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Procedure price report · Consultation, evaluation, and preventative care

Infant intensive care day, under 1,500 grams

CPT 99478the billing code this page is about

Covers one later day of intensive hospital care for a recovering infant whose current weight is less than about 3 pounds 5 ounces.

Hospitals typically charge $246 cash for this outpatient procedure — the median across 255 hospitals that filed a usable cash price; the average of the middle 60% is $254. Most fall between $147 and $438 (20th–80th percentile).

Hospitals
255
States
44
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 255 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
$89$173$246$395$713

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($89 vs $713).

How the prices are spread

$70 – $91: 15 hospitals$70$91 – $118: 11 hospitals$118 – $154: 15 hospitals$118$154 – $200: 43 hospitals$200 – $260: 59 hospitals$200$260 – $338: 25 hospitals$338 – $439: 24 hospitals$338$439 – $571: 9 hospitals$571 – $742: 18 hospitals$571$742 – $964: 15 hospitals$742median $246price bands are equal on a log scale
Hospitals per price band (234 of 255 — the bands cover the 5th to 95th percentile)
FromToHospitals
$70$9115
$91$11811
$118$15415
$154$20043
$200$26059
$260$33825
$338$43924
$439$5719
$571$74218
$742$96415

By state

The median cash price in each state, against the national median of $246.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $734 across 18 hospitalsMN$734Illinois: median $188 across 12 hospitalsIL$188Wisconsin: median $616 across 21 hospitalsWI$616Michigan: median $249 across 27 hospitalsMI$249New York: median $226 across 16 hospitalsNY$226Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $248 across 16 hospitalsIA$248Indiana: median $169 across 15 hospitalsIN$169Ohio: median $436 across 11 hospitalsOH$436Pennsylvania: median $85 across 12 hospitalsPA$85New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 7 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $182 across 11 hospitalsOK$182Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 4 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 $246. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN18$734+199%$335 – $964
Wisconsin WI21$616+150%$616 – $1,310
Ohio OH11$436+77%$205 – $787
Michigan MI27$249+1%$158 – $249
Iowa IA16$248+1%$248 – $321
New York NY16$226−8%$125 – $405
Illinois IL12$188−24%$179 – $242
Oklahoma OK11$182−26%$182 – $182
Indiana IN15$169−31%$81 – $179
Pennsylvania PA12$85−65%$81 – $137
California CA7not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Jersey NJ1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
West Virginia WV1not 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 $246.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care194$239$133 – $395
Children’s9fewer than 20 hospitals
Critical access52$299$179 – $616
Ownership
For-profit16fewer than 20 hospitals
Government40$231$144 – $395
Non-profit199$248$158 – $583
System affiliation
Part of a system194$239$136 – $616
Independent61$259$169 – $405

Cash price vs list price

Median list price (chargemaster)$396
Median cash price$246
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

168 hospitals filed a usable inpatient cash price for this code. The median is $245 and the average of the middle 60% is $249; most fall between $175 and $398.

Cash price percentiles, inpatient, across 168 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
$135$179$245$344$616

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($135 vs $616).

Of the 180 hospitals that filed this code inpatient, 168 gave a usable cash price; 0 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

255 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 266 hospitals that filed this code at all gave us
Usable cash price — counted255
Cash price carrying a plausibility flag — shown on the compare tool, excluded here6
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 — excluded5
Hospitals that filed this code266

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 Subsequent Intensive Care Infant < 1500 Grams.

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, “Infant intensive care day, under 1,500 grams (CPT 99478) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99478-infant-intensive-care-day-under-1-500-grams