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Ongoing Daily Care For A Very Low Birth Weight Newborn

Georgia 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?

$138

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $115 to $174.

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.

How much rates vary

Facilitymedian $214 · 10th to 90th $162 to $214Professionalmedian $138 · 10th to 90th $107 to $245
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $214professional $138

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
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$281.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$416.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$245.47

Where Georgia sits

The same service costs 2.5 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $138 · 25th of 51
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.