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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 July 2026.

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

$331

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $437 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$331$302 to $468
FacilityA hospital or hospital-owned outpatient department$437$339 to $525

How much rates vary

Facilitymedian $437 · 10th to 90th $288 to $708Professionalmedian $331 · 10th to 90th $269 to $1,148
$50$100$200$500$1Kfacility $437professional $331

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
$467.74
Median
$467.74
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$331.13
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$489.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$707.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$724.44

Where New Mexico 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.

New Mexico· 45th of 51

$331

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.