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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 October 2026.

How much does Ongoing Daily Care For A Very Low Birth Weight Newborn cost?

$145

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $174 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$126 to $162
FacilityA hospital or hospital-owned outpatient department$174$135 to $309

How much rates vary

Facilitymedian $174 · 10th to 90th $102 to $10,233Professionalmedian $145 · 10th to 90th $115 to $182
$100$200$500$1K$2K$5K$10Kfacility $174professional $145

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$134.90
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$147.91
Typical High
$173.78
CareFirst
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$151.36
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$125.89
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$186.21
Medcost
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$177.83
Typical High
$208.93
Medcost
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Medcost
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$707.95
Typical High
$794.33
Sentara
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$177.83
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$154.88
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$125.89
Typical High
$218.78

Where Virginia sits

The same service costs 2.9 times more in Alaska than in New York. 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.

Virginia· 31st of 51

$145

AK $324NY $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.