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

West 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?

$316

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $309 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 5 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$309$282 to $468
FacilityA hospital or hospital-owned outpatient department$417$417 to $417

How much rates vary

Facilitymedian $417 · 10th to 90th $355 to $417Professionalmedian $309 · 10th to 90th $263 to $724
$500$1Kfacility $417professional $309

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
$263.03
Median
$309.03
Typical High
$724.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$426.58
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
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
$467.74
Typical High
$1,412.54
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$562.34

Where West 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.

West Virginia· 48th 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.