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Daily Critical Care For A Critically Ill Newborn, First Day

Montana rates for HCPCS 99468

A physician or other qualified clinician provides the first day of intensive, ongoing hospital care for a critically ill newborn who is 28 days old or younger. Because the newborn's condition is unstable and needs close, continuous attention, this covers all connected care given that day rather than a single brief visit. Each following day of similarly intensive care is handled as its own separate service.

Rates data updated July 2026.

How much does Daily Critical Care For A Critically Ill Newborn, First Day cost?

$1,202

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,514 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,096$794 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,514$1,148 to $1,549

How much rates vary

Facilitymedian $1,514 · 10th to 90th $851 to $1,862Professionalmedian $1,096 · 10th to 90th $708 to $2,512
$1K$2K$5Kfacility $1,514professional $1,096

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,995.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,698.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$2,187.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,412.54
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,445.44
Typical High
$1,698.24

Where Montana sits

The same service costs 2.5 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 12th of 51

$1,202

MN $1,905AL $776

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.