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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 October 2026.

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

$209

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $141 from a hospital or other facility.

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 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$145 to $324
FacilityA hospital or hospital-owned outpatient department$141$85.11 to $170

How much rates vary

Facilitymedian $141 · 10th to 90th $76 to $316Professionalmedian $214 · 10th to 90th $112 to $1,349
$100$200$500$1K$2K$5Kfacility $141professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$436.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$208.93
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$316.23
Typical High
$426.58
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$275.42
Typical High
$1,348.96
BCBS Massachusetts
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$218.78
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$281.84
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$128.82
Typical High
$186.21
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$128.82
Typical High
$190.55
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$269.15
Typical High
$363.08
Health New England
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$316.23
Typical High
$426.58
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$275.42
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$186.21
Typical High
$380.19
Well Sense
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$134.90
Typical High
$199.53
Well Sense
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$141.25

Where Massachusetts sits

The same service costs 2.9 times more in Alaska than in New York. 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.

Massachusetts· 12th of 51

$209

AK $324NY $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.