First Day Of Intensive Care For A Young Child

Nationwide rates for HCPCS 99475

The doctor's care of a critically ill young child on the first day in a pediatric intensive care unit, where the child needs constant monitoring and frequent adjustment of life-supporting treatment. It covers the whole day's work, including reviewing test results, managing breathing and circulation support, and speaking with the family. It is charged once for that day rather than per visit to the bedside.

Rates data updated July 2026.

How much does First Day Of Intensive Care For A Young Child cost?

$708

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $692 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 42 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$741	$525 to $1,318
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$692	$550 to $912

How much rates vary

Facilitymedian $692 · 10th to 90th $468 to $1,202Professionalmedian $741 · 10th to 90th $468 to $2,512

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $436.52 Median $645.65 Typical High $1,318.26	Facility	Global	$436.52	$645.65	$1,318.26
BCBS Setting Facility Modifier Global Typical Low $575.44 Median $724.44 Typical High $3,388.44	Facility	Global	$575.44	$724.44	$3,388.44
Cigna Setting Facility Modifier Global Typical Low $660.69 Median $660.69 Typical High $2,238.72	Facility	Global	$660.69	$660.69	$2,238.72
United Setting Facility Modifier Global Typical Low $426.58 Median $645.65 Typical High $758.58	Facility	Global	$426.58	$645.65	$758.58

What it costs in each state

The same service costs 8.5 times more in Tennessee than in Mississippi. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

TN $3,467MS $407

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.