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 |
|---|---|---|---|---|
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.38 – $2.96 | 3 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $1.75 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.04 – $0.12 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $47.96 | $73.79 | $11.33 – $20.67 | 7 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $2.13 – $11.32 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $5.89 – $5.98 | 2 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $6,095.95 | $9,378.39 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.04 – $0.06 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.01 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.01 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $53.18 | $81.81 | $12.63 – $22.92 | 6 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $515.49 – $515.49 | 1 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $184.30 – $184.30 | 1 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $95.39 – $95.39 | 1 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $1,414.54 – $1,414.54 | 1 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,335.85 – $2,783.51 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $459.82 – $958.13 | 2 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $498.38 – $1,038.47 | 2 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $62.25 – $129.71 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,322.25 – $2,755.17 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $399.45 – $832.33 | 2 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $341.68 – $711.96 | 2 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $316.93 – $660.39 | 2 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $3,168.00 | $4,873.85 | $178.24 – $371.40 | 2 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,148.10 – $2,392.30 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $5,265.85 | $8,101.31 | $214.78 – $447.54 | 2 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $631.87 – $1,316.63 | 2 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $635.47 – $1,324.13 | 2 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $617.91 – $1,287.54 | 2 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,010.57 – $2,105.72 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $349.05 – $727.32 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $440.38 – $917.62 | 2 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $517.00 – $1,077.27 | 2 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,137.67 – $2,370.56 | 2 |
| Ligation of femoral vein CPT 37650 | not published | not published | $398.77 – $830.92 | 2 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,487.89 – $3,100.32 | 2 |
| Ligation of neck artery CPT 37606 | not published | not published | $706.12 – $1,471.34 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $188.67 – $393.13 | 2 |
| Ligation of shunt CPT 49428 | not published | not published | $387.43 – $807.29 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $742.21 – $1,546.54 | 2 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $220.91 – $460.31 | 2 |
| Lig/band angioaccess av fistula CPT 37607 | $5,765.71 | $8,870.33 | $326.69 – $680.72 | 2 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $503.41 – $1,048.96 | 2 |
| Liletta, 52 mg HCPCS J7297 | $1,968.28 | $3,028.12 | $912.71 – $1,166.24 | 3 |
| Limb exercise test CPT 95875 | not published | not published | $65.28 – $136.02 | 2 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $175.72 – $366.15 | 2 |
| Limited ankle motion ea jnt HCPCS L2200 | $88.37 | $135.95 | $117.94 – $117.94 | 1 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $296.61 – $296.61 | 1 |
| Limited visual field xm CPT 92081 | $192.19 | $295.67 | $17.05 – $35.53 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $5.31 – $15.86 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $2.70 – $18.40 | 4 |
| Lipase CPT 83690 | $24.96 | $38.40 | $5.65 – $10.75 | 7 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $7,267.74 | $11,181.14 | $303.60 – $632.61 | 2 |
| Lipoprotein blood high res frac & quant CPT 83701 | $99.26 | $152.70 | $21.87 – $52.82 | 6 |
| Lipoprotein blood quant CPT 83704 | $114.17 | $175.64 | $27.80 – $53.34 | 6 |
| Lipoprotein direct measurement hdl CPT 83718 | $29.67 | $45.64 | $5.84 – $12.78 | 7 |
| Lipoprotein direct measurement ldl CPT 83721 | $34.54 | $53.14 | $8.08 – $16.38 | 6 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $21.95 – $53.34 | 4 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $443,124.00 – $566,214.00 | 3 |
| Listeria monocytogenes CPT 86723 | $47.72 | $73.41 | $8.20 – $20.58 | 7 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $403.86 – $403.86 | 1 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $162.01 – $162.01 | 1 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $1,263.89 – $1,263.89 | 1 |
| Lithium therapeutic drug level CPT 80178 | $23.92 | $36.80 | $5.68 – $10.31 | 7 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $8,313.00 | $12,789.23 | $119.25 – $248.48 | 2 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,050.83 – $2,189.61 | 2 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,242.50 – $2,589.00 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,077.33 – $2,244.83 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $610.08 | $938.58 | $110.35 – $274.86 | 7 |
| Liver elastography 91200 CPT 91200 | $482.35 | $742.07 | $21.49 – $44.78 | 2 |
| Liver Function Test CPT 80076 | $29.58 | $45.50 | $7.03 – $12.75 | 7 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,263.51 – $2,632.78 | 2 |
| Liver imaging CPT 78201 | not published | not published | $144.05 – $300.16 | 3 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $160.23 – $333.87 | 3 |
| Liver/spleen imag static only CPT 78215 | $1,067.57 | $1,642.41 | $147.54 – $307.43 | 3 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,067.57 | $1,642.41 | $99.94 – $208.24 | 3 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $57.49 – $119.79 | 2 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $424.68 – $884.91 | 2 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $7,109.65 – $7,109.65 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.20 | $0.30 | $0.72 – $1.04 | 3 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $98.24 – $125.53 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $195.43 – $249.71 | 4 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $281.99 – $281.99 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1.44 | $2.21 | $1.27 – $1.62 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $110.71 – $110.71 | 1 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $145.94 | $224.53 | $194.78 – $194.78 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $46.56 – $97.02 | 2 |
| Low back disk surgery CPT 63030 | not published | not published | $841.10 – $1,752.60 | 2 |
| Low cost skin substitute app HCPCS C5277 | $1,651.23 | $2,540.35 | not published | 0 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $215.09 | $330.91 | $82.34 – $171.57 | 3 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,772.65 | $2,727.16 | $131.20 – $273.38 | 3 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,772.65 | $2,727.16 | $106.77 – $222.48 | 3 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $520.31 | $800.48 | $79.24 – $165.11 | 3 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,648.98 | $2,536.89 | $201.88 – $420.66 | 3 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,648.98 | $2,536.89 | $177.76 – $370.40 | 3 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,006.36 | $1,548.25 | $116.92 – $243.63 | 3 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $275.16 | $423.33 | $28.16 – $58.68 | 3 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $275.16 | $423.33 | $38.63 – $80.49 | 3 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $275.16 | $423.33 | $44.98 – $93.72 | 3 |
| Lower jaw bone graft CPT 21215 | not published | not published | $692.71 – $1,443.40 | 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.