go back

Ongoing Daily Care For A Very Low Birth Weight Newborn

Oregon 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?

$234

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 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 8 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$234$141 to $302
FacilityA hospital or hospital-owned outpatient department$224$158 to $257

How much rates vary

Facilitymedian $224 · 10th to 90th $120 to $275Professionalmedian $234 · 10th to 90th $112 to $355
$100$200$500facility $224professional $234

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
$245.47
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$295.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$288.40
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$338.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$269.15
Typical High
$363.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$363.08

Where Oregon 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.

Oregon· 4th of 51

$234

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.