go back

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 October 2026.

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

$380

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $776 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$380$324 to $447
FacilityA hospital or hospital-owned outpatient department$776$427 to $912

How much rates vary

Facilitymedian $776 · 10th to 90th $245 to $2,089Professionalmedian $380 · 10th to 90th $263 to $537
$500$1K$2Kfacility $776professional $380

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$251.19
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$1,023.29
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$446.68
Typical High
$537.03
CareSource
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$346.74
CareSource
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$346.74
Typical High
$588.84
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$912.01
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$338.84
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$354.81
Typical High
$457.09
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$398.11
Median
$398.11
Typical High
$398.11

Where Indiana 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.

Indiana· 25th of 51

$380

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.