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Ongoing Daily Care For A Very Low Birth Weight Newborn

Nebraska 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 Nebraska, 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 $182 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 $240
FacilityA hospital or hospital-owned outpatient department$182$120 to $219

How much rates vary

Facilitymedian $182 · 10th to 90th $110 to $275Professionalmedian $135 · 10th to 90th $107 to $309
$1$10$100$1Kfacility $182professional $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
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.14
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$338.84

Where Nebraska 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.

Nebraska· 35th of 51

$135

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.