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 |
|---|---|---|---|---|
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $364.54 – $465.81 | 4 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $221.20 – $294.58 | 4 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $532.65 – $532.65 | 1 |
| Rbc count only automated CPT 85041 | $10.93 | $16.82 | $2.60 – $4.71 | 7 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,311.93 | $2,018.35 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | $845.49 | $1,300.75 | not published | 0 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $7.40 – $13.42 | 6 |
| Rbc osmotic fragility CPT 85555 | $24.19 | $37.21 | $5.89 – $11.65 | 7 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $157.41 – $328.00 | 2 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $110.78 – $230.83 | 2 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $116.37 – $242.48 | 2 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $72.35 – $150.76 | 2 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $41.04 – $85.52 | 2 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $38.43 – $80.08 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $1,839.80 – $3,833.59 | 2 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,424.36 – $2,967.94 | 2 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,278.95 – $2,664.95 | 2 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,332.37 – $2,776.26 | 2 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,391.83 – $2,900.16 | 2 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $1,774.86 – $3,698.28 | 2 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,604.19 – $3,342.65 | 2 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,489.29 – $3,103.23 | 2 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,294.68 – $4,781.42 | 2 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,119.14 – $4,415.65 | 2 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $652.20 – $1,358.99 | 2 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $786.99 – $1,639.85 | 2 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $937.12 – $1,952.68 | 2 |
| Realignment of knee CPT 27457 | not published | not published | $834.95 – $1,739.79 | 2 |
| Realignment of knee CPT 27455 | not published | not published | $847.07 – $1,765.04 | 2 |
| Realignment of tendons CPT 26437 | not published | not published | $617.68 – $1,287.06 | 2 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,120.70 – $2,335.20 | 2 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $926.18 – $1,929.88 | 2 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $900.77 – $1,876.93 | 2 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,231.86 – $2,566.83 | 2 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $989.66 – $2,062.15 | 2 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,363.07 – $2,840.23 | 2 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,301.95 – $2,712.87 | 2 |
| Rechanneling of artery CPT 35306 | not published | not published | $378.36 – $788.39 | 2 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,380.41 – $2,876.36 | 2 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,388.28 – $2,892.76 | 2 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,035.93 – $2,158.57 | 2 |
| Rechanneling of artery 35341 CPT 35341 | $8,958.23 | $13,781.89 | $1,171.03 – $2,440.08 | 2 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $10,013.41 | $15,405.24 | $1,087.13 – $2,265.25 | 2 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,195.58 – $2,491.23 | 2 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $10,013.41 | $15,405.24 | $833.33 – $1,736.41 | 2 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $11,729.85 | $18,045.93 | $1,048.07 – $2,183.86 | 2 |
| Recipient nephrectomy CPT 50340 | not published | not published | $883.75 – $1,841.47 | 2 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $43.21 – $90.04 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,241.37 – $2,586.64 | 2 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,225.80 – $2,554.20 | 2 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,165.43 – $2,428.41 | 2 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,061.82 – $2,212.51 | 2 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,239.66 – $2,583.08 | 2 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $933.24 – $1,944.59 | 2 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $872.40 – $1,817.82 | 2 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $868.54 – $1,809.78 | 2 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $842.57 – $1,755.66 | 2 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,246.44 – $2,597.21 | 2 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $972.63 – $2,026.67 | 2 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $802.25 – $1,671.65 | 2 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $826.47 – $1,722.12 | 2 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $923.81 – $1,924.94 | 2 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $617.73 – $1,287.16 | 2 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $513.39 – $1,069.75 | 2 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $922.22 – $1,921.63 | 2 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,761.00 – $3,669.40 | 2 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $1,911.23 – $3,982.43 | 2 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,051.68 – $4,275.09 | 2 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $794.82 – $1,656.17 | 2 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $882.74 – $1,839.37 | 2 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $925.89 – $1,929.28 | 2 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $977.59 – $2,037.00 | 2 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $977.59 – $2,037.00 | 2 |
| Reconstruct extra finger CPT 26587 | not published | not published | $921.52 – $1,920.17 | 2 |
| Reconstruct finger joint CPT 26545 | not published | not published | $672.83 – $1,401.98 | 2 |
| Reconstruct finger joint CPT 26548 | not published | not published | $728.34 – $1,517.64 | 2 |
| Reconstruct head of radius CPT 24365 | not published | not published | $574.62 – $1,197.34 | 2 |
| Reconstruct head of radius CPT 24366 | not published | not published | $603.51 – $1,257.53 | 2 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $968.61 – $2,018.29 | 2 |
| Reconstruction knee CPT 27427 | not published | not published | $630.06 – $1,312.86 | 2 |
| Reconstruction knee CPT 27428 | not published | not published | $987.14 – $2,056.90 | 2 |
| Reconstruction knee CPT 27429 | not published | not published | $1,111.96 – $2,316.99 | 2 |
| Reconstruction of anus CPT 46753 | not published | not published | $579.10 – $1,206.67 | 2 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,380.51 – $2,876.57 | 2 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $586.80 – $1,222.72 | 2 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $750.61 – $1,564.05 | 2 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $749.05 – $1,560.80 | 2 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $558.29 – $1,163.31 | 2 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,122.02 – $2,337.95 | 2 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $958.91 – $1,998.08 | 2 |
| Reconstruction of jaw CPT 21245 | not published | not published | $829.51 – $1,728.45 | 2 |
| Reconstruction of jaw CPT 21246 | not published | not published | $735.44 – $1,532.44 | 2 |
| Reconstruction of jaw CPT 21248 | not published | not published | $697.48 – $1,453.34 | 2 |
| Reconstruction of jaw CPT 21249 | not published | not published | $971.36 – $2,024.02 | 2 |
| Reconstruction of jaw joint CPT 21240 | $11,613.41 | $17,866.79 | $905.24 – $1,886.25 | 2 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $883.81 – $1,841.59 | 2 |
| Reconstruction of jaw joint CPT 21243 | $15,096.94 | $23,226.06 | $1,396.35 – $2,909.57 | 2 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $858.78 – $1,789.44 | 2 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,368.16 – $2,850.83 | 2 |
| Reconstruction of mouth CPT 40840 | $11,725.60 | $18,039.39 | $538.66 – $1,122.41 | 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.