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 |
|---|---|---|---|---|
| Dark field exam spec collj CPT 87164 | not published | not published | $9.24 – $16.75 | 5 |
| Dark field exam without collj CPT 87166 | not published | not published | $9.29 – $17.63 | 5 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $227.04 – $290.11 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $25.90 – $92.56 | 4 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $254.84 – $531.01 | 2 |
| D&c after delivery 59160 CPT 59160 | $7,627.40 | $11,734.46 | $156.60 – $326.31 | 2 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $199.75 – $416.22 | 2 |
| Dch glucoscan CPT 82948 | not published | not published | $2.32 – $7.86 | 5 |
| Dch pulmonary stress test CPT 94621 | $870.76 | $1,339.63 | $92.72 – $193.20 | 2 |
| Dch validity tests CPT 81002 | $10.20 | $15.70 | $2.25 – $5.43 | 7 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $514.47 – $1,072.00 | 2 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,630.54 – $3,397.56 | 2 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $248.68 – $518.17 | 2 |
| D&c of cervical stump CPT 57558 | not published | not published | $108.62 – $226.33 | 2 |
| Deamidated gliadin antibody iga CPT 86258 | $29.19 | $44.91 | $7.22 – $18.80 | 7 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $590.79 – $1,231.03 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,651.23 | $2,540.35 | $23.74 – $49.47 | 2 |
| Debridement (>20 cm) charge pt CPT 97598 | $387.69 | $596.45 | $20.95 – $43.65 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $4,582.16 | $7,049.47 | $192.42 – $400.95 | 2 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $761.82 | $1,172.03 | $45.48 – $94.77 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,213.28 | $1,866.59 | $80.97 – $168.72 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,107.30 | $1,703.54 | $53.55 – $111.58 | 2 |
| Debride nail1-5 11720 CPT 11720 | $192.19 | $295.67 | $12.33 – $25.69 | 2 |
| Debride nail6 or more 11721 CPT 11721 | $192.19 | $295.67 | $20.78 – $43.30 | 2 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,994.36 | $3,068.25 | $251.84 – $524.76 | 2 |
| Debride skin bone at fx site CPT 11012 | $7,746.22 | $11,917.26 | $344.58 – $718.00 | 2 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $479.55 – $999.24 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $652.82 – $1,360.28 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $761.82 | $1,172.03 | $21.18 – $44.13 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $444.74 | $684.22 | $42.56 – $88.68 | 2 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,994.36 | $3,068.25 | $237.67 – $495.23 | 2 |
| Debr inf skin add-on 11001 CPT 11001 | $260.67 | $401.03 | $12.29 – $25.61 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,651.23 | $2,540.35 | $132.29 – $275.65 | 2 |
| Decalcification CPT 88311 | $63.34 | $97.44 | $7.85 – $10.55 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $0.64 – $10.35 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $590.24 | $908.06 | $36.01 – $75.03 | 2 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $6,661.44 | $10,248.37 | $418.92 – $872.90 | 2 |
| Decomp forearm 1 space 25020 CPT 25020 | $3,053.43 | $4,697.59 | $686.17 – $1,429.77 | 2 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,066.58 – $2,222.43 | 2 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $501.16 – $1,044.27 | 2 |
| Decompress fingers/hand CPT 26035 | not published | not published | $773.60 – $1,611.95 | 2 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,200.60 – $2,501.69 | 2 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $689.96 – $1,437.67 | 2 |
| Decompression fasct forearm CPT 24495 | not published | not published | $860.51 – $1,793.04 | 2 |
| Decompression of leg CPT 27892 | $8,441.76 | $12,987.33 | $491.62 – $1,024.39 | 2 |
| Decompression of leg CPT 27893 | not published | not published | $557.48 – $1,161.62 | 2 |
| Decompression of leg CPT 27894 | not published | not published | $716.95 – $1,493.91 | 2 |
| Decompression of lower leg CPT 27600 | $8,441.76 | $12,987.33 | $356.73 – $743.32 | 2 |
| Decompression of lower leg CPT 27601 | $6,661.44 | $10,248.37 | $397.88 – $829.06 | 2 |
| Decompression of thigh/knee CPT 27496 | $8,441.76 | $12,987.33 | $504.01 – $1,050.21 | 2 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $523.52 – $1,090.86 | 2 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $593.01 – $1,235.65 | 2 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $629.67 – $1,312.04 | 2 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $329.58 – $686.75 | 2 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $353.13 – $735.82 | 2 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,128.43 – $4,435.01 | 2 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,067.04 – $2,223.39 | 2 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,443.21 – $3,007.22 | 2 |
| Decompress small bowel CPT 44021 | not published | not published | $857.28 – $1,786.31 | 2 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,311.12 – $2,731.98 | 2 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,567.83 – $3,266.89 | 2 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $172.67 – $359.79 | 2 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $11,614.55 | $17,868.54 | $267.23 – $556.83 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | $3,419.83 | $5,261.28 | $138.08 – $287.72 | 2 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $8.33 – $17.87 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $7.77 | $11.96 | $4.38 – $8.43 | 4 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $660.99 – $1,377.30 | 2 |
| Delay flap arms/legs CPT 15610 | not published | not published | $224.35 – $467.48 | 2 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $297.92 – $620.78 | 2 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $290.71 – $605.75 | 2 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $202.35 – $421.64 | 2 |
| Delivery of placenta 59414 CPT 59414 | $7,627.40 | $11,734.46 | $76.62 – $159.65 | 2 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $793.62 – $1,653.67 | 2 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,177.38 – $2,453.31 | 2 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $12,051.32 | $18,540.50 | $559.71 – $1,166.27 | 2 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $99.86 – $208.08 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $527.84 | $812.06 | $18.87 – $39.32 | 2 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,004.60 – $2,093.29 | 2 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $67.32 – $136.62 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $63.98 | $98.43 | $26.59 – $33.97 | 4 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $335.52 | $516.18 | $179.52 – $374.07 | 2 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $1.93 – $7.69 | 3 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $30.26 – $51.82 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $307.98 – $641.74 | 2 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $353.37 – $736.32 | 2 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $295.24 – $615.19 | 2 |
| Dermabrasion total face CPT 15780 | not published | not published | $543.22 – $1,131.91 | 2 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $578.88 – $1,206.21 | 2 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $120.89 – $390.80 | 4 |
| Dermagraft HCPCS Q4106 | not published | not published | $45.89 – $58.64 | 2 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $54.17 – $112.87 | 2 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $50.72 – $132.25 | 4 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $645.00 – $1,343.99 | 2 |
| Derm autograft trnk/arm/leg CPT 15130 | $2,699.50 | $4,153.08 | $524.05 – $1,091.96 | 2 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $120.89 – $137.93 | 2 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $120.89 – $323.17 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $14,572.26 | $22,418.86 | $1,212.59 – $2,526.67 | 2 |
| Description not available HCPCS S0013 | not published | not published | $13.18 – $16.85 | 2 |
| Design custom breast implant CPT 19396 | not published | not published | $120.27 – $250.61 | 2 |
| Design mlc device for imrt CPT 77338 | $1,157.38 | $1,780.58 | $236.77 – $493.36 | 3 |
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.