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Newark-Wayne Community Hospital

1200 Driving Park Avenue, Newark, NY 14513 · (315) 332-2022

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Rochester, NY metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

630 price rows for 69 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $31

$31
cash
$1,266
cash
CT scan of the head, no contrast

CPT 70450 · metro median $304

$520
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $438

$846
cash
Cataract surgery with lens implant

CPT 66984 · metro median $3,221

$4,947
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · metro median $127

$127
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $798

$2,393
cash
—
cash
—
cash
$28
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $38

$38
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $311

$311
cash
—
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 9 lines · metro median $234

$234
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 5 lines · metro median $294

$321
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 5 lines · metro median $294

$338
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · metro median $127

$127
cash
Group psychotherapy

CPT 90853 · lowest of 4 lines · metro median $171

$225
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $653

$1,639
cash
Left heart catheterization

CPT 93452 · metro median $7,632

$8,273
cash
Lipid panel (cholesterol test)

CPT 80061 · metro median $48

$48
cash
Liver function panel

CPT 80076 · metro median $30

$30
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $907

$1,649
cash
$1,006
cash
$1,006
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $592

$1,006
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,448

$2,188
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $183

$183
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 5 lines · metro median $224

$224
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $281

$281
cash
PSA test (prostate)

CPT 84153 · metro median $67

$67
cash
$22
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $70

$45
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $324

$425
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $323

$323
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $374

$374
cash
Prostate biopsy

CPT 55700 · metro median $2,194

$5,191
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · metro median $14

$14
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $227

$240
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines · metro median $297

$312
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $294

$300
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $7,392

$7,392
cash
Screening mammogram (both breasts)

CPT 77067 · metro median $284

$284
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $1,019

$3,243
cash
—
cash
$1,130
cash
$852
cash
TSH test (thyroid)

CPT 84443 · metro median $61

$61
cash
—
cash
Transvaginal ultrasound

CPT 76830 · metro median $151

$425
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $288

$425
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $1,077

$1,707
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $1,077

$1,575
cash
Urinalysis with microscope

CPT 81001 · metro median $12

$12
cash
—
cash
—
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $256

$275
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.