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 |
|---|---|---|---|---|
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $672.59 – $1,401.48 | 2 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $5,835.38 – $5,835.38 | 1 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $6,805.22 – $6,805.22 | 1 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $5,793.39 – $5,793.39 | 1 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $6,614.12 – $6,614.12 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $33.78 – $70.39 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $94.06 – $195.99 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $176.53 – $176.53 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,572.08 – $3,275.74 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $70.28 – $146.44 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $158.90 – $331.10 | 2 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $4,617.12 – $4,617.12 | 1 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $4,838.64 – $4,838.64 | 1 |
| Prep bk ptb plaster molded HCPCS L5510 | $2,782.42 | $4,280.65 | $3,713.86 – $3,713.86 | 1 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $4,406.11 – $4,406.11 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $323.54 – $674.16 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $231.20 – $481.75 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $323.15 – $673.35 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $277.08 – $577.35 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $198.61 – $413.84 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $139.19 – $290.03 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | $2,209.21 | $3,398.79 | not published | 0 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $160.11 – $333.62 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $153.13 – $319.08 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $183.25 – $381.84 | 2 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $219.71 – $457.81 | 2 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,186.41 | $3,363.71 | $187.79 – $391.30 | 2 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $37.58 – $78.31 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | $482.35 | $742.07 | not published | 0 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $181.04 – $377.23 | 2 |
| Pressure velocity wire add ves CPT 93572 | $2,588.77 | $3,982.73 | not published | 0 |
| Pre-tibial shell molded to p HCPCS L2340 | $871.42 | $1,340.64 | $1,163.14 – $1,163.14 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $318.32 | $489.72 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $92.99 | $143.06 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $318.32 | $489.72 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $92.99 | $143.06 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $386.94 | $595.30 | $156.90 – $326.93 | 2 |
| Preventive counseling group CPT 99411 | $47.97 | $73.80 | not published | 0 |
| Preventive counseling group CPT 99412 | $60.89 | $93.68 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $104.10 | $160.15 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $159.13 | $244.81 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $218.46 | $336.10 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $279.88 | $430.59 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $403.93 | $621.43 | $111.46 – $232.25 | 2 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $4,582.16 | $7,049.47 | $73.11 – $152.34 | 2 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $4,582.16 | $7,049.47 | $144.85 – $301.82 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,107.30 | $1,703.54 | $90.90 – $189.41 | 2 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,198.85 – $2,498.04 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | $135.56 | $208.56 | $32.92 – $68.60 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $135.56 | $208.56 | $34.19 – $71.24 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | $135.56 | $208.56 | $32.60 – $67.93 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | $135.56 | $208.56 | $36.09 – $75.20 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | $135.56 | $208.56 | $39.90 – $83.14 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | $135.56 | $208.56 | $42.75 – $89.08 | 2 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,726.51 | $8,810.01 | not published | 0 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $152.04 – $316.81 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $113.50 – $236.50 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $71.91 – $149.84 | 2 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $104.06 – $216.83 | 2 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $68.62 – $142.98 | 2 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $42.89 – $89.37 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $12,648.13 | $19,458.66 | $358.84 – $747.71 | 2 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $8,358.14 | $12,858.67 | $134.70 – $280.67 | 2 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $42.98 – $89.56 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,107.30 | $1,703.54 | $165.95 – $345.79 | 2 |
| Pr incision & drainage abscess simple/single CPT 10060 | $584.21 | $898.79 | $96.42 – $200.91 | 2 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $958.48 | $1,474.58 | $111.33 – $231.98 | 2 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,107.30 | $1,703.54 | $97.93 – $204.06 | 2 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $391.06 | $601.63 | $162.37 – $338.33 | 2 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $391.06 | $601.63 | $119.21 – $248.40 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $202.10 | $310.93 | $10.64 – $22.17 | 2 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $546.43 – $1,138.60 | 2 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,615.87 | $8,639.80 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $918.99 | $1,413.83 | $108.13 – $225.31 | 2 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $113.29 – $236.06 | 2 |
| Probe nasolacrimal duct CPT 68815 | $5,865.26 | $9,023.48 | $186.06 – $387.69 | 2 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $129.34 – $269.51 | 2 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $339.00 – $474.50 | 4 |
| Procalcitonin CPT 84145 | $96.97 | $149.18 | $23.41 – $42.46 | 6 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $129.27 – $176.74 | 3 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $5.01 | $7.71 | $2.48 – $8.76 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.34 – $0.48 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,574.20 – $3,280.16 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,593.23 – $3,319.81 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $93.75 – $195.35 | 2 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $98.03 – $204.27 | 2 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $76.54 – $159.49 | 2 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $2,393.41 | $3,682.17 | $43.07 – $89.74 | 2 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $76.66 – $159.74 | 2 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $81.10 – $168.99 | 2 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $94.42 – $196.74 | 2 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $92.43 – $192.60 | 2 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $65.90 – $137.32 | 2 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $90.21 – $187.97 | 2 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $103.52 – $215.70 | 2 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $120.89 – $248.40 | 4 |
| Progesterone CPT 84144 | $75.51 | $116.17 | $17.94 – $32.54 | 7 |
| Prolactin CPT 84146 | $70.12 | $107.88 | $16.67 – $30.23 | 7 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $21.81 – $45.45 | 2 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $11.98 – $24.96 | 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.