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Daily Hospital Care For A Recovering Newborn, Heavier

South Dakota rates for HCPCS 99480

A doctor provides a day of ongoing hospital care and monitoring for a newborn who still needs close attention but is no longer critically ill. Which level of this daily care applies is set by what the baby weighs on the day of care rather than by the weight at birth, and this level covers the heaviest of those weight bands. It is charged for each day this level of care continues to be needed.

Facilitymedian $170 · 10th–90th $107$2450%10%10th90th$170Professionalmedian $158 · 10th–90th $87$3160%10%10th90th$158$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$316.23
Avera
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$229.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$269.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$245.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$239.88