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 |
|---|---|---|---|---|
| Kidney imaging morphology CPT 78700 | $1,067.57 | $1,642.41 | $126.28 – $263.13 | 3 |
| Kidney imag w/bld flow multi CPT 78709 | $1,129.74 | $1,738.06 | $249.54 – $519.97 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,129.74 | $1,738.06 | $157.37 – $327.91 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $425.45 | $654.54 | $68.46 – $142.65 | 3 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $425.45 | $654.54 | $31.97 – $66.62 | 3 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $56.56 | $87.02 | $109.35 – $109.35 | 1 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $4.90 – $20.77 | 3 |
| Kit gene analys d816 variant CPT 81273 | $366.03 | $563.13 | $78.19 – $194.80 | 6 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $29.53 – $41.05 | 3 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $26.94 – $120.89 | 4 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $4,312.70 – $4,312.70 | 1 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $48.72 – $48.72 | 1 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $557.33 – $1,161.31 | 2 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $466.51 – $972.07 | 2 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $379.77 – $791.33 | 2 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $489.81 – $1,020.62 | 2 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $563.21 – $1,173.56 | 2 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $817.56 – $1,703.55 | 2 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $494.76 – $1,030.93 | 2 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $480.71 – $1,001.66 | 2 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $450.28 – $938.25 | 2 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $584.01 – $1,216.90 | 2 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $591.73 – $1,232.99 | 2 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $506.34 – $1,055.06 | 2 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $610.15 – $1,271.37 | 2 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $745.92 – $1,554.27 | 2 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $556.66 – $1,159.91 | 2 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $573.95 – $1,195.94 | 2 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $674.06 – $1,404.54 | 2 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $845.67 – $1,762.12 | 2 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,074.23 – $2,238.37 | 2 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $255.40 – $255.40 | 1 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $187.01 – $187.01 | 1 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $228.58 – $228.58 | 1 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $1,484.66 – $1,484.66 | 1 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $2,174.90 – $2,174.90 | 1 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $358.25 – $358.25 | 1 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $358.25 – $358.25 | 1 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $303.57 – $303.57 | 1 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $217.89 – $217.89 | 1 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $278.15 – $278.15 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | $1,648.98 | $2,536.89 | $267.88 – $558.18 | 3 |
| Knee MRI (with contrast) CPT 73722 | $1,648.98 | $2,536.89 | $227.58 – $474.21 | 3 |
| Knee MRI (without contrast) CPT 73721 | $1,006.36 | $1,548.25 | $134.37 – $279.99 | 3 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $735.63 – $735.63 | 1 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $4,795.61 – $4,795.61 | 1 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $2,323.87 – $2,323.87 | 1 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $1,256.30 – $1,256.30 | 1 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $1,859.24 – $1,859.24 | 1 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $1,449.67 – $1,449.67 | 1 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $1,106.84 – $1,106.84 | 1 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $4,437.57 – $4,437.57 | 1 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $6,753.77 – $6,753.77 | 1 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $2,920.62 – $2,920.62 | 1 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $2,303.20 – $2,303.20 | 1 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $36,335.35 – $36,335.35 | 1 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $2,692.93 – $2,692.93 | 1 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $4,488.60 – $4,488.60 | 1 |
| Knee X-ray CPT 73564 | $275.16 | $423.33 | $36.41 – $75.87 | 3 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $201.75 | $310.38 | $24.98 – $52.05 | 3 |
| Knee X-ray (3 views, both knees) CPT 73562 | $201.75 | $310.38 | $31.33 – $65.28 | 3 |
| Knee X-ray (standing, both knees) CPT 73565 | $201.75 | $310.38 | $31.97 – $66.62 | 3 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $965.54 – $965.54 | 1 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $8,430.80 – $8,430.80 | 1 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $1,437.59 – $1,437.59 | 1 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $1,437.59 – $1,437.59 | 1 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $2,477.83 – $2,477.83 | 1 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $161.76 – $161.76 | 1 |
| Ko rigid without joints pre ots HCPCS L1836 | $249.87 | $384.42 | $206.08 – $206.08 | 1 |
| Ko single upright pre cst HCPCS L1843 | $1,680.18 | $2,584.89 | $2,242.60 – $2,242.60 | 1 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $1,385.79 – $1,385.79 | 1 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $3,129.53 – $3,129.53 | 1 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $474.67 – $474.67 | 1 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $2,104.35 – $2,104.35 | 1 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $2,418.09 | $3,720.14 | $3,227.59 – $3,227.59 | 1 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $3,914.94 – $3,914.94 | 1 |
| Kras gene addl variants CPT 81276 | $566.48 | $871.51 | $123.48 – $301.47 | 7 |
| Kras gene variants exon 2 CPT 81275 | $566.48 | $871.51 | $123.66 – $301.47 | 7 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,565.91 | $3,947.55 | $1,133.18 – $1,447.95 | 3 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $1,813.27 – $3,778.31 | 2 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,088.34 – $4,351.47 | 2 |
| Kyphosis pad HCPCS L1020 | not published | not published | $206.97 – $206.97 | 1 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $398.11 – $398.11 | 1 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $25.68 | $39.50 | $15.37 – $32.03 | 2 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $12.39 – $25.82 | 2 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.34 – $0.35 | 2 |
| Labioplasty 56800 CPT 56800 | not published | not published | $216.72 – $451.58 | 2 |
| Lab pathology consultation CPT 80500 | not published | not published | $12.90 – $12.90 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $41.96 – $41.96 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $1,253.60 – $1,253.60 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | not published | $0.20 – $0.45 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $21.83 | $33.59 | $5.19 – $9.42 | 7 |
| Lactated ringers intravenous solution HCPCS J7120 | $11.54 | $17.75 | $2.38 – $12.73 | 3 |
| Lactic acid CPT 83605 | $38.67 | $59.49 | $9.41 – $18.05 | 7 |
| Lactoferrin fecal qualitative CPT 83630 | $71.06 | $109.32 | $6.04 – $30.73 | 7 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $13.10 – $30.62 | 7 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $214.08 – $446.08 | 2 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,164.05 – $2,425.53 | 2 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $996.99 – $2,077.43 | 2 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,105.91 – $2,304.38 | 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.