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 |
|---|---|---|---|---|
| Revision of radius CPT 25355 | not published | not published | $681.61 – $1,420.27 | 2 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $528.87 – $1,102.01 | 2 |
| Revision of scrotum CPT 55175 | not published | not published | $326.07 – $679.43 | 2 |
| Revision of scrotum CPT 55180 | not published | not published | $599.55 – $1,249.28 | 2 |
| Revision of spinal shunt CPT 63744 | not published | not published | $683.63 – $1,424.48 | 2 |
| Revision of testis CPT 54660 | not published | not published | $321.12 – $669.12 | 2 |
| Revision of thigh muscles CPT 27430 | not published | not published | $663.35 – $1,382.22 | 2 |
| Revision of toe CPT 28312 | not published | not published | $331.06 – $689.83 | 2 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,139.76 – $4,458.62 | 2 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,118.48 – $4,414.28 | 2 |
| Revision of ulna CPT 25360 | not published | not published | $579.86 – $1,208.25 | 2 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $668.97 – $1,393.93 | 2 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $663.27 – $1,382.06 | 2 |
| Revision of ureter CPT 50700 | not published | not published | $801.61 – $1,670.31 | 2 |
| Revision of urethra CPT 53450 | not published | not published | $364.07 – $758.61 | 2 |
| Revision of urethra CPT 53460 | not published | not published | $404.90 – $843.69 | 2 |
| Revision of urethra CPT 57220 | not published | not published | $297.27 – $619.42 | 2 |
| Revision of urinary tract CPT 51820 | not published | not published | $937.74 – $1,953.97 | 2 |
| Revision open av fistula without thromb CPT 36832 | $10,013.41 | $15,405.24 | $648.56 – $1,351.40 | 2 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $727.58 – $1,516.06 | 2 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $667.98 – $1,391.87 | 2 |
| Revision tips CPT 37183 | $12,648.13 | $19,458.66 | $311.48 – $649.03 | 2 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,368.61 – $2,851.77 | 2 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,474.45 – $3,072.31 | 2 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $120.89 – $240.99 | 4 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $120.89 – $305.79 | 4 |
| Revj fem anast autog vn grf CPT 35884 | $12,290.60 | $18,908.61 | $1,060.31 – $2,209.37 | 2 |
| Revj fem anast nonautog grf CPT 35883 | $9,733.81 | $14,975.09 | $1,019.69 – $2,124.73 | 2 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $866.04 – $1,804.57 | 2 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $943.48 – $1,965.93 | 2 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,687.04 – $3,515.29 | 2 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,212.78 – $2,527.07 | 2 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $924.22 – $1,925.80 | 2 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $7,796.58 | $11,994.74 | $288.67 – $601.50 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $130.19 – $271.28 | 2 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $200.91 – $418.64 | 2 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,077.49 – $4,328.87 | 2 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,096.69 – $4,368.87 | 2 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $778.67 – $1,622.51 | 2 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,627.55 – $3,391.33 | 2 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $714.53 – $1,488.87 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.64 – $10.82 | 2 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $4,556.99 | $7,010.75 | $170.66 – $355.60 | 2 |
| Rheumatoid factor qualitative CPT 86430 | $11.97 | $18.42 | $5.00 – $9.58 | 7 |
| Rheumatoid factor quantitative CPT 86431 | $20.51 | $31.56 | $4.88 – $8.85 | 7 |
| Rh ig IV CPT 90386 | not published | not published | $10.49 – $36.21 | 4 |
| Rh ig minidose im CPT 90385 | not published | not published | $29.84 – $40.50 | 4 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,137.80 – $2,370.83 | 2 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $10.25 | $15.77 | $4.75 – $13.41 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $1.44 | $2.22 | $22.56 – $40.50 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $33.37 – $49.67 | 4 |
| Rho d immune globulin inj HCPCS J2790 | $171.83 | $264.36 | $79.24 – $105.66 | 4 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $82.69 – $105.66 | 4 |
| R hrt cath chd abnl nt cnj CPT 93594 | $6,095.95 | $9,378.39 | not published | 0 |
| R hrt cath chd nml nt cnj CPT 93593 | $6,095.95 | $9,378.39 | not published | 0 |
| Rhythm ecg with report CPT 93040 | not published | not published | $14.36 – $29.92 | 2 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $275.16 | $423.33 | $27.52 – $57.34 | 3 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $275.16 | $423.33 | $34.50 – $71.89 | 3 |
| Rib cartilage graft CPT 21230 | not published | not published | $630.43 – $1,313.63 | 2 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $221.89 – $221.89 | 1 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $1,854.90 – $2,416.80 | 3 |
| Rib X-ray (3 views, both sides) CPT 71110 | $275.16 | $423.33 | $27.84 – $58.01 | 3 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.15 – $0.15 | 2 |
| Right ventric recording CPT 93603 | $3,059.66 | $4,707.17 | not published | 0 |
| Rilonacept injection HCPCS J2793 | not published | not published | $25.41 – $32.46 | 4 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $15.13 – $15.13 | 1 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $611.55 – $611.55 | 1 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $390.92 – $390.92 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,324.91 | $2,038.33 | $1,768.44 – $1,768.44 | 1 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $4.58 – $15.13 | 3 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.69 – $21.01 | 4 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $7.83 – $16.32 | 2 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $24.90 | $38.31 | $11.00 – $15.43 | 4 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $198.47 | $305.34 | $73.57 – $129.65 | 4 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.28 – $64.83 | 4 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $124.62 | $191.73 | $25.56 – $116.69 | 4 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $15.91 – $98.92 | 4 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $102.71 | $158.02 | $7.95 – $98.92 | 4 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $6,095.95 | $9,378.39 | not published | 0 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $6,095.95 | $9,378.39 | not published | 0 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $983.65 – $2,049.63 | 2 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $1,994.36 | $3,068.25 | $76.58 – $159.57 | 2 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $605.98 – $1,262.68 | 2 |
| Rmvl ext fixj sys under anes CPT 20694 | $4,572.13 | $7,034.04 | $312.36 – $650.86 | 2 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $6,160.10 | $9,477.08 | $372.32 – $775.80 | 2 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $3,186.98 | $4,903.04 | $220.29 – $459.02 | 2 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $4,363.96 | $6,713.79 | $136.09 – $283.57 | 2 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $605.54 – $1,261.76 | 2 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $100.86 – $210.16 | 2 |
| Rmvl icd by tv extr CPT 33244 | $7,400.59 | $11,385.53 | $724.37 – $1,509.37 | 2 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $19,405.31 | $29,854.32 | $323.59 – $674.26 | 2 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $25,392.76 | $39,065.78 | $335.91 – $699.94 | 2 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $19,405.31 | $29,854.32 | $311.35 – $648.76 | 2 |
| Rmvl icd pulse gen only CPT 33241 | $7,400.59 | $11,385.53 | $187.01 – $389.67 | 2 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $85.48 – $178.11 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $426.23 – $888.14 | 2 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,050.05 – $4,271.69 | 2 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,053.14 | $3,158.68 | $141.41 – $294.66 | 2 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $173.11 – $360.71 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | $7,025.69 | $10,808.76 | $200.98 – $418.78 | 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.