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 |
|---|---|---|---|---|
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,231.28 | $1,894.28 | $70.89 – $147.71 | 2 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $221.70 | $341.07 | $55.78 – $116.23 | 2 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $48.69 – $62.22 | 4 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $431.68 – $551.59 | 4 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.01 – $23.01 | 3 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $745.40 – $952.45 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $418.44 | $643.75 | $47.10 – $98.14 | 2 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $163.20 – $220.80 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $69.14 – $88.34 | 4 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.51 – $0.66 | 3 |
| Injection, doxercalciferol HCPCS J1270 | $3.43 | $5.27 | $0.31 – $1.38 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | $132.92 | $204.50 | $30.59 – $63.74 | 2 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $17.19 – $28.13 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $1,231.28 | $1,894.28 | $98.87 – $206.02 | 2 |
| Injection eye drug CPT 67028 | $842.09 | $1,295.53 | $73.14 – $152.40 | 2 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.96 – $1.23 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $97.21 | $149.55 | $59.58 – $124.15 | 2 |
| Injection for bladder x-ray CPT 51600 | $143.24 | $220.37 | $36.23 – $75.49 | 2 |
| Injection for hip x-ray CPT 27095 | $221.70 | $341.07 | $66.94 – $139.48 | 2 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $263.95 | $406.08 | $40.88 – $85.18 | 2 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $106.07 – $221.02 | 2 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $44.20 – $92.10 | 2 |
| Injection for ureter x-ray CPT 50684 | $204.68 | $314.90 | $45.00 – $93.77 | 2 |
| Injection for ureter x-ray CPT 50690 | $650.23 | $1,000.35 | $59.92 – $124.86 | 2 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $24.31 – $99.36 | 4 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $5.63 – $48.30 | 4 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $57.50 – $79.35 | 4 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $395.80 – $505.75 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $25.22 | $38.80 | $12.36 – $15.79 | 4 |
| Injection into brain canal CPT 61026 | not published | not published | $98.43 – $205.10 | 2 |
| Injection into brain canal CPT 61055 | not published | not published | $94.88 – $197.70 | 2 |
| Injection into hemorrhoid(s) CPT 46500 | $2,393.41 | $3,682.17 | $185.29 – $386.09 | 2 |
| Injection into spinal artery CPT 62294 | not published | not published | $884.82 – $1,843.70 | 2 |
| Injection into vocal cord CPT 31513 | not published | not published | $108.92 – $226.96 | 2 |
| Injection intraop add-on CPT 48400 | not published | not published | $89.56 – $186.62 | 2 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.00 – $1.28 | 4 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $37.14 – $77.39 | 2 |
| Injection jugular CPT 36299 | $1,623.58 | $2,497.81 | not published | 0 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.39 – $2.78 | 4 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.64 – $7.46 | 4 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $14.80 – $30.84 | 2 |
| Injection of sinus tract CPT 20500 | $3,762.02 | $5,787.73 | $80.18 – $167.07 | 2 |
| Injection,onabotulinumtoxina HCPCS J0585 | $13.75 | $21.16 | $6.41 – $8.75 | 4 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $105.52 – $134.83 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.62 – $2.18 | 4 |
| Injection px peyronie ds CPT 54200 | not published | not published | $79.98 – $166.65 | 2 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $732.74 | $1,127.29 | $26.49 – $55.20 | 2 |
| Injection, renflexis HCPCS Q5104 | $88.84 | $136.68 | $26.40 – $103.97 | 4 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.28 – $45.08 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $852.20 | $1,311.08 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,276.42 | $1,963.73 | $58.95 – $122.83 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $852.20 | $1,311.08 | $37.13 – $77.37 | 2 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,188.39 | $3,366.76 | $96.25 – $200.56 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $583.90 | $898.30 | $49.21 – $102.54 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,188.39 | $3,366.76 | $91.03 – $189.68 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $608.93 | $936.82 | $42.54 – $88.64 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,188.39 | $3,366.76 | $78.74 – $164.07 | 2 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $852.20 | $1,311.08 | $92.44 – $192.62 | 2 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $852.20 | $1,311.08 | $86.26 – $179.74 | 2 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $143.26 – $183.06 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $418.44 | $643.75 | $32.21 – $67.12 | 2 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $418.44 | $643.75 | $34.44 – $71.76 | 2 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $418.44 | $643.75 | $39.27 – $81.83 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $168.98 | $259.97 | not published | 0 |
| Injection treatment of eye CPT 66020 | not published | not published | $109.80 – $228.79 | 2 |
| Injection treatment of eye CPT 66030 | not published | not published | $94.03 – $195.93 | 2 |
| Injection treatment of nerve CPT 64605 | not published | not published | $392.64 – $818.14 | 2 |
| Injection treatment of nerve CPT 64610 | $3,552.48 | $5,465.35 | $420.35 – $875.88 | 2 |
| Injection treatment of nerve CPT 64681 | $2,188.39 | $3,366.76 | $187.09 – $389.84 | 2 |
| Injection treatment of nose CPT 30200 | $1,152.40 | $1,772.93 | $51.77 – $107.87 | 2 |
| Inject sacroiliac joint CPT 27096 | $1,467.95 | $2,258.39 | $71.38 – $148.73 | 2 |
| Inject/treat eye socket CPT 67500 | $918.99 | $1,413.83 | $53.62 – $111.73 | 2 |
| Inject/treat eye socket CPT 67505 | not published | not published | $56.47 – $117.67 | 2 |
| Inject/treat eye socket CPT 67515 | $918.99 | $1,413.83 | $37.21 – $77.53 | 2 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $29.49 – $31.67 | 2 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $40.62 – $42.35 | 2 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.57 – $34.12 | 2 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $23.17 – $23.55 | 2 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $364.72 – $466.03 | 4 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $55.56 – $72.63 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,276.42 | $1,963.73 | $84.66 – $176.41 | 2 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,129.76 | $1,738.10 | $71.73 – $149.46 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.06 – $1.36 | 4 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.06 – $15.30 | 2 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $8.03 | $12.35 | $3.82 – $4.88 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $163.20 – $220.80 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $175.50 – $224.25 | 4 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.34 – $44.14 | 4 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,199,912.00 – $2,199,912.00 | 1 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.76 – $14.17 | 4 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $82.63 | $127.12 | $32.37 – $50.37 | 4 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | $41.37 | $63.65 | not published | 0 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $22.46 – $36.08 | 4 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $137.63 – $182.62 | 4 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.04 – $0.05 | 2 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.19 – $1.52 | 4 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.27 – $7.39 | 2 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.59 – $2.63 | 2 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $241.51 – $310.75 | 4 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $217.50 – $300.15 | 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.