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 |
|---|---|---|---|---|
| Intranasal reconstruction CPT 30620 | not published | not published | $589.48 – $1,228.30 | 2 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $143.05 – $298.07 | 2 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $311.55 – $649.18 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $1,628.32 | $2,505.11 | $98.45 – $205.14 | 2 |
| Intraoral periapical first HCPCS D0220 | $19.50 | $30.00 | not published | 0 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $46.68 – $97.27 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $284.12 – $592.02 | 2 |
| Intrinsic factor antibody CPT 86340 | $54.55 | $83.93 | $12.97 – $23.52 | 7 |
| Intrm oph exam est patient CPT 92012 | $391.06 | $601.63 | $40.64 – $84.68 | 2 |
| Intro cath dialysis circuit CPT 36901 | $2,053.14 | $3,158.68 | $141.20 – $294.22 | 2 |
| Intro cath dialysis circuit w/pta CPT 36902 | $12,648.13 | $19,458.66 | $201.51 – $419.89 | 2 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $20,251.58 | $31,156.28 | $265.59 – $553.41 | 2 |
| Intro catheter aorta CPT 36200 | $1,236.94 | $1,902.99 | $116.16 – $242.04 | 2 |
| Intro cath svc/ivc CPT 36010 | $1,108.27 | $1,705.03 | $90.61 – $188.80 | 2 |
| Intro long gi tube CPT 44500 | not published | not published | $15.85 – $33.03 | 2 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $126.71 – $264.03 | 2 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $378.20 | $581.85 | $75.09 – $156.47 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $831.56 | $1,279.33 | $59.36 – $123.69 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $618.08 | $950.90 | $127.22 – $265.09 | 2 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $39.08 – $81.43 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $15.85 – $33.03 | 2 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.16 – $416.76 | 3 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $31.39 – $65.41 | 2 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $26.14 – $54.47 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $0.36 | $0.55 | $0.32 – $0.41 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.40 | $0.61 | $0.15 – $0.44 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $258.95 – $539.57 | 3 |
| Io rad tx delivery by x-ray CPT 77424 | $26,584.59 | $40,899.37 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $173.67 – $221.92 | 4 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.40 – $0.51 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.77 – $8.29 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $64.87 – $82.89 | 4 |
| Iron CPT 83540 | $23.42 | $36.03 | $5.56 – $10.09 | 7 |
| Iron binding capacity CPT 83550 | $31.63 | $48.66 | $5.84 – $13.63 | 7 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $24.84 | $38.22 | $17.39 – $22.22 | 4 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.70 – $10.73 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $0.46 | $0.70 | $0.23 – $0.49 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | $92.99 | $143.06 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $192.19 | $295.67 | $24.73 – $51.53 | 2 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $160.59 – $334.62 | 2 |
| Irrigation syringe HCPCS A4322 | not published | not published | $9.06 – $9.06 | 1 |
| Irrigation tray HCPCS A4320 | not published | not published | $14.50 – $14.50 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $335.52 | $516.18 | $21.50 – $44.80 | 2 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $77.44 – $98.96 | 4 |
| Island pedicle flap graft CPT 15740 | not published | not published | $717.67 – $1,495.41 | 2 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $186.52 – $388.65 | 2 |
| Ivc venogram s&i CPT 75825 | $5,491.15 | $8,447.92 | $58.30 – $121.48 | 3 |
| IV Fluids (each additional hour) CPT 96361 | $133.11 | $204.79 | $12.44 – $25.92 | 2 |
| IV Fluids (first hour) CPT 96360 | $348.36 | $535.94 | $31.93 – $66.53 | 2 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $107.37 – $157.94 | 4 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $168.98 | $259.97 | $19.87 – $41.40 | 2 |
| IV inj ra drug dx study CPT 78808 | $837.15 | $1,287.93 | $39.08 – $81.43 | 3 |
| IV Medicine Infusion (additional drug) CPT 96367 | $80.28 | $123.50 | $28.48 – $59.34 | 2 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $133.11 | $204.79 | $20.53 – $42.78 | 2 |
| IV Medicine Infusion (first hour) CPT 96365 | $348.36 | $535.94 | $63.80 – $132.94 | 2 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $88.65 – $184.72 | 2 |
| IV Push Injection (each additional drug) CPT 96375 | $133.11 | $204.79 | $15.00 – $31.26 | 2 |
| IV Push Injection (first drug) CPT 96374 | $348.36 | $535.94 | $35.99 – $74.99 | 2 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $122.32 – $254.88 | 3 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $336.54 | $517.76 | $103.59 – $215.85 | 3 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $127.18 – $162.51 | 4 |
| Jak2 targeted sequence analysis CPT 81279 | $492.40 | $757.54 | $115.99 – $288.91 | 7 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $482.69 – $1,005.78 | 2 |
| Jaw arthroscopy/surgery CPT 29804 | $5,712.22 | $8,788.03 | $519.72 – $1,082.94 | 2 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $201.75 | $310.38 | $39.90 – $83.14 | 3 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $275.16 | $423.33 | $29.74 – $61.97 | 3 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $203.95 – $424.97 | 2 |
| John cunningham antibody CPT 86711 | $52.10 | $80.15 | $12.39 – $26.35 | 6 |
| J-tube placement CPT 44015 | not published | not published | $119.40 – $248.79 | 2 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $3,037.51 – $3,037.51 | 1 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $3,114.40 – $3,114.40 | 1 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $4,946.50 – $4,946.50 | 1 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $3,087.79 – $3,087.79 | 1 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $3,822.99 – $3,822.99 | 1 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $3,775.54 – $3,775.54 | 1 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $2,575.39 – $2,575.39 | 1 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $5,210.21 – $5,210.21 | 1 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $5,241.13 – $5,241.13 | 1 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $440.37 – $440.37 | 1 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $2,738.61 – $2,738.61 | 1 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $10,241.82 – $10,241.82 | 1 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $2,951.92 – $2,951.92 | 1 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $4,497.31 – $4,497.31 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,142.80 – $2,381.25 | 2 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $120.89 – $251.90 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | $335.41 | $516.02 | not published | 0 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $12.49 – $24.13 | 4 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $29.58 | $45.50 | $7.03 – $12.75 | 6 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $2.27 | $3.49 | $0.33 – $2.27 | 4 |
| Kidney endoscopy CPT 50551 | not published | not published | $249.88 – $520.67 | 2 |
| Kidney endoscopy CPT 50553 | not published | not published | $266.28 – $554.85 | 2 |
| Kidney endoscopy CPT 50570 | not published | not published | $414.23 – $863.13 | 2 |
| Kidney endoscopy CPT 50575 | not published | not published | $599.12 – $1,248.39 | 2 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $288.80 – $601.77 | 2 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $475.28 – $990.34 | 2 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $292.34 – $609.15 | 2 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $333.47 – $694.85 | 2 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $473.73 – $987.11 | 2 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $510.31 – $1,063.33 | 2 |
| Kidney function study CPT 78725 | not published | not published | $78.05 – $162.63 | 3 |
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.