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First Day Of Intensive Care For A Young Child

Illinois 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 October 2026.

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

$603

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $2,089 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$603$562 to $759
FacilityA hospital or hospital-owned outpatient department$2,089$1,318 to $5,754

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,122 to $9,772Professionalmedian $603 · 10th to 90th $479 to $794
$50$200$1K$5Kfacility $2,089professional $603

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$478.63
Typical High
$741.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$478.63
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$2,511.89
Typical High
$10,000.00
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$758.58
Typical High
$794.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$602.56
Typical High
$794.33
Hally Health
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$776.25
Typical High
$2,511.89
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$691.83
Typical High
$741.31
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$616.60
Typical High
$1,000.00

Where Illinois sits

The same service costs 3.0 times more in Alaska than in Florida. 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.

Illinois· 25th of 51

$603

AK $1,349FL $457

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.