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

Kentucky 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?

$355

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $295 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$355$302 to $389
FacilityA hospital or hospital-owned outpatient department$295$295 to $355

How much rates vary

Facilitymedian $295 · 10th to 90th $295 to $417Professionalmedian $355 · 10th to 90th $282 to $468
$50$100$200$500$1Kfacility $295professional $355

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
$295.12
Median
$295.12
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$295.12
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$338.84
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$354.81
Typical High
$446.68
CareSource
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$316.23
Typical High
$501.19
CareSource
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$371.54
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$338.84
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$363.08
Typical High
$478.63

Where Kentucky 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.

Kentucky· 31st of 51

$355

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.