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 |
|---|---|---|---|---|
| #afb mycobacteria suscep. #1 CPT 87190 | $21.44 | $32.98 | $4.98 – $11.40 | 7 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $417.47 | $642.26 | $99.21 – $179.96 | 6 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $85.79 – $213.72 | 4 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $172.10 – $428.73 | 4 |
| Aflibercept injection HCPCS J0178 | $1,542.79 | $2,373.52 | $751.65 – $1,276.50 | 4 |
| Afo molded ankle gauntlet HCPCS L1904 | $872.39 | $1,342.14 | $1,164.43 – $1,164.43 | 1 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $2,216.49 – $2,216.49 | 1 |
| Afo molded to patient plasti HCPCS L1940 | $1,126.12 | $1,732.49 | $1,503.12 – $1,503.12 | 1 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $1,899.72 | $2,922.64 | $2,230.37 – $2,230.37 | 1 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $796.54 – $796.54 | 1 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $986.40 – $986.40 | 1 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $895.51 – $895.51 | 1 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $2,377.98 – $2,377.98 | 1 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $645.97 – $645.97 | 1 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $1,406.39 – $1,406.39 | 1 |
| Afo tib fx cast molded to pt HCPCS L2108 | $2,326.17 | $3,578.72 | $3,104.88 – $3,104.88 | 1 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $2,088.78 – $2,088.78 | 1 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $1,387.25 | $2,134.23 | $1,851.64 – $1,851.64 | 1 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $2,037.09 – $2,037.09 | 1 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $1,418.94 – $1,418.94 | 1 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $4,501.79 – $4,501.79 | 1 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $1,171.52 – $1,171.52 | 1 |
| After cataract laser surgery CPT 66821 | $1,639.22 | $2,521.88 | $264.96 – $552.10 | 2 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $212.66 – $271.73 | 4 |
| Ag detect nos ia single CPT 87450 | not published | not published | $6.74 – $6.74 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $25.50 – $79.83 | 3 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $75.89 – $158.13 | 2 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $870.76 | $1,339.63 | $33.87 – $70.57 | 2 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $6,251.64 – $6,251.64 | 1 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $4,110.04 – $4,110.04 | 1 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $1,429.29 – $1,429.29 | 1 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $3,063.50 – $3,063.50 | 1 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $1,494.45 – $1,494.45 | 1 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $204.79 – $204.79 | 1 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $512.67 – $512.67 | 1 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $334.10 – $334.10 | 1 |
| Ak open end sach HCPCS L5321 | not published | not published | $8,384.25 – $8,384.25 | 1 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $338.96 – $338.96 | 1 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $462.79 – $462.79 | 1 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $483.86 – $483.86 | 1 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $3,464.61 – $3,464.61 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $22.82 | $35.11 | $4.56 – $12.14 | 7 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $48.60 – $62.10 | 3 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $37.95 | 3 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $77.11 | $118.63 | $50.00 – $63.88 | 3 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $44.99 | 3 |
| Albumin ischemia modified CPT 82045 | not published | not published | $13.87 – $52.95 | 5 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $20.93 | $32.20 | $4.97 – $9.02 | 7 |
| Albumin serum plasma or whole blood CPT 82040 | $17.91 | $27.56 | $4.26 – $7.72 | 7 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.19 – $0.25 | 3 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.20 – $0.55 | 3 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.26 – $0.44 | 3 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.07 – $0.12 | 3 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $10.82 – $26.94 | 6 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $14.27 – $29.73 | 2 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $28.20 – $58.76 | 2 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $53.95 – $112.42 | 2 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $5,551.47 – $7,093.54 | 4 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $107.93 – $195.78 | 4 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,407.86 – $3,113.29 | 4 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $4.71 – $21.86 | 3 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $48.84 – $48.84 | 1 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $2.38 – $15.67 | 3 |
| Alkaline phosphatase CPT 84075 | $18.74 | $28.83 | $4.45 – $8.08 | 7 |
| Allergen alpha lactalbumin ige CPT 86008 | $64.90 | $99.85 | $4.24 – $27.97 | 7 |
| Allergen egg white ige CPT 86003 | $18.88 | $29.05 | $4.24 – $8.14 | 7 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $28.85 | $44.39 | $6.85 – $12.43 | 6 |
| Allergy injections; 2 or more 95117 CPT 95117 | $132.75 | $204.23 | $11.66 – $24.30 | 2 |
| Allergy injection; single 95115 CPT 95115 | $132.75 | $204.23 | $9.75 – $20.32 | 2 |
| Allergy Skin Testing CPT 95004 | $97.10 | $149.39 | $3.42 – $7.13 | 2 |
| Allg patch or app # of tests 95044 CPT 95044 | $97.10 | $149.39 | $4.68 – $9.75 | 2 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,118.13 – $2,329.85 | 2 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $78.17 – $120.89 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $101.72 – $229.77 | 4 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $120.89 – $251.90 | 2 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $29.91 – $120.89 | 2 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $120.89 – $460.92 | 4 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $47.21 | $72.63 | $85.96 – $120.89 | 4 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $120.89 – $310.50 | 4 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $120.89 – $562.92 | 4 |
| Alloskin HCPCS Q4115 | not published | not published | $12.86 – $120.89 | 2 |
| Alloskin ac, 1 cm HCPCS Q4141 | $71.03 | $109.28 | $100.84 – $128.86 | 4 |
| All tstg perq&iq drugs/biol CPT 95018 | $114.07 | $175.49 | $5.86 – $12.21 | 2 |
| All tstg perq&iq w/venoms CPT 95017 | $114.07 | $175.49 | $2.89 – $6.02 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.29 – $7.13 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $233.08 | $358.59 | $25.58 – $100.48 | 7 |
| Alpha-fetoprotein amniotic CPT 82106 | $60.71 | $93.40 | $11.62 – $26.52 | 7 |
| Alpha-fetoprotein tumor marker CPT 82105 | $60.71 | $93.40 | $7.56 – $26.16 | 7 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $6.56 – $13.09 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $182.29 | $280.44 | $86.79 – $110.89 | 4 |
| Alt/sgpt CPT 84460 | $19.18 | $29.50 | $4.56 – $8.27 | 7 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.53 – $4.61 | 2 |
| Aluminum - quest CPT 82108 | $92.22 | $141.87 | $21.91 – $39.75 | 7 |
| Alveoloplasty each quadrant CPT 41874 | $7,267.74 | $11,181.14 | $215.99 – $450.06 | 2 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $410.43 | $631.43 | $34.08 – $71.01 | 2 |
| Amantadine (symmetrel)-sendout CPT 80375 | $732.82 | $1,127.42 | not published | 0 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $45.75 – $95.33 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | $335.52 | $516.18 | $5.63 – $11.73 | 2 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $17.67 – $36.82 | 2 |
| Amifostine HCPCS J0207 | not published | not published | $1,071.41 – $1,478.54 | 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.