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Ongoing Daily Care For A Very Low Birth Weight Newborn

Iowa 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?

$148

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $186 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$148$120 to $269
FacilityA hospital or hospital-owned outpatient department$186$123 to $245

How much rates vary

Facilitymedian $186 · 10th to 90th $112 to $302Professionalmedian $148 · 10th to 90th $110 to $501
$100$200$500$1Kfacility $186professional $148

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
Facility
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$354.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$316.23
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$354.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$309.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$275.42

Where Iowa 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.

Iowa· 14th of 51

$148

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.