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

Iowa 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?

$407

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $468 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$407$302 to $794
FacilityA hospital or hospital-owned outpatient department$468$302 to $631

How much rates vary

Facilitymedian $468 · 10th to 90th $282 to $776Professionalmedian $407 · 10th to 90th $288 to $1,288
$500$1K$2K$5Kfacility $468professional $407

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$912.01
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$794.33
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$5,754.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$912.01
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$776.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$691.83

Where Iowa 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.

Iowa· 17th of 51

$407

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.