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 |
|---|---|---|---|---|
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $203.87 – $424.80 | 2 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $146.52 – $305.30 | 2 |
| Cystoscopy and treatment CPT 52224 | $5,191.40 | $7,986.77 | $169.46 – $353.10 | 2 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $208.75 – $434.97 | 2 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $245.03 – $510.57 | 2 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $331.52 – $690.79 | 2 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $178.58 – $372.11 | 2 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $138.41 – $288.40 | 2 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $224.82 – $468.46 | 2 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $274.50 – $571.98 | 2 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $171.96 – $358.31 | 2 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $166.50 – $346.94 | 2 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $207.43 – $432.22 | 2 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $238.00 – $495.92 | 2 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $245.77 – $512.11 | 2 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $235.78 – $491.29 | 2 |
| Cystoscopy and treatment CPT 52310 | $5,191.40 | $7,986.77 | $129.48 – $269.80 | 2 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $233.31 – $486.15 | 2 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $208.46 – $434.37 | 2 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $222.65 – $463.94 | 2 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,966.48 | $3,025.35 | $68.43 – $142.59 | 2 |
| Cystoscopy chemodenervation CPT 52287 | $5,191.40 | $7,986.77 | $143.18 – $298.34 | 2 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $141.71 – $295.28 | 2 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $285.48 – $594.85 | 2 |
| Cystoscopy inject material CPT 52327 | not published | not published | $217.02 – $452.20 | 2 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $243.44 – $507.26 | 2 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $155.82 – $324.68 | 2 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $211.00 – $439.66 | 2 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $271.08 – $564.85 | 2 |
| Cystoscopy & ureter catheter CPT 52005 | $5,191.40 | $7,986.77 | $115.06 – $239.75 | 2 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $261.94 – $545.80 | 2 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $418.21 – $871.42 | 2 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $677.48 – $1,411.67 | 2 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $256.72 – $534.93 | 2 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $312.55 – $651.26 | 2 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $352.70 – $734.92 | 2 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $394.68 – $822.39 | 2 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $351.43 – $732.27 | 2 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $331.05 – $689.81 | 2 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $376.95 – $785.45 | 2 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $300.03 – $625.17 | 2 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $333.50 – $694.91 | 2 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $222.48 – $463.58 | 2 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $5,191.40 | $7,986.77 | $131.28 – $273.55 | 2 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $4,211.14 | $6,478.68 | $122.00 – $254.21 | 2 |
| Cystourethro w/addl implant 52442 CPT 52442 | $1,611.14 | $2,478.68 | $42.45 – $88.45 | 2 |
| Cystourethro w/implant CPT 52441 | $6,556.66 | $10,087.17 | $177.39 – $369.63 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $291.39 – $607.17 | 2 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $262.10 – $546.14 | 2 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $241.25 – $502.69 | 2 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.82 – $1.40 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $726.51 – $1,868.79 | 4 |
| Cytogenetics 25-99 CPT 88274 | $126.00 | $193.84 | $28.70 – $66.11 | 7 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $15.95 – $63.49 | 5 |
| Cytogenomic neo microra alys CPT 81277 | $3,084.16 | $4,744.86 | $726.39 – $1,809.60 | 6 |
| Cytogenom microarray copy nmbr var CPT 81228 | $2,638.16 | $4,058.70 | $563.58 – $1,404.00 | 6 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,602.37 – $2,906.62 | 4 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $10.09 – $18.69 | 5 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $52.10 | $80.15 | $8.32 – $22.45 | 7 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $60.97 | $93.80 | $8.60 – $26.29 | 7 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.09 – $20.94 | 5 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,779.33 – $2,424.45 | 4 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $17.67 – $46.85 | 7 |
| Cyto/molecular report CPT 88291 | $95.50 | $146.93 | $15.62 – $32.10 | 3 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $16.88 – $39.58 | 5 |
| Cytopath c/v automated CPT 88147 | not published | not published | $9.31 – $78.87 | 5 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $9.31 – $43.12 | 4 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $9.31 – $28.92 | 5 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $5.29 – $22.85 | 4 |
| Cytopath c/v manual CPT 88150 | not published | not published | $9.31 – $28.92 | 5 |
| Cytopath c/v redo CPT 88153 | not published | not published | $9.31 – $37.49 | 5 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $16.33 – $35.94 | 5 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $22.21 – $47.11 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $130.14 | $200.22 | $33.48 – $59.02 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $19.37 – $41.51 | 5 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $73.31 | $112.79 | $16.33 – $31.61 | 7 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $92.99 | $143.06 | $22.21 – $44.98 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $92.99 | $143.06 | $22.21 – $54.41 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $88.49 | $136.14 | $8.25 – $16.94 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $318.32 | $489.72 | $19.91 – $30.77 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $130.14 | $200.22 | $22.21 – $95.90 | 3 |
| Cytopath smear other source CPT 88160 | not published | not published | $22.21 – $54.41 | 3 |
| Cytopath smear other source CPT 88162 | not published | not published | $22.21 – $86.06 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $92.99 | $143.06 | $22.21 – $55.68 | 3 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $9.31 – $28.92 | 4 |
| Cytopath tbs c/v manual CPT 88164 | $42.95 | $66.08 | $9.31 – $28.92 | 7 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $9.31 – $65.86 | 5 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $9.31 – $28.92 | 4 |
| Cytotoxic antibody screening CPT 86807 | $199.15 | $306.39 | $34.87 – $122.69 | 6 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $25.52 – $46.30 | 4 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $206.29 – $330.79 | 3 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.06 – $11.33 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $303.05 – $2,095.98 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.34 – $23.14 | 4 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $14.66 – $34.43 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.05 | $0.07 | $0.03 – $0.16 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.06 | 2 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $52.35 – $66.90 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $7.37 | $11.34 | $2.97 – $10.68 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $7.37 | $11.34 | $2.97 – $10.68 | 4 |
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.