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 |
|---|---|---|---|---|
| Plmt biliary drainage cath CPT 47534 | $8,417.52 | $12,950.03 | $306.74 – $639.15 | 2 |
| Plmt nephroureteral catheter CPT 50433 | $4,944.19 | $7,606.45 | $212.32 – $442.41 | 2 |
| Plmt ureteral stent prq CPT 50694 | $8,076.85 | $12,425.93 | $221.69 – $461.94 | 2 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $182.14 – $182.14 | 1 |
| Pm device progr eval dual CPT 93280 | $135.56 | $208.56 | $39.58 – $82.47 | 2 |
| Pm device progr eval multi CPT 93281 | $135.56 | $208.56 | $39.90 – $83.14 | 2 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $178.29 – $323.40 | 5 |
| Pmp22 gene dup/delet CPT 81324 | $2,222.96 | $3,419.94 | $474.89 – $1,183.04 | 6 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $481.91 – $1,200.54 | 4 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $29.78 – $72.70 | 4 |
| Pm phone r-strip device eval CPT 93293 | $135.56 | $208.56 | $24.98 – $52.05 | 2 |
| Pms2 gene dup/delet variants CPT 81319 | $451.15 | $694.07 | $138.80 – $317.46 | 6 |
| Pms2 gene full seq analysis CPT 81317 | $1,499.76 | $2,307.32 | $489.24 – $1,055.34 | 6 |
| Pms2 known familial variants CPT 81318 | not published | not published | $115.60 – $516.36 | 4 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $452.04 – $452.04 | 1 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $79.81 – $166.30 | 2 |
| #pnh-flow cytometry interp CPT 88187 | $135.72 | $208.80 | $23.23 – $40.16 | 3 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $4.50 – $5.75 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $76.41 | $117.56 | $17.05 – $40.67 | 7 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $120.34 – $153.77 | 4 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $638.01 – $638.01 | 1 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $888.69 – $1,851.76 | 2 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $408.26 – $850.69 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,243.02 | $4,989.26 | $553.25 – $1,152.81 | 2 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $6.74 – $16.40 | 4 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $23,382.00 – $29,877.00 | 4 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $117.85 – $117.85 | 1 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $117.85 – $117.85 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $1,242.05 – $2,588.06 | 2 |
| Positional nystagmus test CPT 92532 | $215.44 | $331.44 | not published | 0 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $115.05 | $177.00 | not published | 0 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $138.45 | $213.00 | not published | 0 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | $210.60 | $324.00 | not published | 0 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $8.72 – $39.00 | 4 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $41.99 – $87.49 | 2 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $624.31 – $1,300.87 | 2 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $1,121.47 – $1,121.47 | 1 |
| Postop app non-wgt bear dsg HCPCS L5450 | $866.18 | $1,332.59 | $1,156.12 – $1,156.12 | 1 |
| Postop app non-wgt bear dsg HCPCS L5460 | $1,042.13 | $1,603.28 | $1,390.99 – $1,390.99 | 1 |
| Postop dress & 1 cast chg bk HCPCS L5400 | $2,300.18 | $3,538.74 | $3,070.19 – $3,070.19 | 1 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $3,877.52 – $3,877.52 | 1 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $1,711.59 – $1,711.59 | 1 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $1,065.83 – $1,065.83 | 1 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $5,036.16 – $5,036.16 | 1 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $3,532.04 – $3,532.04 | 1 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $1,365.91 – $1,365.91 | 1 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $5,311.54 – $5,311.54 | 1 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $2,848.13 – $2,848.13 | 1 |
| Postpartum Care Only CPT 59430 | $263.88 | $405.97 | $151.36 – $315.39 | 2 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $633.42 – $1,319.86 | 2 |
| Potassium 24 hour urine CPT 84133 | $15.60 | $24.00 | $3.79 – $7.38 | 7 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $1.23 | $1.89 | $0.12 – $0.32 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | $17.08 | $26.28 | $3.76 – $9.09 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $16.65 | $25.61 | $4.05 – $7.43 | 7 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.10 – $6.13 | 3 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.29 – $10.50 | 3 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $5.16 – $16.36 | 3 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $4.52 – $12.94 | 3 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $4.74 – $6.63 | 3 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $3.49 – $10.65 | 3 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $6.94 – $10.84 | 3 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $85.79 – $213.72 | 5 |
| Pq biliary strict dil s&i CPT 74363 | $1,013.88 | $1,559.81 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $2,019.44 | $3,106.83 | $53.86 – $112.23 | 3 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $14,590.10 | $22,446.30 | $404.11 – $842.04 | 2 |
| Pq thr inj ext pse CPT 36002 | $2,053.14 | $3,158.68 | $87.97 – $183.30 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $172.87 – $360.21 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $367.24 – $765.22 | 2 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $6,661.44 | $10,248.37 | $346.44 – $721.88 | 2 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $361.11 – $461.41 | 4 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $86.70 – $119.65 | 4 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $8,441.76 | $12,987.33 | $664.63 – $1,384.89 | 2 |
| Pr application of long arm splint CPT 29105 | $484.07 | $744.72 | $34.85 – $74.51 | 3 |
| Pr application splint static short arm CPT 29125 | $335.52 | $516.18 | $32.45 – $81.47 | 3 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $114.07 | $175.49 | $4.68 – $9.75 | 2 |
| Pr biopsy skin punch single lesion CPT 11104 | $497.06 | $764.71 | $36.78 – $76.64 | 2 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $539.60 – $1,124.36 | 2 |
| Pr correction hammertoe CPT 28285 | not published | not published | $356.25 – $742.32 | 2 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $109.25 | $168.07 | $10.39 – $21.65 | 2 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $3,377.96 | $5,196.86 | $237.26 – $494.38 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | $3,377.96 | $5,196.86 | $202.33 – $421.60 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $8,076.85 | $12,425.93 | $134.26 – $279.76 | 2 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $72.59 – $151.26 | 2 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $103.49 – $215.64 | 2 |
| Prealbumin CPT 84134 | $52.79 | $81.22 | $8.50 – $22.76 | 7 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $8.13 – $16.94 | 2 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $17.37 – $36.19 | 2 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $24.78 | $38.12 | $0.92 – $3.37 | 3 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.25 | $0.39 | $0.21 – $0.26 | 2 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $578.52 – $578.52 | 1 |
| Prefab stnlss steel crown pe HCPCS D2931 | $155.35 | $239.00 | not published | 0 |
| Prefab stnlss steel crwn pri HCPCS D2930 | $143.65 | $221.00 | not published | 0 |
| Pregabalin - sendout CPT 80366 | $106.69 | $164.14 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $4,441.33 | $6,832.82 | $170.87 – $356.04 | 2 |
| Pregnancy associated plasma protein-a CPT 84163 | $54.49 | $83.83 | $12.94 – $23.48 | 7 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $425.45 | $654.54 | $84.24 – $175.53 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $425.45 | $654.54 | $66.87 – $139.34 | 3 |
| Pregnancy Ultrasound (limited) CPT 76815 | $425.45 | $654.54 | $48.15 – $100.33 | 3 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $333.37 | $512.88 | not published | 0 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $366.83 – $764.36 | 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.