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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Newark Wayne Community Hospital

Rochester Regional Health System · Newark, NY

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

2 of 5

CMS star rating

281

Beds

4,151

Inpatient discharges a year

$116.3M

Net patient revenue a year

32

In-network payers

About this hospital

Newark Wayne Community Hospital is a 281-bed voluntary non-profit - private hospital in Newark, NY, affiliated with Rochester Regional Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 228 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
  • ACO participant
CCN
330030
NPI
1770671182
Health system
Rochester Regional Health System
Teaching
No Medicare-funded residents
County
Wayne County
Metro area
Rochester, NY MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

The 24 services Newark Wayne Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,823 - $8,653

from 4 insurers · median $7,843

Blue Cross$5,823
Insurer A*est.$7,258
Insurer B*$8,428
Insurer C*$8,653

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,810 - $13,057

from 4 insurers · median $12,416

Blue Cross$8,810
Insurer A*$11,985
Insurer B*$12,848
Insurer C*est.$13,057

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$5,823 - $8,653

from 4 insurers · median $7,843

Blue Cross$5,823
Insurer A*est.$7,258
Insurer B*$8,428
Insurer C*$8,653

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$17,230 - $52,951

from 4 insurers · median $49,731

UnitedHealthcare$47,075
Insurer A*$17,230
Insurer B*est.$52,386
Insurer C*est.$52,951
Medicare $27,950Nearby hospitals $43,80214% above nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at Newark Wayne Community Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
257%
62
Insurer B*24
223%
315
Insurer C*17
47%
07
Insurer D*22
46%
710

How we chose these services: 5 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 11 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Newark Wayne Community Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 205 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.03%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 28 services
    • 292 affiliated clinicians
    See doctors and services
  • Finances

    $116.3M net patient revenue

    • Operating margin on patient care -8.3%
    • $7.9M unreimbursed and uncompensated care
    • $9.5M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Richard O Davis, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Newark Wayne Community Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
15-0584188Newark Wayne Community Hospital55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 50 more1770671182 Newark Wayne Community Hospital1902989221 Newark Wayne Community Hospital1093258873 Newark-wayne Community Hospitaland 14 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1200 Driving Park Avenue, Newark, NY 14513

(315) 332-2022

Get directions

Frequently asked questions

About Newark Wayne Community Hospital's rates and hospital price transparency.

How much does a CT scan cost at Newark Wayne Community Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Newark Wayne Community Hospital range from $109 to $1,285 across 4 insurers. Aetna's rate is $302. The median at nearby comparable hospitals is $884. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Newark Wayne Community Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Newark Wayne Community Hospital range from $1,147 to $2,726 across 4 insurers. Aetna's rate is $1,329. The median at nearby comparable hospitals is $2,318. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Newark Wayne Community Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Newark Wayne Community Hospital range from $5,823 to $8,653 across 4 insurers. Blue Cross Blue Shield's rate is $5,823. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Newark Wayne Community Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Newark Wayne Community Hospital range from $24,111 to $24,817 across 2 insurers. UnitedHealthcare's rate is $24,111. The median at nearby comparable hospitals is $21,595. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Newark Wayne Community Hospital's CMS star rating?

Newark Wayne Community Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Newark Wayne Community Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Newark Wayne Community Hospital for fiscal year 2027.

Does Medicare penalize Newark Wayne Community Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Newark Wayne Community Hospital's base inpatient payments by an estimated 1.03% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Newark Wayne Community Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (70 discharges), pulmonary edema and respiratory failure (35 discharges), respiratory infections and inflammations with mcc (32 discharges).

What is Newark Wayne Community Hospital's case mix index?

Newark Wayne Community Hospital's Medicare case mix index is 1.36 for fiscal year 2027, higher than 14% of hospitals paid under the inpatient prospective payment system.

How many patients does Newark Wayne Community Hospital admit?

Newark Wayne Community Hospital reported 4,151 inpatient discharges and 19,084 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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