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

Massachusetts 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.

Facilitymedian $316 · 10th–90th $151$5130%10%10th90th$316Professionalmedian $468 · 10th–90th $275$1,1480%10%10th90th$468$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$1,258.93
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$794.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$269.15
Typical High
$501.19
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$269.15
Typical High
$512.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$549.54
Typical High
$812.83
Health New England
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$616.60
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$912.01