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

Florida 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?

$288

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $309 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$240 to $339
FacilityA hospital or hospital-owned outpatient department$309$302 to $398

How much rates vary

Facilitymedian $309 · 10th to 90th $257 to $398Professionalmedian $288 · 10th to 90th $214 to $490
$200$500$1K$2K$5K$10Kfacility $309professional $288

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
$288.40
Median
$288.40
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$295.12
Typical High
$346.74
Ambetter
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$380.19
Typical High
$602.56
AvMed
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$309.03
Typical High
$316.23
AvMed
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$302.00
Typical High
$363.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$245.47
Typical High
$467.74
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$323.59
Typical High
$371.54
Molina
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$234.42
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$302.00
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$309.03
Median
$309.03
Typical High
$316.23

Where Florida 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.

Florida· 48th of 51

$288

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.