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First Day Of Intensive Care For A Young Child

Michigan 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?

$631

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,349 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$575 to $724
FacilityA hospital or hospital-owned outpatient department$1,349$575 to $1,585

How much rates vary

Facilitymedian $1,349 · 10th to 90th $562 to $1,622Professionalmedian $631 · 10th to 90th $550 to $776
$500$1Kfacility $1,349professional $631

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$562.34
Typical High
$602.56
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$724.44
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$588.84
Typical High
$1,174.90
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$1,479.11
Typical High
$1,621.81
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$575.44
Typical High
$758.58
Priority Health
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$562.34
Typical High
$1,047.13
United
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$602.56
Typical High
$660.69

Where Michigan 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.

Michigan· 22nd of 51

$631

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.