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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.

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

$457

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $316 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 9 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$468$316 to $724
FacilityA hospital or hospital-owned outpatient department$316$195 to $372

How much rates vary

Facilitymedian $316 · 10th to 90th $151 to $513Professionalmedian $468 · 10th to 90th $275 to $1,148
$100$200$500$1K$2K$5Kfacility $316professional $468

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
$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

Where Massachusetts 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.

Massachusetts· 9th of 51

$457

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.