Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Subsequent Intensive Care Infant 2501-5000 Grams
Low
$1
Average
$400
Median
$171
High
$50k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 697 hospitals; the 90th percentile is 5.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Lucile Salter Packard Children's Hospital At Stanford PALO ALTO, CA | $406 | $409 | $62 | 15% | 270 | $266 – $476 |
| 2 | Eisenhower Medical Center Rancho Mirage, CA | $157 | $158 | $46 | 29% | 156–192 | $116 – $261 |
| 3 | The University of Texas Medical Branch Galveston, TX | $112 | $120 | $24 | 20% | 153–162 | $86 – $169 |
| 4 | Mercy Hospitals East Communities Washington, MO | $136 | $128 | $40 | 31% | 14–41 | $39 – $184 |
| 5 | Mercy Hospital Southeast Girardeau, MO | $138 | $146 | $32 | 22% | 5–50 | $81 – $227 |
| 6 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $179 | $179 | — | — | — | $179 – $179 |
| 7 | Fairview Health Services Edina, MN | $242 | $272 | $201 | 74% | — | $80 – $964 |
| 8 | Mayo Regional Hospital Dover Foxcroft, ME | $109 | $146 | $43 | 29% | — | $107 – $215 |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL | $85 | $91 | $8 | 9% | — | $85 – $103 |
| 10 | Deaconess Hospital, Inc Newburgh, IN | $108 | $125 | $33 | 27% | — | $79 – $186 |
Ask Claude or any MCP client for CPT 99480 pricing at a specific hospital — see how to connect.