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

Michigan 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?

$389

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $832 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$389$347 to $457
FacilityA hospital or hospital-owned outpatient department$832$347 to $977

How much rates vary

Facilitymedian $832 · 10th to 90th $339 to $977Professionalmedian $389 · 10th to 90th $339 to $490
$500$1Kfacility $832professional $389

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
$338.84
Median
$338.84
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$501.19
Typical High
$588.84
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$457.09
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$354.81
Typical High
$724.44
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$912.01
Typical High
$977.24
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$354.81
Typical High
$457.09
Priority Health
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$346.74
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$380.19
Typical High
$416.87

Where Michigan 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.

Michigan· 22nd of 51

$389

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.