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Ongoing Daily Care For A Very Low Birth Weight Newborn

Minnesota 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?

$275

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $263 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 6 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$275$155 to $363
FacilityA hospital or hospital-owned outpatient department$263$132 to $427

How much rates vary

Facilitymedian $263 · 10th to 90th $123 to $794Professionalmedian $275 · 10th to 90th $117 to $427
$100$200$500$1Kfacility $263professional $275

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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$537.03
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$512.86
Typical High
$1,000.00
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$190.55
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$416.87

Where Minnesota 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.

Minnesota· 1st of 51

$275

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.