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 |
|---|---|---|---|---|
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $159.56 | $245.47 | $77.63 – $143.06 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $46.63 – $123.92 | 4 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $90.65 – $115.83 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $75.34 | $115.91 | $17.90 – $32.46 | 7 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $75.34 | $115.91 | $17.90 – $32.46 | 7 |
| Immunoassay tumor qual CPT 86294 | $74.96 | $115.32 | $9.33 – $39.89 | 7 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $43.36 | $66.70 | $10.30 – $18.69 | 6 |
| Immunodiffusion nes CPT 86329 | not published | not published | $12.08 – $21.92 | 5 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $19.99 – $19.99 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $80.88 | $124.43 | $19.21 – $34.85 | 7 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $207.45 | $319.15 | $18.87 – $75.44 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $595.91 | $916.79 | $22.36 – $98.20 | 3 |
| Immunoglobulin assay CPT 86023 | $45.09 | $69.37 | $10.72 – $19.44 | 6 |
| Immunology procedure CPT 86849 | $187.70 | $288.77 | not published | 0 |
| Impact tooth remov part bony HCPCS D7230 | $226.20 | $348.00 | not published | 0 |
| Impedence cardiogram CPT 93701 | not published | not published | $25.62 – $53.38 | 2 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $333.16 – $694.21 | 2 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $1,265.45 | $1,946.84 | $1,689.05 – $1,689.05 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,635.04 | $2,515.44 | $2,139.00 – $2,139.00 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $638.47 – $1,330.38 | 2 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,365.57 – $2,845.44 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,146.11 – $2,388.15 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,391.88 – $2,900.26 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,436.91 – $2,994.09 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $45,435.42 | $69,900.64 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $1,014.74 – $2,114.41 | 2 |
| Implant cochlear osia osi300 HCPCS L8690 | $8,925.46 | $13,731.47 | $11,913.30 – $11,913.30 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $690.77 – $1,439.36 | 2 |
| Implant hormone pellet(s) 11980 CPT 11980 | $440.81 | $678.17 | $46.56 – $97.02 | 2 |
| Implant nerve end CPT 64787 | not published | not published | $194.35 – $404.97 | 2 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $238.37 – $496.69 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $419.27 – $873.63 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,384.57 – $2,885.03 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,037.72 – $4,246.00 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $782.95 – $1,631.43 | 2 |
| Implant neuroelectrodes CPT 64553 | $9,307.82 | $14,319.73 | $417.56 – $870.07 | 2 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $283.83 – $591.42 | 2 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $260.32 – $542.43 | 2 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $917.02 – $1,910.79 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,415.13 – $2,948.71 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $867.57 – $1,807.76 | 2 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $9,652.50 | $14,850.00 | $1,942.82 – $1,942.82 | 1 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,110.20 – $2,313.32 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $853.22 – $1,777.85 | 2 |
| Implant spine infusion pump CPT 62361 | not published | not published | $432.93 – $902.10 | 2 |
| Implant spine infusion pump CPT 62362 | $10,406.19 | $16,009.53 | $351.89 – $733.23 | 2 |
| Implant tcat pulm vlv perq CPT 33477 | $21,540.15 | $33,138.69 | $1,075.78 – $2,241.60 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $800.46 – $1,667.92 | 2 |
| Implant ureth bulk agent HCPCS L8606 | $411.03 | $632.36 | $548.62 – $548.62 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $3,797.29 – $3,797.29 | 1 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $3,770.98 – $3,770.98 | 1 |
| Impl neurostim electr perc CPT 63650 | $9,307.82 | $14,319.73 | $361.78 – $753.84 | 2 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $173.67 – $361.88 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | $11,663.44 | $17,943.76 | $359.08 – $748.21 | 2 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $521.10 – $1,085.82 | 2 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $563.20 – $1,173.54 | 2 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $418.63 – $872.30 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $73.15 – $152.42 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $372.13 – $775.41 | 2 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,177.98 – $4,538.26 | 2 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $20,895.74 – $20,895.74 | 1 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $5.67 – $5.67 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,088.03 – $2,267.13 | 2 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,121.66 – $2,337.20 | 2 |
| Impres&prep facial prosth CPT 21088 | $6,004.78 | $9,238.13 | not published | 0 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $999.58 – $2,082.82 | 2 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,027.63 – $2,141.27 | 2 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,088.03 – $2,267.13 | 2 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $414.19 – $863.05 | 2 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,475.94 – $3,075.42 | 2 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $957.81 – $1,995.79 | 2 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $883.79 – $1,841.55 | 2 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,019.95 – $2,125.27 | 2 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $604.91 – $1,260.45 | 2 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.54 – $59.24 | 4 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $3,862.35 – $4,935.23 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $3,862.35 – $4,935.23 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $587.24 | $903.45 | $1,931.18 – $2,467.61 | 3 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $6,071.94 | $9,341.44 | $669.37 – $938.63 | 3 |
| In-111 pentetreotide HCPCS A9572 | $13,998.44 | $21,536.06 | $3,947.40 – $3,947.40 | 1 |
| In-111 satumomab pend HCPCS A4642 | $2,908.33 | $4,474.36 | not published | 0 |
| Inactivated je vacc im CPT 90738 | not published | not published | $293.02 – $374.42 | 3 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $437.44 – $911.49 | 2 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $534.64 – $1,114.03 | 2 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $470.23 – $979.82 | 2 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,602.22 – $3,338.55 | 2 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,355.36 – $2,824.16 | 2 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,365.03 – $2,844.31 | 2 |
| Incis addl spine segment CPT 22216 | not published | not published | $299.83 – $624.76 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,125.64 – $2,345.50 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $409.51 – $853.30 | 2 |
| Incise/drain eyelid lining CPT 68020 | $2,183.25 | $3,358.85 | $91.68 – $191.03 | 2 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $324.78 – $676.74 | 2 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $426.61 – $888.93 | 2 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $475.19 – $990.15 | 2 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $582.61 – $1,213.98 | 2 |
| Incise inner ear CPT 69801 | not published | not published | $103.14 – $214.91 | 2 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,253.64 – $2,612.21 | 2 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,448.07 – $3,017.34 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $202.25 – $421.43 | 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.