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Ongoing Daily Care For A Very Low Birth Weight Newborn

Montana 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?

$141

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $224 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$135$117 to $209
FacilityA hospital or hospital-owned outpatient department$224$174 to $234

How much rates vary

Facilitymedian $224 · 10th to 90th $126 to $275Professionalmedian $135 · 10th to 90th $100 to $324
$100$200$500facility $224professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$302.00
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$245.47
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$245.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$331.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$257.04

Where Montana 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.

Montana· 23rd of 51

$141

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.