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Daily Critical Care For A Critically Ill Infant, First Day

Tennessee rates for HCPCS 99471

A physician or other qualified clinician provides the first day of intensive, ongoing hospital care for a critically ill infant or young child roughly one month to two years old. Because the child's condition is unstable and requires close, continuous attention, this covers all the connected care given that day, not 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 Infant, First Day cost?

$776

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $4,898 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$776$646 to $1,096
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $676 to $4,898Professionalmedian $776 · 10th to 90th $617 to $2,630
$1K$2K$5Kfacility $4,898professional $776

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$2,630.27
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,584.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,412.54

Where Tennessee 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.

Tennessee· 41st of 51

$776

MN $1,698AL $676

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.