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 |
|---|---|---|---|---|
| Drug assay voriconazole CPT 80285 | $75.69 | $116.45 | $12.20 – $42.29 | 7 |
| Drug asy hydroxychloroquine CPT 80220 | $43.91 | $67.55 | $11.67 – $29.08 | 7 |
| Drug of abuse screen urine CPT 80305 | $35.17 | $54.11 | $5.81 – $19.66 | 7 |
| Drug screening tapentadol CPT 80372 | $99.11 | $152.48 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $12.20 – $42.29 | 5 |
| Drug/substance nos 4-6 CPT 80376 | $671.32 | $1,032.80 | $14.62 – $14.62 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | $582.56 | $896.25 | $103.97 – $310.03 | 6 |
| Drug test def 1-7 classes HCPCS G0480 | $186.98 | $287.66 | $17.42 – $178.51 | 7 |
| Drug test def 22+ classes HCPCS G0483 | $723.78 | $1,113.51 | $134.78 – $385.20 | 6 |
| Drug test def 8-14 classes HCPCS G0481 | $459.01 | $706.17 | $77.02 – $244.28 | 6 |
| Drug test def simple all cl HCPCS G0659 | $210.55 | $323.92 | $49.98 – $96.94 | 6 |
| Drug test prsmv instrmnt CPT 80306 | $52.64 | $80.99 | $5.81 – $26.74 | 7 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $121.92 | $187.57 | $8.72 – $96.94 | 7 |
| Drvvt confirm - quest CPT 85597 | $65.05 | $100.08 | $10.40 – $28.05 | 6 |
| Dstrj extensive retinopathy CPT 67227 | $9,033.15 | $13,897.16 | $207.90 – $433.20 | 2 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,556.99 | $7,010.75 | $128.87 – $268.53 | 2 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $1,107.30 | $1,703.54 | $161.78 – $337.10 | 2 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $1,107.30 | $1,703.54 | $136.22 – $283.84 | 2 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $1,331.20 | $2,048.00 | $159.56 – $332.48 | 2 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $1,651.23 | $2,540.35 | $216.73 – $451.60 | 2 |
| Ductogram sgl duct CPT 77053 | $579.34 | $891.29 | $34.50 – $71.89 | 3 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,565.83 – $3,262.72 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $111.84 – $233.04 | 2 |
| Duplex scan bilateral study 93985 CPT 93985 | $646.80 | $995.08 | $201.08 – $418.99 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | $312.03 | $480.05 | $118.74 – $247.42 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $425.45 | $654.54 | $115.57 – $240.81 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $482.35 | $742.07 | $134.29 – $279.82 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $875.65 | $1,347.15 | $153.33 – $319.49 | 2 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $20.52 – $26.22 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $82.78 – $105.78 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $37.91 – $78.99 | 3 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $328.15 | $504.84 | $53.09 – $110.62 | 2 |
| Dx aly aud oi snd prcsr each CPT 92623 | $164.07 | $252.42 | $13.88 – $28.92 | 2 |
| Dx bronchoscope/brush 31623 CPT 31623 | $4,480.42 | $6,892.95 | $115.57 – $240.81 | 2 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,480.42 | $6,892.95 | $117.16 – $244.13 | 2 |
| Dx bronchoscope/wash 31622 CPT 31622 | $4,480.42 | $6,892.95 | $115.88 – $241.46 | 2 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $18.32 – $38.17 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $45.42 – $94.64 | 2 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $67.53 – $140.71 | 2 |
| Dx gastr intub w/asp spec CPT 43754 | $870.76 | $1,339.63 | $45.20 – $94.18 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $53.15 – $110.75 | 2 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $129.32 – $269.46 | 2 |
| Dx laryngoscopy w/oper scope CPT 31526 | $3,404.45 | $5,237.62 | $129.65 – $270.15 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $100.90 – $210.25 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $17.56 – $36.59 | 2 |
| Ear and throat examination CPT 92502 | not published | not published | $83.73 – $174.47 | 2 |
| Ear canal biopsy 69105 CPT 69105 | $3,239.40 | $4,983.70 | $55.06 – $114.73 | 2 |
| Ear cartilage graft CPT 21235 | not published | not published | $484.52 – $1,009.59 | 2 |
| Ear irrigation 69209 CPT 69209 | $192.19 | $295.67 | $16.10 – $33.55 | 2 |
