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

Georgia 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?

$363

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $295 to $513.

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.

How much rates vary

Facilitymedian $525 · 10th to 90th $363 to $525Professionalmedian $363 · 10th to 90th $269 to $794
$500$1Kfacility $525professional $363

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
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$691.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$1,071.52
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$630.96

Where Georgia 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.

Georgia· 26th of 51

$363

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.