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Ongoing Daily Care For A Very Low Birth Weight Newborn

North Dakota 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?

$251

Typical physician fee. In North Dakota, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $123 to $309.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $186 · 10th to 90th $112 to $324Professionalmedian $251 · 10th to 90th $117 to $355
$100$200$500facility $186professional $251

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
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$263.03
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$331.13

Where North Dakota 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.

North Dakota· 2nd of 51

$251

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.