye CPT 74262 | $845.92 | $1,301.42 | $326.58 – $680.49 | 3 |
| CT colonography screening CPT 74263 | $369.59 | $568.60 | $678.79 – $1,414.39 | 3 |
| CT guidance for needle placement CPT 77012 | $1,235.96 | $1,901.47 | $52.91 – $110.25 | 3 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $736.99 | $1,133.83 | $55.13 – $114.87 | 3 |
| CT guid cryo ablat intramuscular CPT 20999 | $10,372.22 | $15,957.26 | not published | 0 |
| CT guid parench tis ablat CPT 77013 | $758.32 | $1,166.64 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $100.75 | $155.00 | $69.01 – $143.80 | 3 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $181.17 – $377.50 | 3 |
| CT hrt w/3d image CPT 75572 | $845.92 | $1,301.42 | $141.59 – $295.03 | 3 |
| CT limited or localized follow-up study CPT 76380 | $370.50 | $570.00 | $83.05 – $173.05 | 3 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $4,840.81 – $4,840.81 | 1 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $5,025.09 – $5,025.09 | 1 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $160.69 – $160.69 | 1 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $4,861.21 – $4,861.21 | 1 |
| CT lwr extremity w/o&w/dye CPT 73702 | $845.92 | $1,301.42 | $131.84 – $274.72 | 3 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $618.08 | $950.90 | $113.72 – $236.96 | 2 |
| CT scan for localization CPT 77011 | not published | not published | $153.18 – $319.18 | 3 |
| CT scan for therapy guide CPT 77014 | $762.19 | $1,172.60 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,266.07 | $1,947.80 | $232.66 – $484.79 | 3 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,266.07 | $1,947.80 | $205.45 – $428.10 | 3 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $699.10 | $1,075.54 | $97.88 – $203.95 | 3 |
| CT t-spine w /wo contrast CPT 72130 | $845.92 | $1,301.42 | $132.47 – $276.03 | 3 |
| CT uppr extremity w/o&w/dye CPT 73202 | $845.92 | $1,301.42 | $180.70 – $376.52 | 3 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $3,089.27 – $3,089.27 | 1 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $625.57 – $1,303.50 | 2 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $581.39 – $1,211.44 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | $29.23 | $44.97 | $6.95 – $12.60 | 7 |
| Culture afb any source CPT 87116 | $39.10 | $60.15 | $9.29 – $16.85 | 7 |
| Culture anaerobic additional method definitive id each CPT 87076 | $29.23 | $44.97 | $6.95 – $12.60 | 7 |
| Culture anaerobic except blood CPT 87075 | $34.26 | $52.70 | $7.46 – $14.77 | 7 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $8.31 – $15.07 | 6 |
| Culture bact stool aero addl path ea CPT 87046 | $34.19 | $52.60 | $3.43 – $14.73 | 7 |
| Culture body fluid CPT 87070 | $31.19 | $47.98 | $7.41 – $13.45 | 7 |
| Culture fungi definitive id mold CPT 87107 | $37.35 | $57.46 | $5.42 – $16.10 | 7 |
| Culture fungi definitive id yeast CPT 87106 | $37.35 | $57.46 | $5.42 – $16.10 | 7 |
| Culture fungi other (except blood) CPT 87102 | $30.43 | $46.82 | $7.23 – $13.12 | 7 |
| Culture fungi skin/hair/nail CPT 87101 | $27.88 | $42.89 | $6.63 – $12.03 | 7 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $42.84 | $65.90 | $4.60 – $22.79 | 7 |
| Culture mycoplasma any source CPT 87109 | $55.69 | $85.68 | $9.46 – $24.01 | 7 |
| Culture of specimen by kit CPT 87084 | not published | not published | $7.59 – $42.23 | 4 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $8.32 – $15.43 | 4 |
| Culture screening strep group a CPT 87081 | $23.98 | $36.89 | $5.70 – $10.34 | 7 |
| Culture type pulse field gel CPT 87152 | not published | not published | $4.61 – $12.07 | 4 |
| Culture typing added method CPT 87158 | $19.60 | $30.15 | $4.61 – $12.07 | 6 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $10.77 – $19.53 | 4 |
| Culture typing immunologic CPT 87147 | $18.74 | $28.83 | $4.45 – $8.08 | 6 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $513.64 | $790.22 | $136.57 – $340.17 | 6 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $108.84 | $167.45 | $30.18 – $54.74 | 6 |
| Culture urine each isolate CPT 87088 | $29.28 | $45.05 | $6.96 – $12.62 | 7 |
| Culture virus isolation CPT 87250 | not published | not published | $16.82 – $30.51 | 5 |
| Curette/treat cornea CPT 65435 | $2,693.73 | $4,144.20 | $58.36 – $121.60 | 2 |
| Curette/treat cornea CPT 65436 | not published | not published | $306.79 – $639.26 | 2 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $3,294.12 – $3,294.12 | 1 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $3,294.12 – $3,294.12 | 1 |
| Custom glove for term device HCPCS L6895 | not published | not published | $1,424.44 – $1,424.44 | 1 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $2,660.05 – $2,660.05 | 1 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $1,450.94 – $1,450.94 | 1 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $3,485.78 – $3,485.78 | 1 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $2,594.56 – $2,594.56 | 1 |
| Cutter lead HCPCS C1773 | $3,462.25 | $5,326.54 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $2,535.44 | $3,900.68 | $50.23 – $104.66 | 2 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $13.41 – $27.94 | 2 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $20.33 – $42.36 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $51.81 | $79.71 | $12.32 – $22.34 | 7 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $4.80 | $7.39 | $0.63 – $4.88 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $46.85 | $72.07 | $11.14 – $20.20 | 6 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $74.34 – $94.99 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.58 – $0.59 | 2 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.82 – $4.39 | 3 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $42.24 – $73.68 | 4 |
| Cyclosporine 2 hour CPT 80158 | $65.30 | $100.46 | $12.20 – $28.16 | 7 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.53 – $1.52 | 3 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $1.81 – $6.07 | 3 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $111.15 – $545.10 | 4 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $39.31 – $278.59 | 4 |
| Cyp2c19 gene com variants CPT 81225 | $854.05 | $1,313.92 | $182.73 – $454.52 | 6 |
| Cyp2c9 gene com variants CPT 81227 | $411.77 | $633.49 | $109.64 – $272.70 | 7 |
| Cyp2d6 gene com variants CPT 81226 | $1,321.75 | $2,033.46 | $282.79 – $703.42 | 6 |
| Cyp3a4 gene common variants CPT 81230 | $411.77 | $633.49 | $109.47 – $272.70 | 6 |
| Cyp3a5 gene common variants CPT 81231 | $411.77 | $633.49 | $109.47 – $272.70 | 6 |
| Cystatin c CPT 82610 | $54.28 | $83.51 | $10.01 – $28.89 | 6 |
| Cystic fibrosis cftr CPT 81223 | $1,462.70 | $2,250.31 | $312.47 – $778.44 | 6 |
| Cystine urine quantitative CPT 82131 | $67.37 | $103.64 | $14.87 – $35.85 | 7 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $411.94 – $858.36 | 2 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $732.28 | $1,126.58 | $25.30 – $52.72 | 3 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $140.17 – $292.07 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | $1,966.48 | $3,025.35 | $213.70 – $445.29 | 2 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $776.98 – $1,618.99 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $652.05 – $1,358.68 | 2 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $140.49 – $292.74 | 2 |
| Cystoscopy and biopsy CPT 52007 | $8,076.85 | $12,425.93 | $142.18 – $296.26 | 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.