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

Montana 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?

$427

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $575 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 6 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$407$295 to $708
FacilityA hospital or hospital-owned outpatient department$575$437 to $589

How much rates vary

Facilitymedian $575 · 10th to 90th $316 to $692Professionalmedian $407 · 10th to 90th $263 to $912
$500$1Kfacility $575professional $407

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
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$758.58
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$616.60
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$831.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$537.03
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$660.69

Where Montana 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.

Montana· 15th of 51

$427

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.