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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 July 2026.

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

$363

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $407 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 8 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$347$309 to $457
FacilityA hospital or hospital-owned outpatient department$407$355 to $513

How much rates vary

Facilitymedian $407 · 10th to 90th $316 to $661Professionalmedian $347 · 10th to 90th $269 to $661
$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
$263.03
Median
$316.23
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$436.52
Typical High
$707.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$512.86
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
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$630.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$676.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$645.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$616.60

Where Virginia 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.

Virginia· 24th of 51

$363

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.