go back

Ongoing Daily Care For A Very Low Birth Weight Newborn

South 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?

$182

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $123 to $269.

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.

How much rates vary

Facilitymedian $195 · 10th to 90th $123 to $282Professionalmedian $182 · 10th to 90th $117 to $437
$100.0$200.0$500.0$1.0Kfacility $195professional $182

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
Professional
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$316.23
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$281.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$281.84
Typical High
$281.84

Where South Dakota 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.

South Dakota $182 · 5th 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.