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

Tennessee 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?

$339

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $4,898 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 6 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$339$282 to $457
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $501 to $4,898Professionalmedian $339 · 10th to 90th $269 to $891
$500$1K$2K$5Kfacility $4,898professional $339

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. Small sample; interpret with caution. 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
$323.59
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$691.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$602.56

Where Tennessee 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.

Tennessee· 39th of 51

$339

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.