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 |
|---|---|---|---|---|
| Partial removal of larynx CPT 31367 | not published | not published | $1,839.77 – $3,833.53 | 2 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,028.19 – $4,226.14 | 2 |
| Partial removal of larynx CPT 31370 | not published | not published | $1,734.58 – $3,614.34 | 2 |
| Partial removal of larynx CPT 31375 | not published | not published | $1,651.78 – $3,441.81 | 2 |
| Partial removal of larynx CPT 31380 | not published | not published | $1,629.96 – $3,396.35 | 2 |
| Partial removal of larynx CPT 31382 | not published | not published | $1,778.22 – $3,705.28 | 2 |
| Partial removal of lip CPT 40530 | not published | not published | $350.65 – $730.65 | 2 |
| Partial removal of liver CPT 47125 | not published | not published | $2,661.95 – $5,546.71 | 2 |
| Partial removal of liver CPT 47130 | not published | not published | $2,848.01 – $5,934.40 | 2 |
| Partial removal of lung 32480 CPT 32480 | $18,071.58 | $27,802.43 | $1,322.52 – $2,755.73 | 2 |
| Partial removal of nose CPT 30150 | not published | not published | $685.49 – $1,428.36 | 2 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,432.63 – $2,985.17 | 2 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,707.03 – $5,640.64 | 2 |
| Partial removal of penis CPT 54120 | not published | not published | $554.13 – $1,154.64 | 2 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,200.82 – $2,502.15 | 2 |
| Partial removal of radius CPT 25151 | not published | not published | $519.03 – $1,081.50 | 2 |
| Partial removal of radius CPT 25230 | not published | not published | $393.16 – $819.23 | 2 |
| Partial removal of rectum CPT 45111 | not published | not published | $959.55 – $1,999.41 | 2 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,587.88 – $3,308.67 | 2 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,349.55 – $2,812.06 | 2 |
| Partial removal of rib CPT 21600 | not published | not published | $537.39 – $1,119.76 | 2 |
| Partial removal of sternum CPT 21620 | not published | not published | $473.00 – $985.59 | 2 |
| Partial removal of thyroid CPT 60220 | not published | not published | $608.93 – $1,268.83 | 2 |
| Partial removal of thyroid CPT 60225 | not published | not published | $807.07 – $1,681.69 | 2 |
| Partial removal of tibia CPT 27640 | not published | not published | $732.07 – $1,525.41 | 2 |
| Partial removal of toe CPT 28160 | not published | not published | $245.84 – $512.26 | 2 |
| Partial removal of tongue CPT 41120 | not published | not published | $933.62 – $1,945.38 | 2 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,132.32 – $2,359.42 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $461.70 – $962.04 | 2 |
| Partial removal of ulna CPT 25150 | not published | not published | $508.16 – $1,058.85 | 2 |
| Partial removal of ulna CPT 25240 | not published | not published | $390.29 – $813.25 | 2 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $468.78 – $976.80 | 2 |
| Partial removal tear gland CPT 68505 | not published | not published | $884.06 – $1,842.12 | 2 |
| Partial thyroid excision CPT 60210 | $10,645.06 | $16,377.01 | $614.42 – $1,280.27 | 2 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $915.76 – $1,908.17 | 2 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.54 – $4.42 | 3 |
| Part removal hip bone deep CPT 27071 | not published | not published | $869.51 – $1,811.80 | 2 |
| Part removal of metatarsal CPT 28110 | not published | not published | $271.19 – $565.08 | 2 |
| Part removal of metatarsal CPT 28113 | not published | not published | $391.17 – $815.08 | 2 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $285.58 – $595.06 | 2 |
| Part remove hip bone super CPT 27070 | not published | not published | $784.96 – $1,635.62 | 2 |
| Passy muir valve metal trach HCPCS L8501 | $230.86 | $355.17 | $308.14 – $308.14 | 1 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $4.34 – $17.00 | 3 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $55.46 – $71.92 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $29.44 – $37.92 | 3 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $26.48 – $40.59 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $13.78 – $18.57 | 3 |
| Patient recorded spirometry CPT 94014 | not published | not published | $57.40 – $119.60 | 2 |
| Patient recorded spirometry CPT 94015 | $692.70 | $1,065.70 | $33.23 – $69.24 | 2 |
| Patten bottom HCPCS L2370 | not published | not published | $819.54 – $819.54 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $159.71 – $397.88 | 4 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $308.01 – $308.01 | 1 |
| Pdgfra gene CPT 81314 | $965.89 | $1,485.99 | $206.34 – $514.04 | 7 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $57.26 – $57.26 | 1 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $207.19 – $431.72 | 2 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $612.44 – $1,276.14 | 2 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $463.44 – $965.67 | 2 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $297.71 – $620.34 | 2 |
| Ped crit care transport CPT 99466 | not published | not published | $197.34 – $411.20 | 2 |
| Ped crit care transport addl CPT 99467 | not published | not published | $98.92 – $206.12 | 2 |
| Ped critical care initial CPT 99471 | not published | not published | $659.17 – $1,373.51 | 2 |
| Ped critical care subsq CPT 99472 | not published | not published | $342.68 – $714.04 | 2 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $15,676.51 – $15,676.51 | 1 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $4,123.20 – $4,123.20 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $541.24 – $1,127.78 | 2 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $3,313.81 – $3,313.81 | 1 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $3,912.52 – $3,912.52 | 1 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $3,099.90 – $3,099.90 | 1 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $1,683.63 – $1,683.63 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $800.32 – $1,022.64 | 2 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $24,021.86 – $30,694.59 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $120.87 – $738.07 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $130.92 – $451.38 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $159.39 – $480.12 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $144.87 – $147.24 | 2 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $97.29 – $480.12 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $125.19 – $127.23 | 2 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,103.21 – $1,409.66 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $8,118.07 | $12,489.34 | $3,599.80 – $4,599.75 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $222.32 – $225.95 | 2 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $1,290.94 – $1,290.94 | 1 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $1,089.53 – $1,089.53 | 1 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $1,072.88 – $1,072.88 | 1 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $722.06 – $722.06 | 1 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $853.63 – $853.63 | 1 |
| Pelvic control pelvic sling HCPCS L2580 | $955.25 | $1,469.62 | $1,275.04 – $1,275.04 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $845.92 | $1,301.42 | $184.51 – $384.46 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $845.92 | $1,301.42 | $163.57 – $340.83 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $520.31 | $800.48 | $78.61 – $163.80 | 3 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,370.02 – $4,938.41 | 2 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $2,917.41 – $2,917.41 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,648.98 | $2,536.89 | $220.92 – $460.33 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | $1,648.98 | $2,536.89 | $179.03 – $373.04 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $1,006.36 | $1,548.25 | $152.46 – $317.68 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $10,372.22 | $15,957.26 | $927.80 – $1,933.26 | 2 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $876.76 – $1,826.90 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | $425.45 | $654.54 | $69.09 – $143.96 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $425.45 | $654.54 | $25.94 – $54.05 | 3 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $275.16 | $423.33 | $18.64 – $38.84 | 3 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $275.16 | $423.33 | $29.43 – $61.32 | 3 |
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.