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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 July 2026.

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

$339

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $417 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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$288 to $457
FacilityA hospital or hospital-owned outpatient department$417$309 to $501

How much rates vary

Facilitymedian $417 · 10th to 90th $195 to $759Professionalmedian $339 · 10th to 90th $263 to $708
$50$100$200$500$1Kfacility $417professional $339

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. 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
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$549.54
AvMed
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$204.17
AvMed
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$776.25
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$323.59
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$645.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$316.23

Where Florida sits

The same service costs 2.5 times more in Minnesota than in Alabama. 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· 40th of 51

$339

MN $724AL $295

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.