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Ongoing Daily Care For A Very Low Birth Weight Newborn

Massachusetts 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?

$162

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $126 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$166$120 to $275
FacilityA hospital or hospital-owned outpatient department$126$77.62 to $148

How much rates vary

Facilitymedian $126 · 10th to 90th $60 to $204Professionalmedian $166 · 10th to 90th $107 to $389
$50.0$100.0$200.0$500.0$1.0Kfacility $126professional $166

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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$398.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$309.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$107.15
Typical High
$194.98
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$107.15
Typical High
$199.53
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$323.59
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$363.08

Where Massachusetts 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.

Massachusetts $162 · 12th 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.