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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 October 2026.

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

$525

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $513 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$525$437 to $537
FacilityA hospital or hospital-owned outpatient department$513$501 to $525

How much rates vary

Facilitymedian $513 · 10th to 90th $479 to $589Professionalmedian $525 · 10th to 90th $269 to $575
$100$200$500$1Kfacility $513professional $525

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$338.84
Typical High
$467.74
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$524.81
Typical High
$575.44
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$512.86
Typical High
$562.34
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$501.19
Typical High
$537.03
Providence
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$630.96
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$489.78
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$562.34
Typical High
$630.96

Where Montana 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.

Montana· 11th of 51

$525

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.