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 |
|---|---|---|---|---|
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $9,589.94 | $14,753.75 | $363.80 – $758.05 | 2 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $444.05 – $925.27 | 2 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $449.83 – $937.31 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $236.42 – $492.63 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $160.46 – $334.35 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $9,133.27 | $14,051.18 | $243.67 – $507.74 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $9,133.27 | $14,051.18 | $203.82 – $424.70 | 2 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $426.23 – $888.14 | 2 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $404.44 – $842.73 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $203.84 – $424.74 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $160.46 – $334.35 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $203.84 – $424.74 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $160.46 – $334.35 | 2 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $85.99 – $179.18 | 2 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $10.09 – $19.75 | 5 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $429.53 – $895.01 | 2 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.31 – $45.03 | 2 |
| Eculizumab injection HCPCS J1300 | not published | not published | $234.83 – $300.06 | 2 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $5,816.30 – $7,431.94 | 4 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $26.61 – $55.45 | 2 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $110.35 – $229.94 | 2 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $102.70 | $158.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $870.76 | $1,339.63 | $308.09 – $641.97 | 2 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,454.78 | $2,238.13 | not published | 0 |
| Eeg during surgery CPT 95955 | not published | not published | $137.31 – $286.11 | 2 |
| Eeg monitoring/function test CPT 95958 | $3,243.02 | $4,989.26 | $511.79 – $1,066.42 | 2 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $258.98 – $539.64 | 2 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $870.76 | $1,339.63 | $338.79 – $705.94 | 2 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $870.76 | $1,339.63 | $371.47 – $774.03 | 2 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $171.58 – $357.52 | 2 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $208.11 – $433.64 | 2 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $209.31 – $436.14 | 2 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $264.51 – $551.16 | 2 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $239.96 – $500.00 | 2 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $336.12 – $700.37 | 2 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $166.90 – $347.77 | 2 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $86.66 – $180.57 | 2 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $108.41 – $225.89 | 2 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $130.24 – $271.38 | 2 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $870.76 | $1,339.63 | $370.20 – $771.39 | 2 |
| Eeg recording awake and asleep CPT 95819 | $870.76 | $1,339.63 | $403.76 – $841.31 | 2 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $692.70 | $1,065.70 | not published | 0 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,240.57 | $1,908.57 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $31.06 | $47.79 | $8.60 – $20.58 | 7 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $31.71 – $41.06 | 4 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $195.39 – $407.13 | 2 |
| Egd control bleeding any CPT 43255 | not published | not published | $170.75 – $355.79 | 2 |
| Egd dilate stricture CPT 43245 | not published | not published | $150.68 – $313.97 | 2 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $228.53 – $476.19 | 2 |
| Egd endoscopic stent place CPT 43266 | $8,205.35 | $12,623.61 | $185.19 – $385.88 | 2 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $364.01 – $758.49 | 2 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $151.54 – $315.76 | 2 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $137.26 – $286.01 | 2 |
| Egd guide wire insertion CPT 43248 | $2,195.76 | $3,378.09 | $142.51 – $296.95 | 2 |
| Egd injection varices CPT 43243 | $4,441.33 | $6,832.82 | $201.21 – $419.26 | 2 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $122.16 – $254.54 | 2 |
| Egd lesion ablation CPT 43270 | not published | not published | $190.75 – $397.47 | 2 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $144.41 – $300.91 | 2 |
| Egd remove foreign body CPT 43247 | $2,195.76 | $3,378.09 | $151.38 – $315.43 | 2 |
| Egd remove lesion snare CPT 43251 | not published | not published | $166.79 – $347.54 | 2 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $146.39 – $305.03 | 2 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $191.83 – $399.72 | 2 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $197.34 – $411.20 | 2 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $221.96 – $462.50 | 2 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $222.20 – $463.00 | 2 |
| Egd varices ligation CPT 43244 | not published | not published | $207.95 – $433.31 | 2 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $197.24 – $410.99 | 2 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $330.05 – $687.73 | 2 |
| Egfr gene com variants CPT 81235 | $951.44 | $1,463.76 | $206.65 – $506.34 | 6 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $82.65 | $127.16 | $21.98 – $54.74 | 7 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $8.20 – $30.53 | 4 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $14.72 – $30.67 | 2 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $14.72 – $30.67 | 2 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $8.13 – $16.94 | 2 |
| EKG tracing for initial prev HCPCS G0404 | $65.29 | $100.45 | $6.58 – $13.71 | 2 |
| EKG (Tracing Only) CPT 93005 | $192.19 | $295.67 | $6.58 – $13.71 | 2 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $7,914.87 – $7,914.87 | 1 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $6,546.13 – $6,546.13 | 1 |
| Elbow arthroscopy CPT 29830 | not published | not published | $416.68 – $868.24 | 2 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $445.24 – $927.75 | 2 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $462.19 – $963.07 | 2 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $521.32 – $1,086.27 | 2 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $480.80 – $1,001.84 | 2 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $530.66 – $1,105.74 | 2 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $7,219.12 – $7,219.12 | 1 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $7,542.87 – $7,542.87 | 1 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $6,959.25 – $6,959.25 | 1 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $6,943.28 – $6,943.28 | 1 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $1,420.46 – $1,420.46 | 1 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $1,704.59 – $1,704.59 | 1 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $8,163.17 – $8,163.17 | 1 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $201.75 | $310.38 | $20.23 – $42.15 | 3 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $201.75 | $310.38 | $23.40 – $48.76 | 3 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $271.85 | $418.23 | $28.43 – $59.24 | 2 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $59,833.45 – $59,833.45 | 1 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $60,389.75 – $60,389.75 | 1 |
| Elec stim unattend for press HCPCS G0281 | $40.70 | $62.62 | $11.32 – $23.59 | 4 |
| Elect analysis of infusion pump 62367 CPT 62367 | $271.85 | $418.23 | $20.68 – $43.09 | 2 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $28.75 – $59.91 | 2 |
| Electrd sq emblem s-icd HCPCS C1896 | $6,849.74 | $10,538.06 | 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.