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Ongoing Daily Care For A Very Low Birth Weight Newborn

Vermont 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?

$162

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $135 to $191.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $162 · 10th to 90th $135 to $234
$100$200professional $162

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
Professional
Modifier
None
Typical Low
$112.20
Median
$134.90
Typical High
$177.83
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$186.21
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$177.83
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$190.55
Typical High
$251.19

Where Vermont 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.

Vermont· 19th of 51

$162

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.