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Ongoing Daily Care For A Very Low Birth Weight Newborn

Michigan 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?

$135

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $138 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 7 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$135$112 to $170
FacilityA hospital or hospital-owned outpatient department$138$138 to $138

How much rates vary

Facilitymedian $138 · 10th to 90th $135 to $178Professionalmedian $135 · 10th to 90th $105 to $191
$100.0$200.0$500.0$1.0Kfacility $138professional $135

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
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$338.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$354.81
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$213.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$302.00
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$245.47

Where Michigan 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.

Michigan $135 · 34th 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.