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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.

Facilitymedian $200 · 10th–90th $112$3020%10%20%10th90th$200Professionalmedian $148 · 10th–90th $105$3800%10%10th90th$148$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$371.54
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
$346.74
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
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$309.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$263.03