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

Indiana 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 Indiana, 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 $380 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 6 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 $447
FacilityA hospital or hospital-owned outpatient department$380$309 to $427

How much rates vary

Facilitymedian $380 · 10th to 90th $302 to $437Professionalmedian $339 · 10th to 90th $263 to $603
$500$1Kfacility $380professional $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. 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
$371.54
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$549.54

Where Indiana 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.

Indiana· 36th 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.