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 |
|---|---|---|---|---|
| Optical endomicroscpy interp CPT 88375 | not published | not published | $43.91 – $50.43 | 2 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $582.05 – $1,212.82 | 2 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $514.04 – $1,071.11 | 2 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $523.82 – $1,091.48 | 2 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $636.47 – $1,326.21 | 2 |
| Optx clavicular fx w/int fix CPT 23515 | $14,590.10 | $22,446.30 | $644.87 – $1,343.72 | 2 |
| Optx complicated mndblr fx CPT 21470 | $14,043.05 | $21,604.69 | $994.90 – $2,073.07 | 2 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,453.63 – $3,028.93 | 2 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $639.67 – $1,332.88 | 2 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,718.46 – $3,580.76 | 2 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,201.26 – $2,503.07 | 2 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $518.25 – $1,079.88 | 2 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $697.25 – $1,452.86 | 2 |
| Optx lunate dislocation CPT 25695 | $14,590.10 | $22,446.30 | $570.18 – $1,188.08 | 2 |
| Optx medial ankle fx CPT 27766 | not published | not published | $551.40 – $1,148.95 | 2 |
| Optx mndblr cndylr fx CPT 21465 | $11,060.43 | $17,016.04 | $696.92 – $1,452.17 | 2 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $14,043.05 | $21,604.69 | $926.14 – $1,929.80 | 2 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $433.28 – $902.83 | 2 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $542.97 – $1,131.39 | 2 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $564.67 – $1,176.60 | 2 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $687.20 – $1,431.92 | 2 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $948.13 – $1,975.62 | 2 |
| Optx post ankle fx CPT 27769 | not published | not published | $642.18 – $1,338.11 | 2 |
| Optx prox humrl fx w/int fix CPT 23615 | $13,931.12 | $21,432.50 | $781.96 – $1,629.37 | 2 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,064.91 – $2,218.95 | 2 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $602.23 – $1,254.87 | 2 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $565.66 – $1,178.67 | 2 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $550.48 – $1,147.04 | 2 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $700.17 – $1,458.94 | 2 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $849.27 – $1,769.62 | 2 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $802.97 – $1,673.15 | 2 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $608.81 – $1,268.58 | 2 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $850.60 – $1,772.40 | 2 |
| Optx sho dislc fx CPT 23670 | not published | not published | $775.97 – $1,616.89 | 2 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $820.72 – $1,710.13 | 2 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $566.68 – $1,180.79 | 2 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $521.12 – $1,085.86 | 2 |
| Optx thigh fx CPT 27269 | not published | not published | $1,063.87 – $2,216.79 | 2 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $686.98 – $1,431.46 | 2 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $656.02 – $1,366.95 | 2 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $565.18 – $1,177.67 | 2 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $561.49 – $1,169.98 | 2 |
| Oral aprepitant HCPCS J8501 | not published | not published | $2.77 – $15.17 | 3 |
| Oral busulfan HCPCS J8510 | not published | not published | $135.00 – $172.50 | 3 |
| Oral everolimus HCPCS J7527 | not published | not published | $1.18 – $8.31 | 3 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $10.09 – $18.69 | 4 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.64 – $18.64 | 1 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.43 – $22.43 | 1 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $380.19 – $952.34 | 3 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,632.91 – $5,486.19 | 2 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $3,017.27 – $6,287.09 | 2 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,818.95 – $5,873.85 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $514.37 – $1,071.79 | 2 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $623.05 – $1,298.25 | 2 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $378.04 – $787.72 | 2 |
| Organic acids total quant ea spec CPT 83918 | $69.19 | $106.44 | $14.50 – $36.82 | 7 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $42.37 – $57.86 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.01 – $37.75 | 4 |
| Oropharyngeal biopsy 42800 CPT 42800 | $4,858.50 | $7,474.61 | $101.51 – $211.52 | 2 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $6.29 – $21.53 | 4 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $62.41 – $62.41 | 1 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $559.44 | $860.68 | $656.80 – $656.80 | 1 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $968.88 | $1,490.58 | $1,137.49 – $1,137.49 | 1 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $2,484.30 | $3,822.00 | $2,916.68 – $2,916.68 | 1 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $1,492.95 | $2,296.84 | $1,752.79 – $1,752.79 | 1 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $524.76 | $807.32 | $616.07 – $616.07 | 1 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $622.34 | $957.44 | $730.67 – $730.67 | 1 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $180.08 | $277.05 | $240.40 – $240.40 | 1 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $524.76 | $807.32 | $616.07 – $616.07 | 1 |
| Orthopantogram CPT 70355 | $201.75 | $310.38 | $8.80 – $18.34 | 3 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $73.12 – $73.12 | 1 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $27.09 – $56.45 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $24.67 – $51.40 | 2 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $127.19 – $127.19 | 1 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $79.41 – $79.41 | 1 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $73.12 – $73.12 | 1 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $104.87 – $104.87 | 1 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $325.60 – $325.60 | 1 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $868.65 | $1,336.39 | $1,159.47 – $1,159.47 | 1 |
| Orthovisc inj per dose HCPCS J7324 | $295.88 | $455.20 | $109.47 – $659.64 | 4 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $786.13 | $1,209.43 | $922.97 – $922.97 | 1 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,690.06 | $2,600.09 | $2,255.86 – $2,255.86 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $527.84 | $812.06 | $24.27 – $50.57 | 2 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $79.41 – $79.41 | 1 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $57.26 – $57.26 | 1 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $213.08 – $213.08 | 1 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $162.13 – $162.13 | 1 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $22.19 – $22.19 | 1 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $133.50 – $133.50 | 1 |
| Osmolality blood CPT 83930 | $23.92 | $36.80 | $5.68 – $10.31 | 7 |
| Osmolality urine CPT 83935 | $24.67 | $37.96 | $5.87 – $10.64 | 7 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $291.01 – $606.38 | 2 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $520.47 – $1,084.50 | 2 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $615.11 – $1,281.70 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,193.95 – $2,487.83 | 2 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $856.18 – $1,784.02 | 2 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,067.89 – $2,225.16 | 2 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $96.47 | $148.41 | $39.15 – $81.58 | 2 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $69.15 | $106.38 | $48.99 – $102.08 | 2 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $69.15 | $106.38 | $58.27 – $121.42 | 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.