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 tx sp hip disloc abd splnt/trac wo CPT 27256 | $623.11 | $958.63 | $247.07 – $514.82 | 2 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $20.90 – $37.91 | 7 |
| Ghs urine, porphyrins quant CPT 84120 | $53.23 | $81.89 | $12.65 – $22.95 | 7 |
| Ghs vaginal delivery only CPT 59409 | $7,627.40 | $11,734.46 | $676.54 – $1,409.71 | 2 |
| Ghs windowing of cast CPT 29730 | $373.76 | $575.01 | $37.04 – $77.18 | 2 |
| Giardia ag if CPT 87269 | $43.39 | $66.75 | $10.09 – $21.23 | 7 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $8.60 – $22.96 | 5 |
| Gi inhouse confirmation CPT 87045 | $34.19 | $52.60 | $8.12 – $14.73 | 7 |
| Gingivoplasty each quadrant CPT 41872 | $7,267.74 | $11,181.14 | $284.43 – $592.67 | 2 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,195.76 | $3,378.09 | $650.08 – $1,354.57 | 2 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $815.00 – $1,698.22 | 2 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $863.63 – $1,799.55 | 2 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,573.37 – $3,278.43 | 2 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $63.32 – $157.75 | 6 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $38.52 – $95.97 | 4 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $21.92 – $54.60 | 4 |
| Glassia injection HCPCS J0257 | not published | not published | $5.60 – $8.28 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $61.81 – $128.79 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $38.60 – $80.43 | 2 |
| Glaucoma surgery CPT 66150 | not published | not published | $733.53 – $1,528.46 | 2 |
| Glaucoma surgery CPT 66155 | not published | not published | $733.20 – $1,527.77 | 2 |
| Glaucoma surgery CPT 66160 | not published | not published | $818.05 – $1,704.57 | 2 |
| Glaucoma surgery CPT 66170 | $4,946.91 | $7,610.63 | $905.02 – $1,885.79 | 2 |
| Glove finger flexion right lg xl HCPCS L3912 | $166.49 | $256.14 | $222.21 – $222.21 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $162.22 – $235.29 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $140.96 – $229.42 | 4 |
| Glucagon plasma - sendout CPT 82943 | $51.72 | $79.57 | $12.29 – $22.29 | 7 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $39.62 – $71.87 | 4 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $40.35 – $78.78 | 4 |
| Glucagon tolerance test CPT 82946 | not published | not published | $13.28 – $27.72 | 4 |
| Glucose 1 hr post dose CPT 82950 | $17.18 | $26.43 | $3.85 – $7.41 | 7 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $19.70 | $30.31 | $3.48 – $9.44 | 7 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $9.62 | $14.80 | $2.06 – $5.12 | 6 |
| Glucose blood quantitative CPT 82947 | $14.21 | $21.86 | $3.38 – $6.13 | 7 |
| Glucose body fluid CPT 82945 | $14.21 | $21.86 | $3.38 – $6.13 | 7 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $139.95 | $215.31 | $65.99 – $137.50 | 2 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $46.58 | $71.66 | $7.95 – $20.08 | 7 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $14.19 | $21.83 | $1.62 – $6.12 | 7 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.37 – $0.38 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $81.81 | $125.86 | $11.44 – $55.18 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $67.23 | $103.43 | $15.98 – $28.98 | 7 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $127.63 – $231.52 | 5 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $67.00 | $103.08 | $15.93 – $28.89 | 7 |
| Gonioscopy CPT 92020 | $335.52 | $516.18 | $16.07 – $33.49 | 2 |
| Goniotomy CPT 65820 | not published | not published | $696.19 – $1,450.65 | 2 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,999.35 | $3,075.93 | $765.03 – $1,081.38 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $99.03 | $152.36 | $30.23 – $120.89 | 4 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $120.89 – $545.10 | 4 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $67.27 – $120.89 | 4 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $851.52 – $1,774.31 | 2 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $302.17 | $464.87 | $120.89 – $251.90 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $762.88 – $1,032.12 | 4 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $9,360.00 | $14,400.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $120.38 | $185.20 | $65.41 – $120.89 | 4 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $460.69 | $708.75 | $101.03 – $237.19 | 4 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $980.13 – $2,042.30 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $600.60 | $924.00 | $120.89 – $306.91 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $52.75 – $120.89 | 2 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $120.89 – $251.90 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $377.71 | $581.09 | $120.89 – $251.90 | 2 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $120.89 – $251.90 | 2 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $600.60 | $924.00 | $106.70 – $404.80 | 4 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $224.71 | $345.71 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | $2.60 | $4.00 | $3.24 – $4.14 | 3 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.14 – $1.31 | 4 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,822.20 – $5,880.62 | 2 |
| Great toe with reduction 28495 CPT 28495 | $763.42 | $1,174.50 | $147.69 – $307.74 | 2 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $433.42 – $903.12 | 2 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $450.75 – $939.23 | 2 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $120.31 – $250.69 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $431.76 – $899.66 | 2 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $9.82 – $20.46 | 2 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $22.97 | $35.34 | $12.08 – $25.17 | 2 |
| Group train without patient HCPCS G0543 | not published | not published | $9.19 – $19.15 | 2 |
| Growth hormone antibody CPT 86277 | not published | not published | $13.54 – $24.55 | 4 |
| Growth hormone panel CPT 80428 | not published | not published | $57.36 – $104.05 | 5 |
| Growth hormone panel CPT 80430 | not published | not published | $69.16 – $201.75 | 5 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $18.74 – $117.94 | 4 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,673.36 – $3,486.78 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,135.03 – $2,365.06 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,455.64 – $3,033.12 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,587.80 – $3,308.50 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $637.79 – $1,328.96 | 2 |
| G-tube reposition CPT 43761 | $293.47 | $451.49 | $85.05 – $177.22 | 2 |
| Gu dilat ureter/urethra s&i CPT 74485 | $5,191.40 | $7,986.77 | $79.88 – $166.45 | 3 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,994.36 | $3,068.25 | $113.92 – $237.38 | 2 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $1,063.87 | $1,636.73 | $1,420.02 – $1,420.02 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,525.23 | $3,884.97 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,726.92 | $2,656.80 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $188.59 | $290.14 | $35.47 – $73.91 | 3 |
| Gum graft CPT 41870 | $7,267.74 | $11,181.14 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $3,510.00 | $5,400.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $403.24 – $840.23 | 2 |
| Hair analysis HCPCS P2031 | not published | not published | $3.44 – $7.72 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | $1,651.23 | $2,540.35 | not published | 0 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $212.53 – $442.85 | 2 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $289.02 – $602.23 | 2 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $108.06 – $108.06 | 1 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $5,172.14 – $5,172.14 | 1 |
| Halo cervical into jckt vest HCPCS L0810 | $4,699.01 | $7,229.25 | $6,272.04 – $6,272.04 | 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.