New York / Newark-Wayne Community Hospital
CMS certification 330030 · Newark, NY · 1 entry in CMS's price-transparency list
Newark-Wayne Community Hospital: charges and Medicare payments
Newark-Wayne Community Hospital reported 430 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 2.53 times what it was paid — mid-range in New York, number 72 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 70 stays at an average charge of $43,223, 52% below the national average. It also billed 226 outpatient services, charging 3.74 times what Medicare paid.
- 1Medicare inpatient stays 430
- 2Charge ÷ paid, inpatient 2.53×
- 3Rank in NY (highest ratio = 1) 72 of 123
- 4CMS price-transparency actions 1
Inpatient stays
For the 21 DRGs that can be compared with the national average, Newark-Wayne Community Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 70 | $43,223 | -52% | $16,758 |
| 189 Pulmonary Edema and Respiratory Failure | 35 | $36,793 | -36% | $10,751 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $42,269 | -40% | $14,829 |
| 071 Other Cerebrovascular Disorders with CC | 27 | $22,890 | -55% | $8,800 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $15,488 | -61% | $7,188 |
| 291 Heart Failure and Shock with MCC | 22 | $20,451 | -64% | $11,412 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $17,496 | -53% | $7,052 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $14,868 | -61% | $7,015 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $22,328 | -54% | $9,155 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $26,037 | -46% | $9,711 |
| 603 Cellulitis without MCC | 16 | $15,838 | -58% | $7,906 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $18,649 | -67% | $11,718 |
| 178 Respiratory Infections and Inflammations with CC | 15 | $22,457 | -50% | $8,515 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $25,113 | -50% | $9,506 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 13 | $18,463 | -53% | $7,409 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $28,065 | -53% | $11,365 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $16,558 | -54% | $6,450 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $38,136 | -48% | $13,844 |
| 092 Other Disorders of Nervous System with CC | 11 | $19,896 | -61% | $9,081 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $12,250 | -57% | $5,086 |
| 683 Renal Failure with CC | 11 | $15,626 | -62% | $7,612 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 66 | $9,859 | $2,797 |
| Level 2 Upper GI Procedures | 40 | $6,720 | $2,017 |
| Level 5 Urology and Related Services | 28 | $11,040 | $5,180 |
| Level 4 Urology and Related Services | 19 | $9,434 | $3,696 |
| Level 4 Musculoskeletal Procedures | 18 | $18,022 | $7,249 |
| Level 3 Musculoskeletal Procedures | 17 | $9,762 | $3,432 |
| Level 1 Laparoscopy and Related Services | 14 | $16,450 | $5,769 |
| Level 2 Musculoskeletal Procedures | 13 | $8,333 | $1,600 |
| Level 3 Urology and Related Services | 11 | $10,300 | $2,160 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Newark-Wayne Community Hospital charged $43,223 on average, 63% less than the New York average of $116,930, and was paid $16,758 against a state average of $24,426. For Pulmonary Edema and Respiratory Failure (DRG 189), Newark-Wayne Community Hospital charged $36,793 on average, 50% less than the New York average of $74,150, and was paid $10,751 against a state average of $15,119. For Respiratory Infections and Inflammations with MCC (DRG 177), Newark-Wayne Community Hospital charged $42,269 on average, 55% less than the New York average of $94,371, and was paid $14,829 against a state average of $19,472. For Other Cerebrovascular Disorders with CC (DRG 071), Newark-Wayne Community Hospital charged $22,890 on average, 62% less than the New York average of $60,285, and was paid $8,800 against a state average of $12,486. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,859 was 63% below the state average of $26,675. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $6,720 was 55% below the state average of $15,077. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $11,040 was 61% below the state average of $28,292. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $9,434 was 54% below the state average of $20,339.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Newark-Wayne Community Hospital in Newark, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-06-05 (CMS case 7933)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.