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 |
|---|---|---|---|---|
| Dialysis training incompl CPT 90993 | $1,033.55 | $1,590.08 | not published | 0 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.00 – $14.59 | 3 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.18 | $0.28 | $0.07 – $0.15 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $6.58 – $16.99 | 4 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $11.15 – $53.82 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.24 – $0.32 | 4 |
| Diffusing capacity CPT 94729 | $227.90 | $350.62 | $51.32 – $106.94 | 2 |
| Digital analysis of eeg CPT 95957 | not published | not published | $197.67 – $411.88 | 2 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $147.01 – $306.32 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $6.34 – $9.57 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,775.76 – $6,102.36 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $48.04 | $73.91 | $11.42 – $20.72 | 7 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $164.78 | $253.50 | $56.17 – $116.21 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $542.37 | $834.41 | $113.30 – $236.08 | 2 |
| Dilate esophagus CPT 43453 | $4,441.33 | $6,832.82 | $74.42 – $155.07 | 2 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,195.76 | $3,378.09 | $70.34 – $146.57 | 2 |
| Dilate ic vasospasm init CPT 61640 | $2,650.22 | $4,077.26 | not published | 0 |
| Dilate tear duct opening CPT 68801 | $440.81 | $678.17 | $69.14 – $144.07 | 2 |
| Dilate urethra stricture CPT 53600 | $324.29 | $498.91 | $54.04 – $112.60 | 2 |
| Dilate urethra stricture CPT 53601 | $335.52 | $516.18 | $45.99 – $95.83 | 2 |
| Dilate urethra stricture CPT 53605 | not published | not published | $53.76 – $112.02 | 2 |
| Dilate urethra stricture CPT 53621 | not published | not published | $61.41 – $127.96 | 2 |
| Dilation/female urethra/initial 53660 CPT 53660 | $482.35 | $742.07 | $36.03 – $75.08 | 2 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $160.92 – $335.31 | 2 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $41.35 – $86.16 | 2 |
| Dilation of rectal stricture 45910 CPT 45910 | $3,186.98 | $4,903.04 | $179.33 – $373.67 | 2 |
| Dilation of salivary duct CPT 42660 | not published | not published | $67.15 – $139.92 | 2 |
| Dilation of urethra CPT 53661 | $335.52 | $516.18 | $34.78 – $72.47 | 2 |
| Dilation of urethra CPT 53665 | not published | not published | $31.91 – $66.49 | 2 |
| Dilation of vagina CPT 57400 | $7,627.40 | $11,734.46 | $110.26 – $229.75 | 2 |
| Dilation salivary duct 42650 CPT 42650 | $3,453.20 | $5,312.61 | $51.11 – $106.50 | 2 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $74.29 – $154.80 | 2 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,335.25 | $6,669.61 | $131.10 – $273.17 | 2 |
| Dilat xst trc new access rcs CPT 50437 | $7,428.10 | $11,427.84 | $216.11 – $450.31 | 2 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.03 – $0.03 | 2 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $56.42 – $73.81 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $0.90 – $13.85 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,121.44 | $1,725.30 | $668.08 – $853.66 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.16 | $1.79 | $0.02 – $0.02 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.18 | $1.82 | $0.70 – $2.62 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $98.56 | $151.63 | $67.79 – $86.62 | 2 |
| Dipyridamole injection HCPCS J1245 | $1.44 | $2.21 | $4.28 – $8.41 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $26.57 – $55.36 | 2 |
| Disability dlco CPT 94727 | $482.35 | $742.07 | $35.77 – $74.53 | 2 |
| Disaccharidases CPT 82657 | $65.34 | $100.53 | $15.91 – $34.59 | 6 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $435.72 – $907.91 | 2 |
| Disarticulation shoulder CPT 23920 | not published | not published | $981.40 – $2,044.94 | 2 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,244.14 – $2,592.41 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $173.65 – $361.83 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $83.37 – $173.72 | 3 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $192.97 – $192.97 | 1 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $468.81 – $468.81 | 1 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $80.17 – $167.05 | 2 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,390.86 – $2,898.13 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $969.75 – $2,020.67 | 2 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,024.27 – $2,134.27 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $680.82 – $1,418.62 | 2 |
| Division of fallopian tube 58605 CPT 58605 | $1,847.98 | $2,843.05 | $288.26 – $600.65 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $5,864.93 | $9,022.97 | $248.72 – $518.26 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $174.71 – $435.24 | 5 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $172.10 – $428.73 | 5 |
| Dmpk gene detc abnor allele CPT 81234 | $364.25 | $560.39 | $85.79 – $213.72 | 7 |
| Dna antibody native/double stranded CPT 86225 | $49.75 | $76.54 | $6.04 – $21.43 | 7 |
| Dna gardnerella CPT 87510 | $72.57 | $111.65 | $16.20 – $31.28 | 7 |
| Dna probe chlamydia CPT 87490 | not published | not published | $9.33 – $35.49 | 7 |
| Dna probe gc CPT 87590 | not published | not published | $9.33 – $41.93 | 7 |
| Dna trichomonas CPT 87660 | $72.57 | $111.65 | $16.20 – $31.28 | 7 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $11.50 | $17.69 | $6.08 – $8.02 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.64 – $3.29 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $48.96 – $49.76 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $60.32 – $83.24 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.63 – $0.80 | 4 |
| Doppler echo complete CPT 93320 | $408.75 | $628.85 | $32.28 – $67.26 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,909.45 | $6,014.54 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $482.35 | $742.07 | $106.37 – $221.64 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $335.52 | $516.18 | $67.74 – $141.15 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $52.13 – $66.61 | 3 |
| Dornhoffer fixed part w/window HCPCS L8614 | $36,623.70 | $56,344.15 | $48,883.79 – $48,883.79 | 1 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $166.66 | $256.40 | $222.43 – $222.43 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $233.02 – $297.75 | 4 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,249.44 – $6,770.86 | 2 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.74 – $9.73 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $102.34 – $457.47 | 4 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.10 – $0.10 | 2 |
| Dpyd gene common variants CPT 81232 | $488.01 | $750.79 | $109.47 – $272.70 | 6 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $50.99 – $50.99 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,994.36 | $3,068.25 | $110.79 – $230.85 | 2 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,899.40 | $2,922.16 | $127.04 – $264.71 | 2 |
| Drainage external ear complex 69005 CPT 69005 | $4,582.16 | $7,049.47 | $139.78 – $291.26 | 2 |
| Drainage external ear simple 69000 CPT 69000 | $1,994.36 | $3,068.25 | $112.23 – $233.85 | 2 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $204.11 – $425.30 | 2 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $463.28 – $965.34 | 2 |
| Drainage mouth roof lesion CPT 42000 | $618.08 | $950.90 | $94.84 – $197.62 | 2 |
| Drainage of abdomen CPT 48000 | not published | not published | $1,642.82 – $3,423.14 | 2 |
| Drainage of arm bursa 23931 CPT 23931 | $4,582.16 | $7,049.47 | $150.82 – $314.26 | 2 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $363.82 – $758.09 | 2 |
| Drainage of bone lesion CPT 26992 | not published | not published | $895.93 – $1,866.85 | 2 |
| Drainage of bone lesion CPT 27303 | not published | not published | $573.38 – $1,194.75 | 2 |
| Drainage of eye CPT 65800 | $4,946.91 | $7,610.63 | $69.09 – $143.96 | 2 |
| Drainage of eye CPT 65810 | $3,549.34 | $5,460.52 | $386.61 – $805.58 | 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.