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 |
|---|---|---|---|---|
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $21.38 – $44.55 | 2 |
| Eye Socket (Orbit) X-ray CPT 70200 | $275.16 | $423.33 | $31.97 – $66.62 | 3 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $845.92 | $1,301.42 | $143.26 – $298.51 | 3 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $845.92 | $1,301.42 | $121.05 – $252.23 | 3 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $520.31 | $800.48 | $94.08 – $196.03 | 3 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $97.76 – $203.70 | 2 |
| Eye suture during surgery CPT 67335 | not published | not published | $145.43 – $303.03 | 2 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $109.84 – $273.62 | 5 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $177.14 – $441.29 | 5 |
| F-18 fdg pet diag HCPCS A9552 | $306.10 | $470.93 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $3,028.84 – $3,943.21 | 3 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $518.40 – $662.40 | 3 |
| F9 full gene sequence CPT 81238 | $1,248.98 | $1,921.50 | $375.72 – $936.00 | 6 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $788.33 – $788.33 | 1 |
| Face bone graft CPT 21210 | $11,060.43 | $17,016.04 | $666.40 – $1,388.58 | 2 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $1,648.98 | $2,536.89 | $225.99 – $470.90 | 3 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,006.36 | $1,548.25 | $154.36 – $321.64 | 3 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $201.75 | $310.38 | $20.86 – $43.47 | 3 |
| Facial Bones X-ray (complete) CPT 70150 | $275.16 | $423.33 | $32.60 – $67.93 | 3 |
| Facial nerve function test CPT 92516 | not published | not published | $18.22 – $37.97 | 2 |
| Factor ix CPT 85250 | $68.91 | $106.02 | $16.37 – $29.70 | 7 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.54 – $4.76 | 4 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.46 – $1.86 | 3 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.23 – $6.88 | 4 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.37 – $1.91 | 3 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.48 – $6.22 | 4 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.71 – $2.35 | 4 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.61 – $2.06 | 4 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.35 – $3.24 | 3 |
| Factor viii CPT 85240 | $64.79 | $99.68 | $10.91 – $27.92 | 7 |
| Factor viii HCPCS J7190 | not published | not published | $1.11 – $1.99 | 3 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.43 – $3.29 | 4 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.11 – $2.62 | 4 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.13 – $3.16 | 4 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.59 – $2.47 | 3 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.53 – $2.76 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.18 – $4.07 | 4 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.59 – $15.82 | 4 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.20 – $23.25 | 4 |
| Fallopian tube recnl CPT 58345 | not published | not published | $243.39 – $507.15 | 2 |
| Family therapy without pt 50min 90846 CPT 90846 | $415.97 | $639.96 | $62.23 – $205.39 | 3 |
| Family therapy with patient 50 min 90847 CPT 90847 | $415.97 | $639.96 | $62.23 – $213.25 | 3 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.01 | $0.02 | $0.01 – $0.01 | 1 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $26.71 – $34.13 | 4 |
| Fancc gene CPT 81242 | not published | not published | $22.93 – $57.13 | 4 |
| Fasciotomy hip/thigh any typ CPT 27025 | $1,946.61 | $2,994.79 | $834.29 – $1,738.41 | 2 |
| Fat/lipids feces qualitative CPT 82705 | $18.43 | $28.36 | $3.85 – $7.96 | 7 |
| Fatty acids nonesterified CPT 82725 | $44.21 | $68.02 | $11.73 – $29.28 | 6 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $633.75 | $975.00 | $417.95 – $417.95 | 1 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.92 – $7.11 | 4 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $64.63 – $64.63 | 1 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $59.42 – $123.81 | 2 |
| #fecal-sodium CPT 84302 | $17.59 | $27.06 | $4.18 – $7.58 | 7 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $32.92 – $68.60 | 2 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $78.32 – $163.20 | 2 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $49.56 | $76.25 | $11.67 – $29.08 | 7 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $9,704.29 – $9,704.29 | 1 |
| Femoral endovas graft add-on 34813 CPT 34813 | $3,012.84 | $4,635.14 | $198.99 – $414.64 | 2 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $159.13 – $159.13 | 1 |
| Fem/popl revasc w/stent CPT 37226 | $20,251.58 | $31,156.28 | not published | 0 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $30.98 – $30.98 | 1 |
| Feno poc CPT 95012 | $114.07 | $175.49 | $18.64 – $38.84 | 2 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $1.25 | $1.93 | $1.14 – $1.46 | 4 |
| Fern test HCPCS Q0114 | $28.55 | $43.92 | $6.30 – $15.19 | 6 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3.00 | $4.62 | $1.10 – $2.36 | 4 |
| Ferritin CPT 82728 | $49.33 | $75.89 | $11.72 – $21.26 | 7 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.35 – $2.45 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.35 – $2.45 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | $2,330.37 | $3,585.18 | $497.83 – $1,240.20 | 6 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $425.45 | $654.54 | $68.06 – $141.82 | 3 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $502.42 – $1,184.12 | 4 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $2,113.85 | $3,252.07 | $502.42 – $1,184.12 | 6 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $558.63 | $859.43 | $34.19 – $71.24 | 2 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $167.40 – $348.81 | 2 |
| Fetal fibronectin CPT 82731 | $233.08 | $358.59 | $25.58 – $100.48 | 7 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $256.87 – $535.24 | 2 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $27.99 | $43.06 | $6.65 – $12.06 | 7 |
| Fetal hemoglobin rosette CPT 85461 | $27.43 | $42.20 | $5.85 – $14.60 | 7 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $68.44 | $105.30 | $6.06 – $30.14 | 7 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $33.97 – $70.78 | 2 |
| Fetal monitor w/report CPT 59050 | not published | not published | $41.43 – $86.33 | 2 |
| Fetal non stress test CPT 59025 | $558.63 | $859.43 | $19.91 – $41.49 | 2 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $92.13 – $191.97 | 2 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $431.25 – $898.60 | 2 |
| #_fet/norfentcnfrmur CPT 80354 | $52.60 | $80.92 | $5.81 – $5.81 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $7.90 – $7.90 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $36.82 | $56.64 | $8.75 – $15.88 | 7 |
| Fibrin degradation products CPT 85362 | $24.96 | $38.40 | $5.93 – $10.75 | 7 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $6.28 – $15.16 | 5 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $8.75 – $15.88 | 5 |
| Fibrinogen activity CPT 85384 | $30.74 | $47.29 | $7.48 – $15.16 | 7 |
| Fibrinogen test CPT 85370 | $41.09 | $63.22 | $6.06 – $19.39 | 7 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $45.37 | $69.80 | $4.55 – $24.15 | 6 |
| Fibrinolytic antiplasmin CPT 85410 | $27.88 | $42.89 | $6.63 – $12.03 | 6 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $6.63 – $12.03 | 4 |
| Fibrinolytic plasminogen CPT 85415 | $62.20 | $95.69 | $14.78 – $26.82 | 6 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $8.75 – $15.88 | 4 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $23.63 | $36.35 | $5.62 – $10.19 | 6 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,159.85 – $4,500.48 | 2 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.21 – $1.01 | 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.