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

South Dakota 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?

$468

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $468 for this service. Most negotiated rates run $398 to $676.

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.

How much rates vary

Facilitymedian $501 · 10th to 90th $316 to $708Professionalmedian $468 · 10th to 90th $309 to $912
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $501professional $468

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
$288.40
Median
$426.58
Typical High
$912.01
Avera
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$707.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$5,754.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$794.33
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$707.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$707.95
Typical High
$707.95

Where South Dakota sits

The same service costs 2.5 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $468 · 7th of 51
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.