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 |
|---|---|---|---|---|
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $133.38 – $277.92 | 2 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $101.70 – $211.91 | 2 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $141.36 – $294.55 | 2 |
| Esophagoscopy flex biopsy CPT 43202 | $3,605.15 | $5,546.38 | $89.60 – $186.70 | 2 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $2,195.76 | $3,378.09 | $76.09 – $158.55 | 2 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $65.79 – $137.09 | 2 |
| Esophagoscopy flex remove fb CPT 43215 | $4,441.33 | $6,832.82 | $122.22 – $254.67 | 2 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $168.25 – $350.58 | 2 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $115.04 – $239.71 | 2 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $216.19 – $450.48 | 2 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $152.80 – $318.39 | 2 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $129.83 – $270.53 | 2 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $458.91 – $956.23 | 2 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $137.26 – $286.01 | 2 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $171.12 – $356.56 | 2 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $164.78 – $343.35 | 2 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $141.73 – $295.32 | 2 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $140.86 – $293.51 | 2 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $155.33 – $323.66 | 2 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,186.94 – $2,473.23 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $121.46 – $253.09 | 2 |
| Esophagus motility study CPT 91010 | not published | not published | $168.96 – $352.06 | 2 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $499.04 – $1,039.85 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | $3,520.58 | $5,416.28 | $131.33 – $273.65 | 2 |
| Esoph endoscopy dilation CPT 43226 | $4,441.33 | $6,832.82 | $112.05 – $233.48 | 2 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $744.82 – $1,551.98 | 2 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,000.24 – $2,084.20 | 2 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $17.77 – $37.03 | 2 |
| Esoph imped function test CPT 91037 | not published | not published | $128.98 – $268.76 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $366.64 – $763.97 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $114.39 – $238.35 | 2 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $116.28 – $242.29 | 2 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $88.57 – $184.55 | 2 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | $18,282.03 | $28,126.20 | $3,103.68 – $6,467.14 | 2 |
| Esphg thrsc moblj CPT 43288 | $11,411.70 | $17,556.46 | $3,262.93 – $6,798.97 | 2 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,774.48 – $5,781.18 | 2 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,014.09 – $6,280.46 | 2 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $501.66 – $1,045.31 | 2 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $301.03 – $627.26 | 2 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $519.38 – $1,082.23 | 2 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $608.96 – $1,268.89 | 2 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $208.49 – $434.43 | 2 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $329.19 – $685.93 | 2 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,152.44 – $2,401.34 | 2 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $1,006.73 – $2,097.72 | 2 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $356.11 – $742.03 | 2 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $504.23 – $1,050.66 | 2 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $301.35 – $627.92 | 2 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $523.46 – $1,090.73 | 2 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $361.88 – $754.05 | 2 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $774.83 – $1,614.51 | 2 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $16.89 – $35.19 | 2 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $17.87 – $37.24 | 2 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $9.74 – $20.30 | 2 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $17.22 – $35.88 | 2 |
| Essure 58565 CPT 58565 | $11,325.89 | $17,424.44 | $385.47 – $803.20 | 2 |
| Establish access to aorta CPT 36160 | $779.58 | $1,199.36 | $102.68 – $213.95 | 2 |
| Establish access to artery CPT 36100 | not published | not published | $126.38 – $263.34 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $953.29 – $1,986.37 | 2 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,454.42 – $3,030.57 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $878.86 – $1,831.28 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $941.47 – $1,961.74 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,257.44 – $2,620.13 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $900.22 – $1,875.79 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $210.10 | $323.23 | $7.52 – $15.67 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $256.59 | $394.76 | $30.18 – $62.89 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $297.19 | $457.22 | $56.01 – $116.71 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $369.35 | $568.23 | $82.33 – $171.55 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $487.32 | $749.72 | $122.25 – $254.73 | 2 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $158.30 – $329.85 | 2 |
| Estradiol total CPT 82670 | $101.09 | $155.52 | $24.03 – $43.59 | 7 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.33 – $36.64 | 4 |
| Estrogens total-sendout CPT 82672 | $78.51 | $120.79 | $18.66 – $33.85 | 7 |
| Etanercept injection HCPCS J1438 | not published | not published | $886.10 – $1,132.23 | 4 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $475.56 – $607.66 | 4 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $110.05 – $193.91 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $808.63 – $1,684.94 | 2 |
| Ethylene glycol -sendout CPT 82693 | $53.93 | $82.97 | $12.81 – $23.24 | 6 |
| Etonogestrel implant system HCPCS J7307 | $2,565.91 | $3,947.55 | $1,179.88 – $1,507.63 | 3 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.82 – $1.05 | 4 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $81.36 – $103.96 | 3 |
| Euflexxa inj per dose HCPCS J7323 | $262.02 | $403.11 | $103.77 – $483.17 | 4 |
| Euglobulin lysis CPT 85360 | $30.43 | $46.82 | $7.23 – $13.12 | 7 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $452.30 – $942.46 | 2 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $13.88 – $28.92 | 2 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $59.05 – $123.04 | 2 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $393.56 | $605.48 | $107.23 – $248.25 | 4 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $8.72 – $16.19 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $210.54 | $323.90 | $25.58 – $153.05 | 7 |
| Evaluation heart device CPT 93640 | $819.22 | $1,260.34 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $422.25 | $649.62 | $94.15 – $271.42 | 4 |
| Evaluation psychiatric diagnostic CPT 90791 | $424.36 | $652.86 | $136.66 – $284.76 | 2 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $2,121.96 | $3,264.55 | $487.19 – $1,015.16 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | $901.12 | $1,386.34 | $208.21 – $433.85 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $12,051.32 | $18,540.50 | $1,047.44 – $2,182.55 | 2 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $16,014.10 | $24,637.07 | $1,051.05 – $2,190.07 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $12,051.32 | $18,540.50 | $1,530.70 – $3,189.52 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $11,729.85 | $18,045.93 | $1,930.15 – $4,021.85 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $11,729.85 | $18,045.93 | $373.39 – $778.03 | 2 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $10,013.41 | $15,405.24 | $1,165.59 – $2,428.74 | 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.