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

New Mexico 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 physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $316 to $490.

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.

How much rates vary

Facilitymedian $269 · 10th to 90th $269 to $437Professionalmedian $389 · 10th to 90th $316 to $550
$50$100$200$500$1Kfacility $269professional $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
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$316.23
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$407.38
Typical High
$549.54
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$489.78
Typical High
$512.86
Providence
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Providence
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$426.58
Typical High
$588.84
United
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$478.63
Typical High
$616.60

Where New Mexico 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.

New Mexico· 23rd 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.