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 |
|---|---|---|---|---|
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,592.50 | $2,450.00 | $120.89 – $1,456.67 | 4 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $120.89 – $134.89 | 2 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $33.92 – $44.16 | 3 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $120.89 – $514.62 | 4 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $56,432.16 – $72,107.76 | 4 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $120.89 – $410.77 | 4 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $89.75 – $316.48 | 4 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $62.41 – $120.89 | 4 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $256.77 – $256.77 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,434.82 – $2,989.73 | 2 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $23.15 | $35.62 | $3.13 – $8.15 | 4 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $68.50 | $105.38 | $31.37 – $45.02 | 4 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $3.17 – $4.15 | 3 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $26.17 | $40.26 | $0.38 – $2.53 | 4 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $120.89 – $251.90 | 2 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $209.67 – $436.89 | 2 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $19.47 – $24.87 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.67 – $6.90 | 4 |
| Metabolic Blood Panel (Basic) CPT 80048 | $30.61 | $47.09 | $7.06 – $13.20 | 7 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $38.23 | $58.81 | $9.08 – $16.47 | 7 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $7.06 – $21.42 | 7 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $5,156.34 – $5,156.34 | 1 |
| Metatarsal joint implant HCPCS L8641 | $669.00 | $1,029.23 | $892.97 – $892.97 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $5.54 | $8.52 | $0.90 – $1.90 | 3 |
| Methadone injection HCPCS J1230 | not published | not published | $17.42 – $24.15 | 4 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.21 – $0.43 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $4.46 – $19.32 | 4 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.15 – $0.87 | 3 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $5.77 | $8.87 | $2.54 – $3.80 | 4 |
| Methotrexate therapeutic drug level CPT 80204 | $102.55 | $157.77 | $24.16 – $60.17 | 7 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $46.38 | $71.35 | $4.58 – $24.30 | 3 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $21.02 – $27.27 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.30 – $1.67 | 4 |
| Methylphenidate CPT 80360 | $65.23 | $100.35 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.14 – $0.43 | 3 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.34 | $0.52 | $0.12 – $0.12 | 2 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $1.20 | $1.84 | $0.26 – $0.26 | 2 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $1.33 | $2.05 | $1.07 – $2.33 | 4 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.12 – $0.12 | 2 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.03 | 2 |
| Metyrapone panel CPT 80436 | not published | not published | $67.25 – $142.21 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | $365.35 | $562.08 | $78.05 – $194.44 | 6 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.25 – $2.32 | 4 |
| Microalbumin urine screen CPT 82044 | not published | not published | $0.59 – $9.72 | 5 |
| Microbe susceptible mlc CPT 87187 | $117.75 | $181.15 | $0.76 – $62.67 | 6 |
| Microdissection laser CPT 88380 | $392.91 | $604.48 | $65.44 – $99.52 | 2 |
| Microdissection manual CPT 88381 | $348.82 | $536.65 | $104.52 – $157.06 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $14.77 – $35.07 | 4 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $11,397.80 – $11,397.80 | 1 |
| Microsatellite instability CPT 81301 | $1,047.87 | $1,612.11 | $247.37 – $543.75 | 7 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $182.32 – $379.90 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $93.44 – $194.70 | 2 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $201.75 | $310.38 | $23.72 – $49.43 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $0.67 | $1.03 | $0.14 – $0.44 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.17 – $0.51 | 4 |
| Middle cerebral artery echo CPT 76821 | $275.16 | $423.33 | $53.86 – $112.23 | 3 |
| Mifepristone 200 mg ta HCPCS S0190 | $89.78 | $138.12 | $38.70 – $49.45 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $2.81 | $4.32 | $1.33 – $3.81 | 4 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $1,814.80 – $1,814.80 | 1 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.46 – $3.14 | 4 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.46 – $0.63 | 3 |
| Miroderm HCPCS Q4175 | not published | not published | $69.86 – $120.89 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $70.02 – $71.17 | 2 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $0.97 – $1.33 | 3 |
| Mitochondrial gene CPT 81440 | $6,919.32 | $10,645.11 | $2,081.49 – $5,185.44 | 6 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $25.69 – $313.33 | 4 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $298.48 – $381.40 | 4 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $30.38 – $74.68 | 4 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,473.70 – $5,154.45 | 2 |
| Mlh1 gene CPT 81288 | $563.75 | $867.31 | $120.43 – $300.02 | 7 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $119.40 – $315.74 | 5 |
| Mlh1 gene full seq CPT 81292 | $1,497.31 | $2,303.56 | $404.68 – $1,053.62 | 7 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $101.26 – $516.36 | 5 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.14 – $35.71 | 2 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.88 – $10.17 | 2 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $926.90 – $1,931.38 | 2 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $55.62 – $115.90 | 3 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $67.56 – $140.77 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $122.20 – $254.63 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $116.80 – $243.38 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $175.62 – $365.94 | 2 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $424.23 – $883.97 | 2 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $213.93 – $445.77 | 2 |
| Mnt subs tx for change dx HCPCS G0270 | $52.72 | $81.10 | $21.61 – $45.03 | 2 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $1,628.18 – $1,628.18 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $101.12 – $210.70 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $44.34 – $92.39 | 2 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,220.37 – $2,542.88 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $537.15 – $1,119.26 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $30.51 | $46.94 | $7.55 – $58.86 | 7 |
| Molded inner boot HCPCS L2280 | not published | not published | $1,250.16 – $1,250.16 | 1 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $6,465.18 – $6,465.18 | 1 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $9,949.90 – $9,949.90 | 1 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $3,942.40 – $3,942.40 | 1 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $9,743.63 – $9,743.63 | 1 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.77 – $5.77 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.35 – $15.08 | 3 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $732.73 – $732.73 | 1 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $880.30 – $880.30 | 1 |
| Monitor elec vad, rep HCPCS Q0483 | $13,893.75 | $21,375.00 | $46,953.93 – $46,953.93 | 1 |
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.