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Ongoing Daily Care For A Very Low Birth Weight Newborn

Virginia 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?

$141

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $166 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$135$120 to $174
FacilityA hospital or hospital-owned outpatient department$166$141 to $204

How much rates vary

Facilitymedian $166 · 10th to 90th $126 to $257Professionalmedian $135 · 10th to 90th $107 to $240
$100.0$200.0$500.0$1.0Kfacility $166professional $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
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$288.40
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$239.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$245.47
Medcost
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Sentara
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$257.04
Sentara
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$245.47

Where Virginia 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.

Virginia $141 · 22nd 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.