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 |
|---|---|---|---|---|
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,605.51 – $3,345.40 | 2 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,665.63 – $3,470.67 | 2 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,060.11 – $4,292.65 | 2 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,018.46 – $4,205.87 | 2 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,002.33 – $4,172.26 | 2 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,845.66 – $3,845.80 | 2 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,887.97 – $3,933.96 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $14,590.10 | $22,446.30 | $328.67 – $684.85 | 2 |
| Rp therapy unlisted px CPT 79999 | $676.80 | $1,041.23 | not published | 0 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $817.03 – $1,702.45 | 2 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,739.27 – $3,624.12 | 2 |
| Rsv assay w/optic CPT 87807 | $30.86 | $47.47 | $10.09 – $20.44 | 7 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $295.80 – $295.80 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $20.46 – $42.63 | 2 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $48.78 – $101.64 | 2 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $49.42 – $102.98 | 2 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.22 – $52.55 | 2 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $24.89 – $51.86 | 2 |
| Rubella antibody igg CPT 86762 | $52.10 | $80.15 | $8.32 – $22.45 | 7 |
| Rubeola ag if CPT 87283 | not published | not published | $10.09 – $94.85 | 4 |
| Rubeola antibody igg CPT 86765 | $46.60 | $71.70 | $8.20 – $20.09 | 7 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $206.34 – $514.04 | 4 |
| Russell viper venom diluted CPT 85613 | $34.67 | $53.34 | $8.24 – $14.94 | 7 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $7,107.68 | $10,934.90 | $574.37 – $1,430.64 | 6 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $518.07 – $518.07 | 1 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $33.48 – $42.78 | 4 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $275.16 | $423.33 | $26.89 – $56.03 | 3 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.18 – $81.64 | 2 |
| Salivary gland function exam CPT 78232 | not published | not published | $80.27 – $167.26 | 3 |
| Salivary gland imaging CPT 78230 | not published | not published | $129.77 – $270.40 | 3 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $79.95 – $166.59 | 3 |
| Salmonella antibody CPT 86768 | $47.72 | $73.41 | $8.20 – $20.58 | 7 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $725.37 – $1,511.45 | 2 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $92.60 – $192.95 | 2 |
| Sargramostim injection HCPCS J2820 | not published | not published | $60.75 – $83.47 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $25.25 – $80.23 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | $120.26 | $185.01 | $27.13 – $55.11 | 7 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $21.34 – $109.65 | 5 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $346.10 – $721.17 | 2 |
| Sbrt management CPT 77435 | not published | not published | $620.96 – $1,293.89 | 3 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $113.30 – $236.08 | 2 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $136.21 – $283.82 | 2 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $65.92 – $137.36 | 2 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $95.66 – $199.33 | 2 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $35.98 – $74.97 | 2 |
| Sbsq psyc collab care mgmt CPT 99493 | $214.12 | $329.42 | $87.31 – $181.93 | 2 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $875.65 | $1,347.15 | $135.56 – $282.47 | 2 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $425.45 | $654.54 | $88.68 – $184.78 | 2 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $425.45 | $654.54 | $95.34 – $198.66 | 2 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $425.45 | $654.54 | $90.90 – $189.41 | 2 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $425.45 | $654.54 | $111.45 – $232.23 | 2 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $425.45 | $654.54 | $93.12 – $194.03 | 2 |
| Scan proc cranial extra CPT 61782 | not published | not published | $138.46 – $288.51 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $198.00 – $412.57 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $192.35 – $400.80 | 2 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $11,889.72 – $11,889.72 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,994.36 | $3,068.25 | $101.30 – $211.08 | 2 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $402.62 – $838.94 | 2 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $9.31 – $28.92 | 4 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $17.90 – $23.18 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $9.31 – $49.83 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $16.88 – $68.59 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $19.37 – $41.32 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $16.33 – $42.20 | 4 |
| Screen cerv/vag thin layer HCPCS G0123 | $73.31 | $112.79 | $16.33 – $31.61 | 6 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $17.90 – $23.18 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,393.41 | $3,682.17 | $158.60 – $330.47 | 2 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $158.36 – $329.97 | 2 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.57 | $88.57 | $10.98 – $28.16 | 6 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $102.30 | $157.39 | $19.67 – $44.10 | 6 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $135.87 | $209.03 | $12.17 – $72.31 | 6 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $18.24 – $37.56 | 4 |
| Screening Mammogram CPT 77067 | $284.38 | $437.51 | $86.54 – $180.32 | 3 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $17.90 – $23.18 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $66.59 | $102.44 | $16.21 – $30.12 | 6 |
| Screen pap by tech w md supv HCPCS P3000 | $42.95 | $66.08 | $9.31 – $28.92 | 6 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $39.10 | $60.15 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $6,976.07 | $10,732.42 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $425.45 | $654.54 | $65.28 – $136.02 | 3 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $53.63 – $111.75 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $755.40 – $1,574.03 | 2 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $8,358.14 | $12,858.67 | $206.16 – $429.58 | 2 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $5.00 – $10.42 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $9.76 | $15.02 | $2.32 – $4.21 | 7 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,370.06 – $3,028.41 | 3 |
| Segmentectomy 32484 CPT 32484 | $15,583.72 | $23,974.95 | $1,275.52 – $2,657.80 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $58.30 – $121.48 | 2 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | $1.83 | $2.82 | $2.33 – $2.33 | 1 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $104.03 | $160.04 | $28.37 – $65.53 | 4 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $7.83 – $16.32 | 2 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $14.51 – $30.23 | 2 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $16.22 | $24.96 | not published | 0 |
| Semen analysis HCPCS G0027 | not published | not published | $3.18 – $10.14 | 4 |
| Semen analysis presence/motility CPT 89321 | $43.62 | $67.10 | $7.90 – $18.80 | 7 |
| Semen analysis w/count CPT 89310 | not published | not published | $5.65 – $13.43 | 4 |
| Sensorimotor examination CPT 92060 | $192.19 | $295.67 | $26.57 – $55.36 | 2 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $69.96 – $145.78 | 2 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $341.22 – $711.00 | 2 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $52.39 – $299.52 | 4 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $627.28 – $1,307.06 | 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.