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

South 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?

$347

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $288 to $513.

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 $407 · 10th to 90th $282 to $676Professionalmedian $347 · 10th to 90th $269 to $1,175
$200$500$1Kfacility $407professional $347

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
$269.15
Median
$346.74
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$537.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$537.03

Where South 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.

South Carolina· 30th of 51

$347

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.