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 |
|---|---|---|---|---|
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $114.11 | $175.55 | not published | 0 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $26.63 – $55.49 | 2 |
| Prolong service without contact CPT 99358 | $105.57 | $162.42 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.06 – $0.12 | 3 |
| Promethazine hcl injection HCPCS J2550 | $3.28 | $5.05 | $3.91 – $5.18 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $181.75 – $378.71 | 2 |
| Proph rta dtchmnt pc CPT 67145 | $1,639.22 | $2,521.88 | $181.75 – $378.71 | 2 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $761.38 – $1,586.49 | 2 |
| Prophylactic tx radius CPT 25490 | not published | not published | $643.95 – $1,341.80 | 2 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $800.20 – $1,667.38 | 2 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $659.13 – $1,373.43 | 2 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $4.48 | $6.89 | $0.09 – $0.16 | 4 |
| _propoxygc/msur CPT 80367 | $204.48 | $314.58 | $5.81 – $5.81 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $8.64 – $11.04 | 4 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $188.05 – $188.05 | 1 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $348.08 – $348.08 | 1 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $56.07 – $56.07 | 1 |
| Pros sock single ply ak HCPCS L8480 | $17.59 | $27.06 | $23.48 – $23.48 | 1 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $28.48 – $28.48 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $595.91 | $916.79 | $179.50 – $374.02 | 2 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $7.52 – $15.67 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $505.65 – $1,053.62 | 2 |
| Prostate laser enucleation CPT 52649 | not published | not published | $631.87 – $1,316.63 | 2 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $317.74 – $662.07 | 2 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $339.50 – $707.42 | 2 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $204.91 | $315.24 | $273.46 – $273.46 | 1 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $78.58 | $120.89 | $104.89 – $104.89 | 1 |
| Prosthetic sock multi ply bk HCPCS L8420 | $43.09 | $66.29 | $57.51 – $57.51 | 1 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $2,835.58 – $2,835.58 | 1 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $14.50 | $22.31 | $17.02 – $17.02 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.55 – $2.70 | 4 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $156.80 – $156.80 | 1 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $844.77 – $1,079.42 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $20.04 – $40.90 | 4 |
| Protein c activity CPT 85303 | $50.06 | $77.02 | $11.23 – $21.59 | 7 |
| Protein c concentrate HCPCS J2724 | not published | not published | $14.77 – $20.70 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $38.86 | $59.79 | $9.24 – $16.75 | 7 |
| Protein s total CPT 85305 | $42.00 | $64.62 | $9.98 – $18.11 | 7 |
| Protein total 24 hour urine CPT 84156 | $13.28 | $20.43 | $3.16 – $5.73 | 7 |
| Protein total body fluid CPT 84157 | $13.28 | $20.43 | $3.23 – $6.24 | 7 |
| Protein total serum plasma whole blood CPT 84155 | $13.28 | $20.43 | $3.16 – $5.73 | 7 |
| Protein western blot tissue CPT 88371 | not published | not published | $19.12 – $34.68 | 4 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $3.07 – $3.92 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $14.29 | $21.98 | $3.39 – $6.15 | 6 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.58 – $15.19 | 4 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $62.43 – $130.09 | 2 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $385.35 – $802.95 | 2 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $535.40 – $1,115.61 | 2 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $223.89 | $344.44 | $64.27 – $133.92 | 2 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $26.63 – $55.49 | 2 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $301.18 – $627.57 | 2 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $17,044.88 | $26,222.90 | $384.29 – $800.75 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | $10,961.92 | $16,864.49 | $556.83 – $1,160.27 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $25,833.90 | $39,744.46 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $20,251.58 | $31,156.28 | $494.58 – $1,030.56 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $522.68 – $1,089.11 | 2 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $655.43 – $1,365.72 | 2 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $713.35 – $1,486.41 | 2 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $471.64 – $982.76 | 2 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $364.06 – $758.59 | 2 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $20,251.58 | $31,156.28 | $438.05 – $912.76 | 2 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $15,967.11 | $24,564.78 | $493.03 – $1,027.33 | 2 |
| Prq trlml c athrc st angiop1 CPT 92933 | $25,833.90 | $39,744.46 | $522.70 – $1,089.15 | 2 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $13,317.12 | $20,487.87 | $616.49 – $1,284.58 | 2 |
| Prq trluml c angiop 1art&/br CPT 92920 | $12,648.13 | $19,458.66 | $365.60 – $761.80 | 2 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $20,251.58 | $31,156.28 | $443.26 – $923.62 | 2 |
| Prq trluml revsc ch occ ant CPT 92943 | $20,251.58 | $31,156.28 | $598.81 – $1,247.74 | 2 |
| Pr removal drug delivery implant CPT 11982 | $440.81 | $678.17 | $60.26 – $125.56 | 2 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $335.52 | $516.18 | $40.01 – $83.37 | 2 |
| Pr removal intrauterine device CPT 58301 | $558.63 | $859.43 | $55.23 – $115.08 | 2 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,107.30 | $1,703.54 | $158.71 – $330.70 | 2 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $584.21 | $898.79 | $51.56 – $107.44 | 2 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $584.21 | $898.79 | $52.75 – $109.92 | 2 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $584.21 | $898.79 | $41.77 – $87.04 | 2 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $584.21 | $898.79 | $54.45 – $113.46 | 2 |
| Pr robotic surgical system HCPCS S2900 | $0.01 | $0.01 | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $627.68 – $1,307.90 | 2 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $34.63 – $72.16 | 2 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $566.85 – $1,181.15 | 2 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $537.10 – $1,119.16 | 2 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $80.32 – $167.36 | 2 |
| Prtl excision bone clavicle CPT 23180 | $10,599.52 | $16,306.96 | $621.54 – $1,295.10 | 2 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $608.24 – $1,267.39 | 2 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,535.44 | $3,900.68 | $136.21 – $283.82 | 2 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $14.03 – $29.23 | 2 |
| PSA (Prostate) Test CPT 84153 | $66.59 | $102.44 | $15.82 – $28.69 | 7 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $49.08 | $75.50 | $2.14 – $4.46 | 2 |
| Psychoanalysis CPT 90845 | not published | not published | $87.45 – $182.22 | 2 |
| Psychotherapy group therapy CPT 90853 | $225.39 | $346.75 | $18.24 – $50.43 | 3 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $386.94 | $595.30 | $69.16 – $144.11 | 2 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $386.94 | $595.30 | $91.37 – $190.39 | 2 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $386.94 | $595.30 | $134.66 – $280.59 | 2 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $391.54 | $602.37 | $98.09 – $204.39 | 2 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $195.78 | $301.20 | $69.83 – $145.50 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | $49.08 | $75.50 | $35.77 – $74.53 | 2 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $49.08 | $75.50 | $21.06 – $43.88 | 2 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $59.20 | $91.08 | $16.32 – $34.01 | 2 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $24.54 | $37.75 | $33.63 – $70.07 | 2 |
| Psytx complex interactive CPT 90785 | $291.93 | $449.12 | $11.66 – $24.30 | 2 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $292.79 | $450.44 | $64.79 – $135.00 | 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.