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

Texas 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?

$316

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $417 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 13 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$316$275 to $380
FacilityA hospital or hospital-owned outpatient department$417$324 to $537

How much rates vary

Facilitymedian $417 · 10th to 90th $282 to $794Professionalmedian $316 · 10th to 90th $263 to $646
$200$500$1K$2K$5Kfacility $417professional $316

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
$363.08
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$870.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,071.52
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$338.84
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$588.84
Christus
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$724.44
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$724.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$398.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$676.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$562.34
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$398.11

Where Texas 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.

Texas· 46th of 51

$316

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.