HRHospitalRates.comCompare prices

Procedure price report · Consultation, evaluation, and preventative care

Newborn intensive observation care, first day

CPT 99477the billing code this page is about

Covers the first day of hospital care for a baby 28 days old or younger who needs intensive monitoring and treatment but is not critically ill.

Hospitals typically charge $630 cash for this outpatient procedure — the median across 392 hospitals that filed a usable cash price; the average of the middle 60% is $658. Most fall between $368 and $1,026 (20th–80th percentile).

Hospitals
392
States
49
Filings dated
Jan 2024 – 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 392 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
$280$421$630$906$1,569

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($280 vs $1,569).

How the prices are spread

$204 – $257: 15 hospitals$204$257 – $323: 13 hospitals$323 – $405: 45 hospitals$323$405 – $509: 32 hospitals$509 – $640: 89 hospitals$509$640 – $804: 49 hospitals$804 – $1,010: 44 hospitals$804$1,010 – $1,268: 25 hospitals$1,268 – $1,594: 24 hospitals$1,268$1,594 – $2,002: 18 hospitals$1,594median $630price bands are equal on a log scale
Hospitals per price band (354 of 392 — the bands cover the 5th to 95th percentile)
FromToHospitals
$204$25715
$257$32313
$323$40545
$405$50932
$509$64089
$640$80449
$804$1,01044
$1,010$1,26825
$1,268$1,59424
$1,594$2,00218

By state

The median cash price in each state, against the national median of $630.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $265 across 10 hospitalsME$265Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $688 across 10 hospitalsWA$688Idaho: 3 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $852 across 27 hospitalsMN$852Illinois: median $558 across 13 hospitalsIL$558Wisconsin: median $1,569 across 32 hospitalsWI$1,569Michigan: median $622 across 33 hospitalsMI$622New York: median $799 across 26 hospitalsNY$799Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $608 across 11 hospitalsOR$608Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $630 across 21 hospitalsIA$630Indiana: median $357 across 20 hospitalsIN$357Ohio: median $798 across 14 hospitalsOH$798Pennsylvania: median $217 across 12 hospitalsPA$217New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: 2 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 $368 across 12 hospitalsCA$368Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $650 across 10 hospitalsNE$650Missouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $632 across 10 hospitalsOK$632Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $630. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI32$1,569+149%$744 – $2,488
Minnesota MN27$852+35%$680 – $1,830
New York NY26$799+27%$374 – $1,370
Ohio OH14$798+27%$520 – $2,002
Washington WA10$688+9%$582 – $844
Nebraska NE10$650+3%$639 – $944
Oklahoma OK10$6320%$632 – $632
Iowa IA21$6300%$630 – $878
Michigan MI33$622−1%$333 – $878
Oregon OR11$608−3%$608 – $950
Illinois IL13$558−11%$357 – $850
California CA12$368−42%$157 – $1,012
Indiana IN20$357−43%$227 – $520
Maine ME10$265−58%$184 – $629
Pennsylvania PA12$217−66%$207 – $350
Vermont VT9not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Jersey NJ1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $630.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care253$622$354 – $911
Children’s9fewer than 20 hospitals
Critical access129$698$389 – $1,569
Ownership
For-profit22$357$227 – $844
Government75$640$421 – $1,037
Non-profit294$630$368 – $1,059
System affiliation
Part of a system285$630$357 – $1,010
Independent107$688$429 – $1,050

Cash price vs list price

Median list price (chargemaster)$942
Median cash price$630
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

245 hospitals filed a usable inpatient cash price for this code. The median is $632 and the average of the middle 60% is $662; most fall between $412 and $964.

Cash price percentiles, inpatient, across 245 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
$341$441$632$878$1,278

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($341 vs $1,278).

Of the 262 hospitals that filed this code inpatient, 245 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 16 a list price only.

How complete is this

392 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 407 hospitals that filed this code at all gave us
Usable cash price — counted392
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 — excluded8
Hospitals that filed this code407

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Initial Hosp Neonate 28 D/< Not Critically Ill.

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 intensive observation care, first day (CPT 99477) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99477-newborn-intensive-observation-care-first-day