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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 July 2026.

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

$372

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $490 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 7 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$372$309 to $490
FacilityA hospital or hospital-owned outpatient department$490$490 to $550

How much rates vary

Facilitymedian $490 · 10th to 90th $468 to $661Professionalmedian $372 · 10th to 90th $269 to $871
$100$200$500$1K$2Kfacility $490professional $372

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
$467.74
Median
$489.78
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$891.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,230.27
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,318.26
Typical High
$2,290.87
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$660.69

Where Illinois 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.

Illinois· 20th of 51

$372

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.