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 |
|---|---|---|---|---|
| Osteoplasty humerus CPT 24420 | not published | not published | $950.46 – $1,980.47 | 2 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,459.99 – $3,042.18 | 2 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $298.96 – $622.94 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,396.55 – $2,909.99 | 2 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,644.76 – $3,427.19 | 2 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $735.30 – $1,532.14 | 2 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $964.58 – $2,009.90 | 2 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $599.00 – $1,248.14 | 2 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $1.62 – $5.98 | 3 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $123.36 – $123.36 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.58 – $8.11 | 3 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.06 – $10.63 | 3 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $4.40 – $14.13 | 3 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.66 – $5.13 | 3 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $10.06 – $26.84 | 3 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $8.60 – $25.30 | 3 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,303.44 – $4,799.68 | 2 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $19.70 – $36.08 | 7 |
| Oth resp proc, group HCPCS G0239 | $114.07 | $175.49 | $13.56 – $28.25 | 2 |
| Oth resp proc, indiv HCPCS G0238 | $114.07 | $175.49 | $10.71 – $22.32 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $168.45 | $259.15 | $43.65 – $100.68 | 4 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $356.57 | $548.57 | $7.52 – $15.67 | 2 |
| Otoplasty 69300 CPT 69300 | not published | not published | $408.92 – $852.07 | 2 |
| Ot re-evaluation patient/family CPT 97168 | $169.70 | $261.08 | $52.01 – $138.71 | 4 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $70.43 | $108.36 | $18.25 – $38.03 | 3 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $72.64 | $111.76 | $19.47 – $40.57 | 3 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,407.84 – $2,933.52 | 2 |
| Outrigger HCPCS L1080 | not published | not published | $132.50 – $132.50 | 1 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $368.56 – $368.56 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $663.53 – $1,382.60 | 2 |
| Ovulation tests CPT 84830 | not published | not published | $8.84 – $19.81 | 4 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.56 – $4.03 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.05 – $0.69 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $0.87 – $1.43 | 4 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $329.26 – $420.73 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $85.79 – $213.72 | 5 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $5.54 – $5.54 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.10 – $0.46 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $16.65 | $25.61 | $8.05 – $20.17 | 4 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $177.14 – $1,055.34 | 4 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $108.30 – $470.11 | 5 |
| Palifermin injection HCPCS J2425 | not published | not published | $25.60 – $36.63 | 4 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $120.89 – $552.00 | 4 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1,344.60 – $1,718.10 | 3 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $29.43 | $45.28 | $14.73 – $18.83 | 4 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $1,857.07 – $2,404.32 | 3 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.35 – $6.90 | 4 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $17.05 | $26.23 | $11.11 – $28.30 | 4 |
| Pancreatectomy CPT 48146 | not published | not published | $1,663.51 – $3,466.26 | 2 |
| Pancreatectomy CPT 48152 | not published | not published | $2,513.86 – $5,238.13 | 2 |
| Pancreatectomy CPT 48154 | not published | not published | $2,524.53 – $5,260.36 | 2 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,695.55 – $5,616.72 | 2 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,373.51 – $2,861.98 | 2 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,188.88 – $2,477.27 | 2 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $160.06 – $204.52 | 4 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | not published | $1.93 – $2.00 | 2 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $38.25 – $51.75 | 4 |
| Parathormone (pth) intact CPT 83970 | $149.38 | $229.81 | $35.50 – $64.40 | 7 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,150.65 – $2,397.61 | 2 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $296.27 – $617.34 | 3 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $200.26 – $417.28 | 2 |
| Parathyroid planar imaging CPT 78070 | $1,067.57 | $1,642.41 | $212.90 – $443.62 | 3 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,067.57 | $1,642.41 | $242.33 – $504.94 | 3 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $704.29 – $1,467.53 | 2 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $817.87 – $1,704.20 | 2 |
| Paricalcitol HCPCS J2501 | $1.82 | $2.80 | $0.95 – $2.76 | 4 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $584.21 | $898.79 | $13.33 – $27.78 | 2 |
| Parotid duct diversion CPT 42507 | not published | not published | $422.31 – $879.97 | 2 |
| Parotid duct diversion CPT 42509 | not published | not published | $688.23 – $1,434.06 | 2 |
| Parotid duct diversion CPT 42510 | not published | not published | $514.24 – $1,071.52 | 2 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $814.11 – $1,696.36 | 2 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $173.28 – $361.06 | 2 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,084.91 – $2,260.63 | 2 |
| Partial exc bone humerus CPT 24140 | not published | not published | $622.98 – $1,298.10 | 2 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $6,344.22 | $9,760.34 | $400.50 – $834.52 | 2 |
| Partial excision of lip CPT 40500 | $7,267.74 | $11,181.14 | $318.94 – $664.58 | 2 |
| Partial hip replacement CPT 27125 | not published | not published | $982.76 – $2,047.78 | 2 |
| Partial hysterectomy CPT 58180 | not published | not published | $825.46 – $1,720.01 | 2 |
| Partial proctectomy CPT 45113 | not published | not published | $1,626.31 – $3,388.74 | 2 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $984.77 – $2,051.97 | 2 |
| Partial removal donor liver CPT 47140 | not published | not published | $3,146.53 – $6,556.42 | 2 |
| Partial removal donor liver CPT 47141 | not published | not published | $3,748.52 – $7,810.79 | 2 |
| Partial removal donor liver CPT 47142 | not published | not published | $4,114.98 – $8,574.38 | 2 |
| Partial removal finger bone CPT 26235 | not published | not published | $441.86 – $920.70 | 2 |
| Partial removal finger bone CPT 26236 | not published | not published | $401.38 – $836.36 | 2 |
| Partial removal foot fascia CPT 28060 | $5,685.50 | $8,746.92 | $330.28 – $688.20 | 2 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $812.92 – $1,693.88 | 2 |
| Partial removal of bladder CPT 51550 | not published | not published | $835.37 – $1,740.66 | 2 |
| Partial removal of esophagus CPT 43116 | not published | not published | $4,312.01 – $8,984.94 | 2 |
| Partial removal of esophagus CPT 43118 | not published | not published | $3,159.57 – $6,583.60 | 2 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,524.11 – $5,259.49 | 2 |
| Partial removal of esophagus CPT 43123 | not published | not published | $3,933.30 – $8,195.82 | 2 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,854.09 – $5,947.07 | 2 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,201.84 – $4,587.97 | 2 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $398.70 – $830.77 | 2 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $451.90 – $941.62 | 2 |
| Partial removal of fibula CPT 27641 | not published | not published | $582.72 – $1,214.21 | 2 |
| Partial removal of foot bone CPT 28288 | not published | not published | $399.88 – $833.23 | 2 |
| Partial removal of hand bone CPT 26230 | $8,441.76 | $12,987.33 | $448.51 – $934.56 | 2 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,770.75 – $3,689.71 | 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.