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Ongoing Daily Care For A Very Low Birth Weight Newborn

Washington, DC rates for HCPCS 99478

A newborn who is not critically ill but still needs a high level of monitoring, most often because of a very low birth weight, receives ongoing daily medical management in the hospital. This covers each additional day of this intensive newborn care for the smallest, lowest-weight babies, rather than the initial day of care or care for a critically ill infant.

Rates data updated October 2026.

How much does Ongoing Daily Care For A Very Low Birth Weight Newborn cost?

$145

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $120 to $151.

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.

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $468Professionalmedian $145 · 10th to 90th $112 to $224
$100$200$500facility $126professional $145

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$467.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$125.89
Typical High
$134.90
CareFirst
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$151.36
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$112.20
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$125.89
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$123.03
Typical High
$331.13

Where Washington, DC sits

The same service costs 2.9 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.

Washington, DC· 30th of 51

$145

AK $324NY $112

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.