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

North Carolina 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?

$562

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $407 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 8 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$575$417 to $724
FacilityA hospital or hospital-owned outpatient department$407$339 to $550

How much rates vary

Facilitymedian $407 · 10th to 90th $288 to $832Professionalmedian $575 · 10th to 90th $309 to $891
$500$1K$2K$5Kfacility $407professional $575

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
$512.86
Median
$891.25
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$1,148.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$630.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$660.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$851.14
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$676.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40

Where North Carolina 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.

North Carolina· 4th of 51

$562

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.