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Ongoing Daily Care For A Very Low Birth Weight Newborn

Florida 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 July 2026.

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

$135

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $162 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$135$112 to $162
FacilityA hospital or hospital-owned outpatient department$162$135 to $269

How much rates vary

Facilitymedian $162 · 10th to 90th $78 to $407Professionalmedian $135 · 10th to 90th $102 to $240
$50$100$200$500facility $162professional $135

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
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$234.42
AvMed
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$77.62
Typical High
$79.43
AvMed
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$309.03
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$257.04
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$125.89

Where Florida 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.

Florida· 31st of 51

$135

MN $275AL $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.