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

Virginia 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 October 2026.

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

$363

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $437 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$363$316 to $398
FacilityA hospital or hospital-owned outpatient department$437$331 to $794

How much rates vary

Facilitymedian $437 · 10th to 90th $263 to $10,233Professionalmedian $363 · 10th to 90th $288 to $457
$200$500$1K$2K$5K$10Kfacility $437professional $363

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$346.74
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$371.54
Typical High
$436.52
CareFirst
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$389.05
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$316.23
Typical High
$501.19
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$316.23
Typical High
$478.63
Medcost
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$398.11
Typical High
$537.03
Medcost
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$630.96
Medcost
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$602.56
Typical High
$602.56
Sentara
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$457.09
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$371.54
Typical High
$512.86
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$316.23
Typical High
$537.03

Where Virginia sits

The same service costs 3.4 times more in Alaska than in New York. 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.

Virginia· 28th of 51

$363

AK $832NY $245

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.