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 |
|---|---|---|---|---|
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $2.14 | $3.30 | $0.98 – $1.44 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.29 – $1.26 | 4 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $592.99 – $1,235.61 | 2 |
| Filtered speech hearing test CPT 92571 | not published | not published | $29.43 – $61.32 | 2 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $76.49 – $76.49 | 1 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $26,637.87 | $40,981.34 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $3,266.26 | $5,025.01 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $691.29 – $1,440.44 | 2 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.16 – $0.22 | 3 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,631.47 | $2,509.95 | $76.87 – $160.17 | 2 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $815.72 | $1,254.95 | $45.42 – $94.64 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $815.72 | $1,254.96 | $35.13 – $73.20 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $815.72 | $1,254.96 | $41.66 – $86.81 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,107.30 | $1,703.54 | $44.30 – $92.31 | 2 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $859.44 – $859.44 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $834.86 – $1,739.60 | 2 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,062.73 – $2,214.41 | 2 |
| Finger X-ray (both hands) CPT 73140 | $201.75 | $310.38 | $31.01 – $64.62 | 3 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $956.51 – $1,993.08 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $604.12 – $1,258.80 | 2 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $75.79 – $157.92 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $558.63 | $859.43 | $39.51 – $82.33 | 2 |
| Fixation of ankle joint CPT 27860 | not published | not published | $147.92 – $308.22 | 2 |
| Fixation of knee joint CPT 27570 | $3,413.24 | $5,251.14 | $142.34 – $296.59 | 2 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $852.61 – $1,776.58 | 2 |
| Fix g/colon tube w/device CPT 49460 | $2,195.76 | $3,378.09 | $41.20 – $85.85 | 2 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $609.13 – $1,269.24 | 2 |
| Flebogamma injection HCPCS J1572 | not published | not published | $56.12 – $73.06 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | $41.32 | $63.57 | $11.67 – $29.08 | 7 |
| Fl exam g/colon tube w contrast CPT 49465 | $875.65 | $1,347.15 | $24.94 – $51.97 | 2 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $5,728.05 – $5,728.05 | 1 |
| Flex foot system HCPCS L5980 | not published | not published | $12,420.21 – $12,420.21 | 1 |
| Flexible keel foot HCPCS L5972 | $673.54 | $1,036.22 | $899.03 – $899.03 | 1 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $424.72 – $424.72 | 1 |
| Flexible Sigmoidoscopy CPT 45330 | $2,393.41 | $3,682.17 | $51.47 – $107.25 | 2 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $773.47 – $773.47 | 1 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $642.30 – $1,338.36 | 2 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $696.55 – $1,451.40 | 2 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $520.86 – $520.86 | 1 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $7,916.06 – $7,916.06 | 1 |
| Floor of mouth biopsy 41108 CPT 41108 | $3,812.63 | $5,865.59 | $80.51 – $167.76 | 2 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $2,968.00 – $3,864.00 | 3 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $3,710.00 – $3,710.00 | 1 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $671.22 – $671.22 | 1 |
| Flow cytometry interp 16 or more CPT 88189 | $251.27 | $386.57 | $34.84 – $77.40 | 3 |
| Flow cytometry marker each additional CPT 88185 | $85.22 | $131.10 | $17.94 – $26.53 | 3 |
| Flow cytometry one marker technical component CPT 88184 | $595.91 | $916.79 | $26.91 – $76.94 | 3 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $162.00 – $207.00 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $89.41 – $258.75 | 4 |
| #flow interp 9 - 15 markers CPT 88188 | $187.91 | $289.09 | $29.04 – $56.99 | 3 |
| Floxuridine injection HCPCS J9200 | not published | not published | $128.52 – $4,254.92 | 4 |
| Flt3 gene CPT 81245 | $485.16 | $746.40 | $103.90 – $258.20 | 7 |
| Flt3 gene analysis CPT 81246 | $243.30 | $374.31 | $51.97 – $129.48 | 7 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $4.41 – $10.35 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $80.10 – $141.10 | 4 |
| Fluidotherapy charges pt CPT 97022 | $55.41 | $85.25 | $14.82 – $31.48 | 4 |
| Fluid pressure muscle 20950 CPT 20950 | $1,994.36 | $3,068.25 | $79.57 – $165.80 | 2 |
| Fluocinol acet intravit imp HCPCS J7313 | $1,023.45 | $1,574.54 | $499.30 – $639.16 | 4 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $333.50 – $444.99 | 4 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $26.04 – $54.26 | 2 |
| Fluorescein angrph mltiframe CPT 92235 | $870.76 | $1,339.63 | $114.47 – $238.52 | 2 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $268.36 – $559.18 | 2 |
| Fluorescent antibody titer dna CPT 86256 | $43.62 | $67.10 | $10.36 – $18.80 | 6 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $528.80 – $688.44 | 3 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $689.85 – $4,891.90 | 3 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $171.68 | $264.13 | $72.26 – $150.57 | 3 |
| Fluoroguide needle placement CPT 77002 | $187.51 | $288.48 | $89.40 – $186.28 | 3 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $12.14 – $29.50 | 7 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $579.34 | $891.29 | $27.21 – $56.70 | 3 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $1.91 – $7.10 | 4 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $17.10 | $26.31 | $6.10 – $33.40 | 4 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $530.00 – $530.00 | 1 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $1.57 – $2.16 | 3 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $3,392.00 – $4,554.00 | 3 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $30.47 | $46.87 | not published | 0 |
| Fmri brain by tech CPT 70554 | $1,006.36 | $1,548.25 | $265.57 – $553.37 | 3 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,631.47 | $2,509.95 | $90.31 – $188.18 | 2 |
| Fna bx w/ct gdn ea addl CPT 10010 | $815.72 | $1,254.95 | $63.47 – $132.25 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,631.47 | $2,509.95 | not published | 0 |
| Fna bx w/mr gdn ea addl CPT 10012 | $815.72 | $1,254.95 | not published | 0 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $59.18 – $59.18 | 1 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $28.84 – $28.84 | 1 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $30.59 – $30.59 | 1 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $87.22 – $87.22 | 1 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $22.19 – $22.19 | 1 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $26.57 – $26.57 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $16.26 – $29.50 | 5 |
| Folic acid CPT 82746 | $53.21 | $81.86 | $11.89 – $22.93 | 7 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.05 – $0.05 | 2 |
| Follow-up angiography CPT 75898 | $5,491.15 | $8,447.92 | $158.17 – $329.58 | 3 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $17.07 – $35.57 | 2 |
| Follow-up surgery of eye CPT 66250 | $5,865.26 | $9,023.48 | $461.09 – $960.77 | 2 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $12.89 – $20.70 | 4 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.86 – $6.62 | 4 |
| Fo nontorsion joint cf HCPCS L3935 | $428.01 | $658.48 | $502.48 – $502.48 | 1 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $190.76 – $190.76 | 1 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $117.62 – $117.62 | 1 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $193.10 – $193.10 | 1 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $518.07 – $518.07 | 1 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $403.68 – $403.68 | 1 |
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.