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

Illinois 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?

$363

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $1,318 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$363$331 to $457
FacilityA hospital or hospital-owned outpatient department$1,318$832 to $3,802

How much rates vary

Facilitymedian $1,318 · 10th to 90th $708 to $6,310Professionalmedian $363 · 10th to 90th $288 to $490
$50$200$1K$5Kfacility $1,318professional $363

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$288.40
Typical High
$467.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$288.40
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$363.08
Typical High
$501.19
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,513.56
Typical High
$6,606.93
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$457.09
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$363.08
Typical High
$489.78
Hally Health
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$467.74
Typical High
$2,089.30
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$416.87
Typical High
$446.68
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$380.19
Typical High
$630.96

Where Illinois 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.

Illinois· 27th of 51

$363

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.