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Daily Hospital Care For A Recovering Newborn, Heavier

Texas 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.

Rates data updated July 2026.

How much does Daily Hospital Care For A Recovering Newborn, Heavier cost?

$110

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $141 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 13 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$110$95.50 to $135
FacilityA hospital or hospital-owned outpatient department$141$110 to $182

How much rates vary

Facilitymedian $141 · 10th to 90th $95 to $257Professionalmedian $110 · 10th to 90th $91 to $245
$100$200$500$1Kfacility $141professional $110

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
Facility
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$117.49
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$251.19
Christus
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$257.04
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$1,071.52
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$251.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$125.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$229.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$251.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$138.04

Where Texas sits

The same service costs 2.5 times more in Minnesota than in Alabama. 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.

Texas· 49th of 51

$110

MN $257AL $102

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.