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Ongoing Daily Care For A Very Low Birth Weight Newborn

Nevada 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?

$123

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $102 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$126$112 to $141
FacilityA hospital or hospital-owned outpatient department$102$102 to $115

How much rates vary

Facilitymedian $102 · 10th to 90th $98 to $123Professionalmedian $126 · 10th to 90th $102 to $204
$2.0$10.0$50.0$200.0$1.0Kfacility $102professional $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. Small sample; interpret with caution. 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
$117.49
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$239.88
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$131.83
Typical High
$181.97
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$114.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$239.88

Where Nevada 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.

Nevada $123 · 49th 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.