{"procedure":{"code_type":"CPT","code":"99478","lay_name":"Infant intensive care day, under 1,500 grams","blurb":"Covers one later day of intensive hospital care for a recovering infant whose current weight is less than about 3 pounds 5 ounces.","slug":"cpt-99478-infant-intensive-care-day-under-1-500-grams","description":"Subsequent Intensive Care Infant < 1500 Grams","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"227","label":"Consultation, evaluation, and preventative care","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-01-24","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:26:25.308434Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":266,"n_usable":255,"n_not_usable":0,"n_labelled":6,"n_no_cash":5,"n_estimated":0,"n_states":44,"cash_p10":88.72,"cash_p20":146.65,"cash_p25":173.4,"cash_p50":246.0,"cash_p75":395.0,"cash_p80":437.85,"cash_p90":712.86,"cash_mean_trimmed":253.61,"gross_p50":396.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":7,"p20":null,"p50":null,"p80":null},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":248.0,"p50":248.0,"p80":320.84},{"state":"ID","n":2,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":178.85,"p50":187.94,"p80":242.4},{"state":"IN","n":15,"p20":81.0,"p50":168.7,"p80":178.85},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":27,"p20":157.5,"p50":248.5,"p80":248.5},{"state":"MN","n":18,"p20":334.79,"p50":734.32,"p80":964.48},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":16,"p20":125.22,"p50":225.5,"p80":405.0},{"state":"OH","n":11,"p20":205.2,"p50":436.05,"p80":786.5},{"state":"OK","n":11,"p20":182.0,"p50":182.0,"p80":182.0},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":12,"p20":81.18,"p50":84.87,"p80":137.31},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":2,"p20":null,"p50":null,"p80":null},{"state":"TX","n":5,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":21,"p20":616.2,"p50":616.2,"p80":1310.4},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":4,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":194,"p20":132.6,"p50":238.55,"p80":395.0},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":52,"p20":178.85,"p50":299.0,"p80":616.2}],"ownership":[{"key":"for_profit","n":16,"p20":null,"p50":null,"p80":null},{"key":"government","n":40,"p20":144.41,"p50":231.2,"p80":394.8},{"key":"nonprofit","n":199,"p20":157.5,"p50":248.0,"p80":583.24}],"affiliation":[{"key":"affiliated","n":194,"p20":135.6,"p50":239.2,"p80":616.2},{"key":"independent","n":61,"p20":168.7,"p50":259.0,"p80":405.0}]},"histogram":[{"lo":70.11,"hi":91.12,"n":15},{"lo":91.12,"hi":118.44,"n":11},{"lo":118.44,"hi":153.93,"n":15},{"lo":153.93,"hi":200.07,"n":43},{"lo":200.07,"hi":260.04,"n":59},{"lo":260.04,"hi":337.98,"n":25},{"lo":337.98,"hi":439.28,"n":24},{"lo":439.28,"hi":570.94,"n":9},{"lo":570.94,"hi":742.06,"n":18},{"lo":742.06,"hi":964.48,"n":15}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2025-08-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:26:25.308434Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":180,"n_usable":168,"n_not_usable":0,"n_labelled":0,"n_no_cash":12,"n_estimated":0,"n_states":39,"cash_p10":135.0,"cash_p20":174.65,"cash_p25":178.85,"cash_p50":244.76,"cash_p75":343.7,"cash_p80":398.0,"cash_p90":616.2,"cash_mean_trimmed":249.31,"gross_p50":403.85,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":1,"p20":null,"p50":null,"p80":null},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":248.0,"p50":248.0,"p80":279.6},{"state":"ID","n":2,"p20":null,"p50":null,"p80":null},{"state":"IL","n":16,"p20":178.85,"p50":217.0,"p80":251.4},{"state":"IN","n":13,"p20":117.0,"p50":178.85,"p80":203.04},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":231.2,"p50":231.2,"p80":616.2},{"state":"MN","n":6,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":12,"p20":130.12,"p50":320.0,"p80":405.0},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":182.0,"p50":182.0,"p80":182.0},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":4,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":14,"p20":616.2,"p50":616.2,"p80":616.2},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":134,"p20":173.4,"p50":238.55,"p80":360.74},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":29,"p20":178.85,"p50":279.6,"p80":616.2}],"ownership":[{"key":"for_profit","n":16,"p20":null,"p50":null,"p80":null},{"key":"government","n":20,"p20":155.4,"p50":231.2,"p80":398.0},{"key":"nonprofit","n":132,"p20":178.85,"p50":248.0,"p80":414.9}],"affiliation":[{"key":"affiliated","n":131,"p20":178.08,"p50":242.4,"p80":398.0},{"key":"independent","n":37,"p20":170.0,"p50":259.0,"p80":404.25}]},"histogram":[{"lo":98.7,"hi":118.54,"n":4},{"lo":118.54,"hi":142.36,"n":10},{"lo":142.36,"hi":170.98,"n":7},{"lo":170.98,"hi":205.34,"n":34},{"lo":205.34,"hi":246.61,"n":24},{"lo":246.61,"hi":296.18,"n":26},{"lo":296.18,"hi":355.71,"n":14},{"lo":355.71,"hi":427.21,"n":13},{"lo":427.21,"hi":513.08,"n":9},{"lo":513.08,"hi":616.2,"n":16}],"previous":null}},"related":[{"code_type":"CPT","code":"99283","lay_name":"Emergency room visit, level 3 of 5","slug":"cpt-99283-emergency-room-visit-level-3-of-5"},{"code_type":"CPT","code":"99284","lay_name":"Emergency room visit, level 4 of 5","slug":"cpt-99284-emergency-room-visit-level-4-of-5"},{"code_type":"CPT","code":"99282","lay_name":"Emergency room visit, level 2 of 5","slug":"cpt-99282-emergency-room-visit-level-2-of-5"},{"code_type":"CPT","code":"99285","lay_name":"Emergency room visit, highest level","slug":"cpt-99285-emergency-room-visit-highest-level"},{"code_type":"CPT","code":"99281","lay_name":"Emergency room visit, lowest level","slug":"cpt-99281-emergency-room-visit-lowest-level"},{"code_type":"CPT","code":"99291","lay_name":"Critical care, first 30 to 74 minutes","slug":"cpt-99291-critical-care-first-30-to-74-minutes"},{"code_type":"CPT","code":"99292","lay_name":"Critical care, each additional 30 minutes","slug":"cpt-99292-critical-care-each-additional-30-minutes"},{"code_type":"CPT","code":"99211","lay_name":"Brief office visit for an existing patient (level 1)","slug":"cpt-99211-brief-office-visit-for-an-existing-patient-level-1"},{"code_type":"CPT","code":"99213","lay_name":"Office visit for an existing patient, moderate level","slug":"cpt-99213-office-visit-for-an-existing-patient-moderate-level"},{"code_type":"CPT","code":"99212","lay_name":"Short office visit for an existing patient","slug":"cpt-99212-short-office-visit-for-an-existing-patient"},{"code_type":"CPT","code":"99214","lay_name":"Office visit, established patient, moderate complexity","slug":"cpt-99214-office-visit-established-patient-moderate-complexity"},{"code_type":"CPT","code":"99215","lay_name":"Office visit, established patient, high complexity","slug":"cpt-99215-office-visit-established-patient-high-complexity"}]}