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 |
|---|---|---|---|---|
| Fusion of tendons at wrist CPT 25301 | not published | not published | $569.80 – $1,187.29 | 2 |
| Fusion of thumb CPT 26841 | not published | not published | $713.97 – $1,487.70 | 2 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $614.90 – $1,281.27 | 2 |
| Fusion of toes CPT 28280 | not published | not published | $310.11 – $646.18 | 2 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,251.42 – $2,607.58 | 2 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,085.60 – $2,262.06 | 2 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $991.59 – $2,066.18 | 2 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $172.10 – $428.73 | 5 |
| Fxn gene detc abnor alleles CPT 81284 | $303.73 | $467.27 | $85.79 – $213.72 | 7 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $172.10 – $428.73 | 4 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $108.30 – $288.91 | 5 |
| G0180 home health certification HCPCS G0180 | not published | not published | $54.62 – $113.81 | 2 |
| G6pc gene CPT 81250 | not published | not published | $36.63 – $91.24 | 4 |
| G6pd full gene sequence CPT 81249 | $1,248.98 | $1,921.50 | $375.72 – $936.00 | 6 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $109.47 – $272.70 | 4 |
| G6pd known familial variant CPT 81248 | not published | not published | $108.30 – $585.39 | 5 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $121.73 | $187.27 | $143.08 – $186.32 | 3 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $60.00 – $76.67 | 3 |
| Gabapentin non-blood CPT 80355 | $65.23 | $100.35 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $0.69 | $1.06 | $0.28 – $1.15 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $2.80 | $4.31 | $1.46 – $7.11 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.44 | $0.68 | $0.10 – $0.28 | 3 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $28.03 | $43.12 | $14.75 – $19.60 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $18.12 – $32.87 | 7 |
| Galactokinase - sendout CPT 82759 | not published | not published | $18.47 – $33.51 | 5 |
| Galactose transferase test CPT 82776 | not published | not published | $7.39 – $18.31 | 4 |
| Galectin-3 CPT 82777 | $129.72 | $199.57 | $11.15 – $69.03 | 6 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,067.57 | $1,642.41 | $238.20 – $496.34 | 3 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,129.74 | $1,738.06 | $324.03 – $675.18 | 3 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $595.37 – $1,240.57 | 2 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $8.18 – $10.45 | 2 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $1,015.20 – $1,297.20 | 3 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $648.84 – $1,104.00 | 3 |
| Galsulfase injection HCPCS J1458 | not published | not published | $451.87 – $577.39 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $102.84 – $579.14 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | $82.69 | $127.22 | $49.12 – $63.70 | 4 |
| Gammaglobulin iga CPT 82784 | $33.65 | $51.77 | $8.00 – $14.51 | 7 |
| Gammaglobulin ige CPT 82785 | $59.56 | $91.63 | $14.16 – $25.68 | 7 |
| Gamma glutamyltransferase CPT 82977 | $26.05 | $40.08 | $5.84 – $11.23 | 7 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.87 – $120.89 | 2 |
| Gammaplex injection HCPCS J1557 | not published | not published | $62.91 – $136.30 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | $122.30 | $188.16 | $48.29 – $92.05 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $148.73 | $228.81 | $32.98 – $99.36 | 4 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $30.18 – $54.74 | 4 |
| Gardner vag dna quant CPT 87512 | not published | not published | $35.91 – $65.15 | 4 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $4.80 – $10.47 | 4 |
| Gastric emptying imag study CPT 78265 | $1,067.57 | $1,642.41 | $287.30 – $598.65 | 3 |
| Gastric emptying imag study CPT 78266 | $1,129.74 | $1,738.06 | $329.42 – $686.41 | 3 |
| Gastric motility studies CPT 91020 | not published | not published | $220.60 – $459.66 | 2 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $148.81 – $310.08 | 3 |
| Gastrin test CPT 82938 | not published | not published | $15.21 – $27.60 | 5 |
| Gastroduodenostomy CPT 43810 | not published | not published | $899.33 – $1,873.93 | 2 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $176.41 – $367.59 | 3 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $144.21 – $300.49 | 2 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,999.43 – $4,166.21 | 2 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,358.23 – $4,913.84 | 2 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,184.70 – $2,468.56 | 2 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,157.54 – $2,411.97 | 2 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,719.20 – $3,582.30 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $564.61 – $1,176.48 | 2 |
| Gated heart multiple CPT 78473 | not published | not published | $188.70 – $393.19 | 3 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $7.21 – $7.21 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $1.53 – $7.69 | 3 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $6.33 – $6.33 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.00 – $2.83 | 3 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $10.69 – $10.69 | 1 |
| Gba gene CPT 81251 | not published | not published | $29.59 – $73.71 | 4 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $154.09 – $154.09 | 1 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $182.68 – $182.68 | 1 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $213.89 – $213.89 | 1 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $114.31 – $114.31 | 1 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $130.54 – $130.54 | 1 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $150.30 – $150.30 | 1 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $203.91 – $203.91 | 1 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $243.13 – $243.13 | 1 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $287.99 – $287.99 | 1 |
| Gefitinib oral HCPCS J8565 | not published | not published | $148.62 – $358.29 | 3 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $158.03 – $158.03 | 1 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $5.40 – $5.40 | 1 |
| Gel-one HCPCS J7326 | $1,045.69 | $1,608.75 | $519.58 – $1,587.00 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $4.88 | $7.51 | $0.66 – $2.92 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.53 – $14.36 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $221.60 – $283.15 | 4 |
| General health panel CPT 80050 | $56.84 | $87.44 | $16.06 – $16.06 | 1 |
| Generator emblem MRI sicd subq HCPCS C1722 | $35,104.91 | $54,007.56 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $6,510.12 | $10,015.57 | $1,533.29 – $3,819.75 | 6 |
| Genioplasty augmentation CPT 21120 | not published | not published | $464.93 – $968.77 | 2 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $744.20 – $1,550.69 | 2 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $468.17 – $975.53 | 2 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $666.30 – $1,388.37 | 2 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,463.84 – $3,646.73 | 4 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,150.54 – $7,848.67 | 4 |
| Genome sequence analysis CPT 81426 | not published | not published | $1,696.97 – $4,227.52 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $2.28 | $3.51 | $2.13 – $3.29 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $59.27 | $91.18 | $12.20 – $25.55 | 7 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $4.68 – $22.02 | 4 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $396.15 – $825.46 | 2 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $115.88 – $241.46 | 2 |
| Ghs abscess perianal iandd CPT 46050 | $2,393.41 | $3,682.17 | $98.41 – $205.06 | 2 |
| Ghs abscess postoperative iandd complex CPT 10180 | $7,746.22 | $11,917.26 | $166.52 – $346.98 | 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.