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 |
|---|---|---|---|---|
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $3.36 – $18.11 | 4 |
| Desoxycorticosterone CPT 82633 | $112.12 | $172.50 | $26.64 – $48.33 | 6 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $12,051.32 | $18,540.50 | $1,018.21 – $2,121.64 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $12,051.32 | $18,540.50 | $906.51 – $1,888.89 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $584.21 | $898.79 | $71.76 – $149.53 | 2 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $1,107.30 | $1,703.54 | $96.04 – $200.12 | 2 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $303.83 | $467.43 | $109.96 – $229.12 | 2 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $78.27 – $163.09 | 2 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $584.21 | $898.79 | $85.99 – $179.18 | 2 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $584.21 | $898.79 | $97.93 – $204.06 | 2 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $57.07 – $118.92 | 2 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $497.06 | $764.71 | $71.76 – $149.53 | 2 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $473.39 | $728.29 | $89.86 – $187.24 | 2 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $584.21 | $898.79 | $98.92 – $206.12 | 2 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,482.43 | $8,434.51 | $166.98 – $347.94 | 2 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $583.90 | $898.30 | $56.06 – $116.81 | 2 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $3,186.98 | $4,903.04 | $150.58 – $313.76 | 2 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $584.21 | $898.79 | $45.87 – $95.58 | 2 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $2,699.50 | $4,153.08 | $181.35 – $377.88 | 2 |
| Destroy vulva lesion simple 56501 CPT 56501 | $2,699.50 | $4,153.08 | $114.42 – $238.42 | 2 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $584.21 | $898.79 | $71.05 – $148.05 | 2 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $1,651.23 | $2,540.35 | $297.27 – $619.42 | 2 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $1,107.30 | $1,703.54 | $230.06 – $479.38 | 2 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $2,699.50 | $4,153.08 | $435.59 – $907.64 | 2 |
| Destruction 2-14 lesions 17003 CPT 17003 | $99.37 | $152.87 | $1.65 – $3.44 | 2 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $124.06 – $258.50 | 2 |
| Destruction anal lesion(s) CPT 46924 | $7,499.82 | $11,538.19 | $164.44 – $342.64 | 2 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $126.62 – $263.84 | 2 |
| Destruction benign lesions < 14 lesions CPT 17110 | $584.21 | $898.79 | $59.89 – $124.79 | 2 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $174.94 – $364.52 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,739.66 | $2,676.40 | $49.21 – $102.54 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $5,482.43 | $8,434.51 | $167.38 – $348.77 | 2 |
| Destruction ciliary body CPT 66700 | not published | not published | $323.64 – $674.37 | 2 |
| Destruction ciliary body CPT 66720 | not published | not published | $348.32 – $725.79 | 2 |
| Destruction ciliary body CPT 66740 | not published | not published | $323.64 – $674.37 | 2 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $117.59 – $245.02 | 2 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $7,499.82 | $11,538.19 | $115.58 – $240.83 | 2 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $125.27 – $261.03 | 2 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $1,107.30 | $1,703.54 | $110.61 – $230.48 | 2 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $1,107.30 | $1,703.54 | $134.23 – $279.70 | 2 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $1,107.30 | $1,703.54 | $105.43 – $219.68 | 2 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $1,107.30 | $1,703.54 | $123.21 – $256.73 | 2 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $92.97 – $193.72 | 2 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $2,699.50 | $4,153.08 | $145.07 – $302.28 | 2 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $1,107.30 | $1,703.54 | $79.86 – $166.40 | 2 |
| Destruction rectal tumor 45190 CPT 45190 | $7,499.82 | $11,538.19 | $643.75 – $1,341.38 | 2 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $158.32 – $329.89 | 2 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $100.58 – $209.58 | 2 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $83.38 – $173.74 | 2 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $17.67 – $46.85 | 4 |
| Detect agnt mult dna direc CPT 87800 | $145.18 | $223.36 | $32.42 – $68.13 | 7 |
| Determination venous press CPT 93770 | $194.12 | $298.64 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $141.93 | $218.36 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $391.54 | $602.37 | $104.66 – $218.08 | 2 |
| Device ablt adv novasure HCPCS C1886 | $8,775.00 | $13,500.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $2,565.91 | $3,947.55 | $1,133.18 – $1,447.95 | 3 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $35.06 – $73.05 | 2 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,245.72 – $2,595.71 | 2 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $11.66 – $24.30 | 2 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $195.78 | $301.20 | $44.53 – $92.79 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $201.75 | $310.38 | $21.18 – $44.13 | 3 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $98.66 – $191.48 | 3 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.17 – $1.59 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.08 – $0.10 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $0.32 | $0.49 | $0.10 – $0.29 | 4 |
| Dexamethasone intra implant HCPCS J7312 | $414.35 | $637.46 | $201.26 – $262.79 | 4 |
| Dexamethasone panel CPT 80420 | not published | not published | $63.48 – $252.53 | 7 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.62 – $0.62 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $57.08 – $378.48 | 4 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $31.67 – $66.56 | 3 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.12 – $1.43 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.31 – $3.62 | 3 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $6.34 – $8.46 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $7.40 | $11.39 | $1.75 – $5.68 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $2.94 – $7.13 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $80.47 | $123.80 | $19.12 – $34.68 | 7 |
| Diabetes (HbA1c) Test CPT 83036 | $35.15 | $54.07 | $8.35 – $15.15 | 7 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $7.83 – $16.32 | 2 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $566.35 – $566.35 | 1 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $95.41 – $95.41 | 1 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $95.41 – $95.41 | 1 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $95.41 – $95.41 | 1 |
| Diab manage trn ind/group HCPCS G0109 | $44.10 | $67.84 | $15.57 – $32.44 | 2 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $188.85 – $188.85 | 1 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $95.41 – $95.41 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $148.06 – $308.51 | 2 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $298.71 – $622.42 | 2 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $82.10 – $171.07 | 2 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $108.68 – $226.46 | 2 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $335.52 | $516.18 | $38.64 – $80.51 | 2 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $76.37 | $117.49 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $76.37 | $117.49 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $563.86 | $867.48 | $42.93 – $89.45 | 2 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $563.86 | $867.48 | $54.97 – $121.96 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $311.47 | $479.18 | $104.86 – $218.50 | 3 |
| Diagnostic Mammogram (one breast) CPT 77065 | $248.64 | $382.53 | $81.78 – $170.40 | 3 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $6,547.37 | $10,072.88 | $168.09 – $350.25 | 2 |
| Dialysis one evaluation CPT 90945 | $1,251.44 | $1,925.29 | $75.09 – $156.47 | 2 |
| Dialysis repeated eval CPT 90947 | not published | not published | $103.61 – $215.89 | 2 |
| Dialysis training complete CPT 90989 | $1,033.55 | $1,590.08 | not published | 0 |
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.