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Procedure price report · Consultation, evaluation, and preventative care

Newborn care when admitted and discharged the same day

CPT 99463the billing code this page is about

Covers evaluation and management of a healthy newborn in a hospital or birthing center when admission and discharge happen on the same date.

Hospitals typically charge $205 cash for this outpatient procedure — the median across 584 hospitals that filed a usable cash price; the average of the middle 60% is $214. Most fall between $132 and $321 (20th–80th percentile).

Hospitals
584
States
49
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 584 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
$99$143$205$297$442

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($99 vs $442).

How the prices are spread

$79 – $95: 27 hospitals$79$95 – $115: 40 hospitals$115 – $139: 36 hospitals$115$139 – $168: 62 hospitals$168 – $203: 94 hospitals$168$203 – $245: 84 hospitals$245 – $295: 64 hospitals$245$295 – $357: 54 hospitals$357 – $431: 23 hospitals$357$431 – $520: 44 hospitals$431median $205price bands are equal on a log scale
Hospitals per price band (528 of 584 — the bands cover the 5th to 95th percentile)
FromToHospitals
$79$9527
$95$11540
$115$13936
$139$16862
$168$20394
$203$24584
$245$29564
$295$35754
$357$43123
$431$52044

Against Medicare

Medicare pays (OPPS 2026, national rate)$136
Median cash price$205
Cash as a multiple of Medicare1.51×

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 $205.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $191 across 12 hospitalsME$191Vermont: median $164 across 10 hospitalsVT$164New Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $244 across 15 hospitalsWA$244Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $243 across 11 hospitalsMT$243North Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $273 across 40 hospitalsMN$273Illinois: median $177 across 17 hospitalsIL$177Wisconsin: median $297 across 35 hospitalsWI$297Michigan: median $183 across 35 hospitalsMI$183New York: median $194 across 53 hospitalsNY$194Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $230 across 22 hospitalsOR$230Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $199 across 32 hospitalsIA$199Indiana: median $105 across 22 hospitalsIN$105Ohio: median $254 across 16 hospitalsOH$254Pennsylvania: median $78 across 16 hospitalsPA$78New Jersey: median $143 across 11 hospitalsNJ$143Connecticut: 1 hospital 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 33 hospitalsCA$442Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $203 across 12 hospitalsNE$203Missouri: median $126 across 16 hospitalsMO$126Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $111 across 10 hospitalsWV$111Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 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 $169 across 20 hospitalsKS$169Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $202 across 15 hospitalsOK$202Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $231 across 11 hospitalsTX$231Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $205. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA33$442+116%$126 – $442
Wisconsin WI35$297+45%$238 – $512
Minnesota MN40$273+33%$181 – $411
Ohio OH16$254+24%$149 – $554
Washington WA15$244+19%$188 – $337
Montana MT11$243+19%$163 – $287
Texas TX11$231+12%$107 – $351
Oregon OR22$230+12%$195 – $304
Nebraska NE12$203−1%$130 – $228
Oklahoma OK15$202−1%$202 – $210
Iowa IA32$199−3%$192 – $237
New York NY53$194−6%$153 – $999,999,999
Maine ME12$191−7%$85 – $481
Michigan MI35$183−11%$108 – $251
Illinois IL17$177−14%$94 – $319
Kansas KS20$169−17%$127 – $225
Vermont VT10$164−20%$142 – $265
New Jersey NJ11$143−30%$143 – $152
Missouri MO16$126−39%$91 – $161
West Virginia WV10$111−46%$108 – $263
Indiana IN22$105−49%$60 – $236
Pennsylvania PA16$78−62%$66 – $167
Alaska AK9not enough hospitals filed a usable price
Colorado CO9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not 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 $205.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care357$197$128 – $307
Children’s9fewer than 20 hospitals
Critical access218$230$140 – $332
Ownership
For-profit33$196$94 – $297
Government133$207$140 – $298
Non-profit418$205$132 – $338
System affiliation
Part of a system416$202$126 – $321
Independent168$221$140 – $319

Cash price vs list price

Median list price (chargemaster)$300
Median cash price$205
Cash as a share of list, median hospital69%

At the typical hospital, asking for the cash price cuts the list price by about 31%. 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

328 hospitals filed a usable inpatient cash price for this code. The median is $206 and the average of the middle 60% is $220; most fall between $127 and $307.

Cash price percentiles, inpatient, across 328 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
$94$146$206$297$442

The most expensive tenth of hospitals charges at least 4.7× what the cheapest tenth charges ($94 vs $442).

Of the 347 hospitals that filed this code inpatient, 328 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 18 a list price only.

How complete is this

584 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 609 hospitals that filed this code at all gave us
Usable cash price — counted584
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
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 — excluded18
Hospitals that filed this code609

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.

Related procedures

Part of the Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as 1st Hosp/Birthing Center Nb Admit & Dschg Sm Dat.

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 when admitted and discharged the same day (CPT 99463) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99463-newborn-care-when-admitted-and-discharged-the-same-day