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 |
|---|---|---|---|---|
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,651.23 | $2,540.35 | $255.45 – $532.28 | 2 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,107.30 | $1,703.54 | $279.62 – $582.64 | 2 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $295.39 – $615.50 | 2 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $331.98 – $691.75 | 2 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $325.84 – $678.95 | 2 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,107.30 | $1,703.54 | $364.10 – $758.68 | 2 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $31.14 | $47.90 | $7.40 – $13.42 | 7 |
| Ghs mbp CPT 83873 | $62.27 | $95.80 | $14.79 – $26.83 | 6 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $202.10 | $310.93 | $20.58 – $42.88 | 2 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $202.10 | $310.93 | $78.62 – $163.82 | 2 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $202.10 | $310.93 | $68.77 – $143.30 | 2 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $89.22 | $137.26 | $11.58 – $24.13 | 2 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $94.61 | $145.56 | $52.34 – $109.06 | 2 |
| Ghs musc test done w/n test comp CPT 95886 | $308.09 | $473.98 | $51.72 – $107.77 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $308.09 | $473.98 | $43.79 – $91.25 | 2 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $161.82 | $248.96 | $48.55 – $101.16 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $219.26 | $337.32 | $9.74 – $20.30 | 2 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,651.23 | $2,540.35 | $99.77 – $207.89 | 2 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,188.39 | $3,366.76 | $21.03 – $43.82 | 2 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,161.14 | $1,786.37 | $50.83 – $105.91 | 2 |
| Ghs nerve block axillary nerve CPT 64417 | $2,077.70 | $3,196.46 | $59.45 – $123.88 | 2 |
| Ghs nerve block brachial plexus CPT 64415 | $2,188.39 | $3,366.76 | $64.59 – $134.59 | 2 |
| Ghs nerve block celiac plexus CPT 64530 | $2,188.39 | $3,366.76 | $82.57 – $172.05 | 2 |
| Ghs nerve block interscaline CPT 64510 | $2,188.39 | $3,366.76 | $67.40 – $140.44 | 2 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,188.39 | $3,366.76 | $74.20 – $154.61 | 2 |
| Ghs nerve block sciatic nerve CPT 64445 | $852.20 | $1,311.08 | $63.86 – $133.07 | 2 |
| Ghs nerve block suprascapular CPT 64418 | $852.20 | $1,311.08 | $46.57 – $97.04 | 2 |
| Ghs ng placement w fluoro guidance CPT 43752 | $440.81 | $678.17 | $33.26 – $69.30 | 2 |
| Ghs o2 saturation CPT 82810 | $31.58 | $48.58 | $7.69 – $15.24 | 7 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $42.99 – $89.58 | 2 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $46.24 – $96.35 | 2 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $133.11 | $204.79 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $2,053.14 | $3,158.68 | $28.75 – $59.91 | 2 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,535.44 | $3,900.68 | $162.32 – $338.23 | 2 |
| Ghs optokenetic CPT 92544 | not published | not published | $3.41 – $7.11 | 2 |
| Ghs oscillating trac CPT 92545 | not published | not published | $3.41 – $7.11 | 2 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $96.47 | $148.41 | $19.23 – $40.07 | 2 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $69.15 | $106.38 | $29.06 – $60.55 | 2 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.53 – $13.61 | 2 |
| Ghs ot group caregiver training CPT 97552 | $15.56 | $23.94 | $9.19 – $19.15 | 2 |
| Ghs ot prosthetic training/15 min CPT 97761 | $130.62 | $200.95 | $34.77 – $81.58 | 4 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $42.79 – $121.83 | 4 |
| Ghs ot work hardening-additional hours CPT 97546 | $73.28 | $112.74 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $1,700.22 | $2,615.73 | $0.89 – $1.85 | 2 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $608.93 | $936.82 | $49.69 – $103.54 | 2 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $608.93 | $936.82 | $43.81 – $91.29 | 2 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $129.18 | $198.74 | $9.64 – $23.18 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $618.08 | $950.90 | $122.42 – $255.09 | 2 |
| Ghs phenylketonurid CPT 84030 | $19.90 | $30.62 | $4.73 – $8.58 | 7 |
| Ghs picc line insert < 5 CPT 36568 | $2,053.14 | $3,158.68 | $80.94 – $168.65 | 2 |