| Ear protector evaluation CPT 92596 | not published | not published | $74.17 – $154.55 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $564.01 – $720.68 | 4 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $6.83 – $14.23 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $192.19 | $295.67 | $7.53 – $15.69 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | $410.43 | $631.43 | $130.65 – $272.24 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $335.52 | $516.18 | $17.05 – $35.53 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $335.52 | $516.18 | $32.92 – $68.60 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $89.86 | $138.25 | $11.02 – $22.96 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $143.86 | $221.32 | $11.02 – $22.96 | 2 |
| Ecg record/review CPT 93268 | not published | not published | $161.71 – $336.96 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $23.22 – $48.38 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,734.50 | $2,668.46 | $122.55 – $255.36 | 2 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $875.65 | $1,347.15 | $72.50 – $151.07 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $246.02 | $378.49 | $19.36 – $40.34 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,086.62 | $3,210.18 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,383.57 | $2,128.57 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $625.88 | $962.90 | $17.13 – $35.69 | 2 |
| Echo exam of eye CPT 76516 | $425.45 | $654.54 | $24.03 – $50.07 | 3 |
| Echo exam of eye CPT 76519 | $425.45 | $654.54 | $37.36 – $77.85 | 3 |
| Echo exam of eye CPT 76529 | $222.56 | $342.40 | $52.27 – $108.91 | 3 |
| Echo exam of eye thickness CPT 76514 | $61.13 | $94.05 | $3.73 – $7.77 | 3 |
| Echo exam of fetal heart CPT 76825 | $1,734.50 | $2,668.46 | $173.64 – $361.81 | 3 |
| Echo exam of fetal heart CPT 76826 | $875.65 | $1,347.15 | $112.80 – $235.04 | 3 |
| Echo exam of fetal heart CPT 76827 | $425.45 | $654.54 | $40.22 – $83.81 | 3 |
| Echo exam of fetal heart CPT 76828 | $425.45 | $654.54 | $21.49 – $44.78 | 3 |
| Echo exam uterus 76831- CPT 76831 | $875.65 | $1,347.15 | $78.29 – $163.13 | 3 |
| Echograp trans r pros study CPT 76873 | $425.45 | $654.54 | $97.25 – $202.64 | 3 |
| Echo guidance radiotherapy CPT 76965 | $693.49 | $1,066.91 | $27.21 – $56.70 | 3 |
| Echo guide for amniocentesis CPT 76946 | $144.94 | $222.99 | $14.83 – $30.90 | 3 |
| Echo guide for artery repair CPT 76936 | $637.83 | $981.28 | $163.17 – $340.00 | 3 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $47.51 – $99.00 | 3 |
| Echo guide villus sampling CPT 76945 | $113.11 | $174.01 | not published | 0 |
| Echo stress CPT 93350 | $1,734.50 | $2,668.46 | $111.84 – $233.04 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $23.74 – $49.47 | 2 |
| Echo tee guidance CPT 93355 | $1,413.99 | $2,175.37 | $187.23 – $390.13 | 2 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,734.50 | $2,668.46 | $127.31 – $265.28 | 2 |
| Echo transesophageal CPT 93313 | not published | not published | $10.09 – $21.02 | 2 |
| Echo transesophageal CPT 93314 | not published | not published | $135.56 – $282.47 | 2 |
| Echo transesophageal CPT 93315 | $1,734.50 | $2,668.46 | not published | 0 |
| Echo transthoracic CPT 93303 | $1,734.50 | $2,668.46 | $152.06 – $316.85 | 2 |
| Echo transthoracic CPT 93304 | not published | not published | $112.80 – $235.04 | 2 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,734.50 | $2,668.46 | $89.95 – $187.43 | 2 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $27,083.19 | $41,666.44 | $199.95 – $416.64 | 2 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $5,512.53 | $8,480.81 | $207.27 – $431.89 | 2 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $5,512.53 | $8,480.81 | $292.03 – $608.50 | 2 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $5,512.53 | $8,480.81 | $264.96 – $552.10 | 2 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $715.17 – $1,490.20 | 2 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $713.42 – $1,486.55 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $408.89 – $852.00 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $367.18 – $765.09 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $407.78 – $849.69 | 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.