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

Missouri 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?

$372

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $427 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 7 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$363$295 to $537
FacilityA hospital or hospital-owned outpatient department$427$302 to $562

How much rates vary

Facilitymedian $427 · 10th to 90th $263 to $646Professionalmedian $363 · 10th to 90th $269 to $1,230
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $427professional $363

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
$446.68
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$1,288.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$630.96

Where Missouri sits

The same service costs 2.5 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $372 · 21st of 51
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.