| Ghs plngl fx pm cl CPT 26725 | $763.42 | $1,174.50 | $305.61 – $636.80 | 2 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.32 – $6.72 | 5 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $842.13 – $1,754.75 | 2 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $3.73 – $7.77 | 2 |
| Ghs ppd (tb intradermal) CPT 86580 | $49.84 | $76.67 | $5.50 – $10.39 | 2 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $34.97 | $53.80 | $8.31 – $15.07 | 7 |
| Ghs protein, misc fluid CPT 84160 | $14.92 | $22.95 | $1.72 – $8.75 | 7 |
| Ghs protoporphyrins fract CPT 84202 | $51.92 | $79.87 | $10.45 – $22.39 | 7 |
| Ghs pr without cont pulse ox CPT 94625 | $139.95 | $215.31 | $15.74 – $32.80 | 2 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $44.32 | $68.19 | $10.54 – $19.11 | 6 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $621.88 | $956.74 | not published | 0 |
| Ghs quinidine CPT 80194 | not published | not published | $12.20 – $22.78 | 7 |
| Ghs refill of implantable pump CPT 95990 | $419.72 | $645.73 | $92.88 – $193.53 | 2 |
| Ghs removal intranasal foreign body CPT 30300 | $335.52 | $516.18 | $110.24 – $229.71 | 2 |
| Ghs removal pharyngeal foreign body CPT 42809 | $766.19 | $1,178.75 | $111.77 – $232.90 | 2 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $4,572.13 | $7,034.04 | $568.96 – $1,185.54 | 2 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $8,441.76 | $12,987.33 | $447.64 – $932.75 | 2 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $8.20 – $24.79 | 5 |
| Ghs reticulocyte count CPT 85044 | $15.60 | $24.00 | $1.66 – $6.72 | 7 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $43.39 | $66.75 | $9.33 – $21.70 | 7 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $2.32 – $6.66 | 7 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $10.17 – $19.20 | 4 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $5.42 – $15.35 | 4 |
| Ghs sensitivity (per antimicro) CPT 87184 | $24.96 | $38.40 | $6.08 – $11.67 | 7 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,107.30 | $1,703.54 | $85.01 – $177.14 | 2 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,107.30 | $1,703.54 | $115.46 – $240.58 | 2 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,107.30 | $1,703.54 | $103.44 – $215.54 | 2 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,107.30 | $1,703.54 | $145.34 – $302.84 | 2 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $584.21 | $898.79 | $68.12 – $141.94 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $584.21 | $898.79 | $68.15 – $142.00 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $584.21 | $898.79 | $85.27 – $177.68 | 2 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $584.21 | $898.79 | $126.85 – $264.32 | 2 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $584.21 | $898.79 | $163.94 – $341.60 | 2 |
| Ghs sleep study unattended CPT 95800 | $482.35 | $742.07 | $97.25 – $202.64 | 2 |
| Ghs somatosensory testing lower extremit CPT 95926 | $870.76 | $1,339.63 | $104.15 – $217.02 | 2 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $336.89 – $701.98 | 2 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $157.50 | $242.31 | $43.02 – $96.98 | 3 |
| Ghs sphenopalatine ganglion block CPT 64505 | $418.44 | $643.75 | $91.74 – $191.16 | 2 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $4.04 – $8.42 | 2 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $328.83 | $505.89 | $90.22 – $208.04 | 4 |
| Ghs st - eval for alt comm CPT 92567 | $114.07 | $175.49 | $8.50 – $17.71 | 2 |
| Ghs strapping shoulder - 29240 CPT 29240 | $335.52 | $516.18 | $15.15 – $31.57 | 3 |
| Ghs st - re-eval for alt comm CPT 92597 | $224.37 | $345.18 | $61.12 – $144.78 | 4 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $95.48 | $146.90 | $16.40 – $34.17 | 2 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $50.00 | $76.92 | $137.82 – $287.18 | 2 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,651.23 | $2,540.35 | $170.55 – $355.38 | 2 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,107.30 | $1,703.54 | $128.23 – $267.19 | 2 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $265.50 – $553.22 | 2 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.28 – $11.39 | 4 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $763.42 | $1,174.50 | $283.96 – $591.69 | 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.