Procedure price report · Consultation, evaluation, and preventative care

Newborn care in hospital or birth center, first day

CPT code CPT 99460the billing code this page is about

Covers the first day of evaluation and management of a healthy newborn in a hospital or birthing center, billed per day.

Hospitals typically charge $173 cash for this outpatient procedure — the median across 673 hospitals that filed a usable cash price; the average of the middle 60% is $182. Most fall between $113 and $274 (20th–80th percentile).

Hospitals
673
States
50
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 673 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$82$130$173$252$402

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($82 vs $402).

How the prices are spread

$63 – $78: 15 hospitals$63$78 – $95: 52 hospitals$95 – $117: 44 hospitals$95$117 – $144: 76 hospitals$144 – $177: 131 hospitals$144$177 – $217: 100 hospitals$217 – $267: 69 hospitals$217$267 – $327: 49 hospitals$327 – $402: 36 hospitals$327$402 – $494: 36 hospitals$402median $173price bands are equal on a log scale
Hospitals per price band (608 of 673 — the bands cover the 5th to 95th percentile)
FromToHospitals
$63$7815
$78$9552
$95$11744
$117$14476
$144$177131
$177$217100
$217$26769
$267$32749
$327$40236
$402$49436

Against Medicare

Medicare pays (OPPS 2026, national rate)$136
Median cash price$173
Cash as a multiple of Medicare1.27×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $173.

Alaska: median $378 across 11 hospitalsAK$378Maine: median $149 across 15 hospitalsME$149Vermont: median $174 across 11 hospitalsVT$174New Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $217 across 17 hospitalsWA$217Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $178 across 14 hospitalsMT$178North Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $227 across 44 hospitalsMN$227Illinois: median $152 across 18 hospitalsIL$152Wisconsin: median $268 across 37 hospitalsWI$268Michigan: median $130 across 36 hospitalsMI$130New York: median $183 across 56 hospitalsNY$183Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $170 across 20 hospitalsOR$170Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $173 across 41 hospitalsIA$173Indiana: median $104 across 25 hospitalsIN$104Ohio: median $206 across 19 hospitalsOH$206Pennsylvania: median $79 across 23 hospitalsPA$79New Jersey: median $143 across 12 hospitalsNJ$143Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $442 across 34 hospitalsCA$442Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $139 across 10 hospitalsCO$139Nebraska: median $176 across 20 hospitalsNE$176Missouri: median $134 across 18 hospitalsMO$134Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $108 across 13 hospitalsWV$108Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $197 across 24 hospitalsKS$197Arkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $173 across 15 hospitalsOK$173Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $170 across 12 hospitalsTX$170Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $173. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA34$442+156%$148 – $442
Alaska AK11$378+118%$314 – $545
Wisconsin WI37$268+55%$204 – $441
Minnesota MN44$227+31%$160 – $374
Washington WA17$217+25%$162 – $312
Ohio OH19$206+19%$106 – $499
Kansas KS24$197+14%$115 – $233
New York NY56$183+6%$149 – $999,999,999
Montana MT14$178+3%$137 – $248
Nebraska NE20$176+2%$132 – $198
Vermont VT11$1740%$119 – $208
Oklahoma OK15$1730%$173 – $173
Iowa IA41$1730%$161 – $222
Oregon OR20$170−2%$135 – $265
Texas TX12$170−2%$86 – $402
Illinois IL18$152−12%$79 – $263
Maine ME15$149−14%$63 – $248
New Jersey NJ12$143−18%$143 – $172
Colorado CO10$139−20%$119 – $209
Missouri MO18$134−22%$86 – $151
Michigan MI36$130−25%$111 – $183
West Virginia WV13$108−38%$93 – $226
Indiana IN25$104−40%$52 – $194
Pennsylvania PA23$79−54%$57 – $157
Kentucky KY9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $173.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care395$169$107 – $268
Children’s9fewer than 20 hospitals
Critical access269$196$123 – $288
Ownership
For-profit32$132$79 – $246
Government165$176$117 – $274
Non-profit476$173$114 – $284
System affiliation
Part of a system483$173$113 – $274
Independent190$183$113 – $275

Cash price vs list price

Median list price (chargemaster)$247
Median cash price$173
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

394 hospitals filed a usable inpatient cash price for this code. The median is $173 and the average of the middle 60% is $186; most fall between $119 and $268.

Cash price percentiles, inpatient, across 394 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$86$131$173$251$402

The most expensive tenth of hospitals charges at least 4.7× what the cheapest tenth charges ($86 vs $402).

Of the 423 hospitals that filed this code inpatient, 394 gave a usable cash price; 1 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

673 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 712 hospitals that filed this code at all gave us
Usable cash price — counted673
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded29
Hospitals that filed this code712

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as 1st Hosp/Birthing Center Care per Day Nml Nb.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Newborn care in hospital or birth center, first day (CPT 99460) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99460-newborn-care-in-hospital-or-birth-center-first-day