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First-Day Intensive Care For A Sick Newborn (Not Critical)

Washington, DC rates for HCPCS 99477

A hospital evaluation and management service for the first day of caring for a newborn, 28 days old or younger, who needs frequent monitoring and extra interventions beyond routine newborn care but is not critically ill. It reflects the more intensive, hands-on level of care some newborns need without meeting the threshold of critical, life-threatening illness.

Rates data updated October 2026.

How much does First-Day Intensive Care For A Sick Newborn (Not Critical) cost?

$355

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $355 for this service. Most negotiated rates run $309 to $389.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $316 · 10th to 90th $316 to $1,202Professionalmedian $355 · 10th to 90th $282 to $501
$500$1Kfacility $316professional $355

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
$316.23
Median
$316.23
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$316.23
Typical High
$380.19
CareFirst
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$389.05
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$281.84
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$316.23
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$316.23
Typical High
$831.76

Where Washington, DC sits

The same service costs 3.4 times more in Alaska than in New York. 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.

Washington, DC· 33rd of 51

$355

AK $832NY $245

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.