go back

Ongoing Daily Care For A Very Low Birth Weight Newborn

New Mexico 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?

$129

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $170 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$126$112 to $158
FacilityA hospital or hospital-owned outpatient department$170$135 to $209

How much rates vary

Facilitymedian $170 · 10th to 90th $115 to $275Professionalmedian $126 · 10th to 90th $107 to $240
$50.0$100.0$200.0$500.0$1.0Kfacility $170professional $126

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
$181.97
Median
$181.97
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$190.55
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$281.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$281.84

Where New Mexico 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.

New Mexico $129 · 44th 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.