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 |
|---|---|---|---|---|
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $63.44 | $97.60 | $15.39 – $27.92 | 6 |
| Hymenotomy CPT 56442 | not published | not published | $41.68 – $86.85 | 2 |
| Hymovis injection 1 mg HCPCS J7322 | $151.61 | $233.25 | $17.36 – $41.23 | 4 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $825.83 – $1,720.78 | 2 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $32.04 – $55.08 | 4 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $105.37 – $219.56 | 2 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $8.60 – $15.88 | 5 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $884.08 – $1,842.16 | 3 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $453.49 – $944.94 | 3 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $611.51 – $1,274.20 | 3 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $574.07 – $1,196.19 | 3 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $916.50 – $1,909.71 | 3 |
| Hypnotherapy CPT 90880 | not published | not published | $79.01 – $164.63 | 2 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $179.69 – $374.42 | 2 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.03 – $30.65 | 4 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $902.09 – $1,879.68 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $835.62 – $1,741.18 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $889.95 – $1,854.39 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $772.23 – $1,609.10 | 2 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $229.28 – $477.75 | 2 |
| Hysterosalpingography s&i CPT 74740 | $579.34 | $891.29 | $68.77 – $143.30 | 3 |
| Hysteroscopy ablation CPT 58563 | $11,325.89 | $17,424.44 | $207.10 – $431.53 | 2 |
| Hysteroscopy biopsy CPT 58558 | $7,627.40 | $11,734.46 | $195.05 – $406.43 | 2 |
| Hysteroscopy dx sep proc CPT 58555 | $6,209.27 | $9,552.72 | $128.47 – $267.69 | 2 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $237.84 – $495.59 | 2 |
| Hysteroscopy remove fb CPT 58562 | $6,519.73 | $10,030.36 | $186.21 – $388.01 | 2 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $299.54 – $624.15 | 2 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $262.26 – $546.47 | 2 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $719.32 – $1,498.85 | 2 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $394.60 | $607.08 | $185.29 – $236.76 | 3 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $4,250.90 – $8,122.37 | 3 |
| I-123 ioflupane diag HCPCS A9584 | $3,908.12 | $6,012.50 | $2,665.44 – $3,405.84 | 3 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $194.42 | $299.10 | $90.44 – $115.56 | 3 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $37.10 – $48.30 | 3 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $19.56 | $30.09 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $30.61 | $47.09 | not published | 0 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $80.75 – $109.25 | 3 |
| Iaadi respiratory synctial virus CPT 87280 | $43.39 | $66.75 | $9.33 – $20.94 | 7 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $30.18 – $54.74 | 4 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $157.51 | $242.32 | $4.36 – $28.22 | 7 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $120.05 | $184.69 | $28.36 – $70.64 | 7 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $45.86 | $70.56 | $12.93 – $111.55 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,533.53 – $3,819.75 | 4 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.99 – $3.82 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $298.30 – $411.65 | 4 |
| Icatibant injection HCPCS J1744 | not published | not published | $47.60 – $187.06 | 4 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $22,261.65 | $34,248.69 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $37,050.00 | $57,000.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $11,550.12 | $17,769.42 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $5,557.50 | $8,550.00 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $188.72 – $393.24 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $11.66 – $24.30 | 2 |
| Icut allergy test drug/bug CPT 95024 | $192.19 | $295.67 | $0.89 – $1.85 | 2 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.38 – $9.13 | 2 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $866.48 – $1,805.48 | 2 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $320.07 – $666.93 | 2 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $39.41 – $71.39 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $84.27 – $175.59 | 2 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $453,060.00 – $578,910.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $653.61 – $1,361.93 | 2 |
| Idh1 common variants CPT 81120 | $566.48 | $871.51 | $121.01 – $301.47 | 6 |
| Idh2 common variants CPT 81121 | $867.05 | $1,333.93 | $185.22 – $461.43 | 6 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $7,499.82 | $11,538.19 | $424.43 – $884.38 | 2 |
| I&d lacrimal gland CPT 68400 | $1,964.82 | $3,022.80 | $108.93 – $226.98 | 2 |
| I&d lacrimal sac CPT 68420 | not published | not published | $136.24 – $283.88 | 2 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $1,829.61 – $1,829.61 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $4,582.16 | $7,049.47 | $194.67 – $405.63 | 2 |
| Idursulfase injection HCPCS J1743 | not published | not published | $549.15 – $721.25 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $270.17 – $562.95 | 2 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $152.32 – $317.39 | 2 |
| Ifnl3 gene CPT 81283 | not published | not published | $47.24 – $114.46 | 4 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $24.44 – $50.70 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $129.84 – $323.40 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $37.29 – $106.94 | 6 |
| Igh gene rearrange amp meth CPT 81261 | $716.49 | $1,102.29 | $169.14 – $308.86 | 6 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,065.82 | $1,639.72 | $251.60 – $459.45 | 6 |
| Igk rearrangeabn clonal pop CPT 81264 | $540.39 | $831.37 | $127.57 – $269.46 | 6 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $265.45 | $408.39 | $29.46 – $69.66 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $595.91 | $916.79 | $29.46 – $130.33 | 3 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $595.91 | $916.79 | $29.46 – $73.53 | 3 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | $46.79 | $71.99 | not published | 0 |
| Ikbkap gene CPT 81260 | not published | not published | $24.62 – $61.32 | 4 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $10,907.53 | $16,780.82 | $916.12 – $1,908.92 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,233.93 – $4,654.84 | 2 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,359.94 | $2,092.21 | $11.01 – $22.94 | 2 |
| Iliac revasc add-on 37222 CPT 37222 | $10,582.23 | $16,280.36 | not published | 0 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $145.48 – $185.89 | 3 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $3.14 – $4.52 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $823.39 – $1,715.70 | 2 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $57.37 – $58.30 | 2 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $17.69 – $36.86 | 2 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $13.24 – $27.59 | 2 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $44.34 – $92.39 | 2 |
| Immob elbow child sm HCPCS L3762 | $183.24 | $281.90 | $244.58 – $244.58 | 1 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $235.37 | $362.11 | $314.18 – $314.18 | 1 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $186.06 | $286.24 | $145.73 – $145.73 | 1 |
| Immobilizer shldr sling med HCPCS L3660 | $184.64 | $284.06 | $246.46 – $246.46 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | $15,027.54 | $23,119.29 | $666.52 – $1,388.83 | 2 |
| Immune complex assay CPT 86332 | $88.20 | $135.70 | $20.96 – $38.02 | 6 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $116.22 | $178.80 | $46.53 – $107.11 | 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.