CPT 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

CPT 99477 pays $295.26 in a non-facility setting and $295.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $281.66 in Arkansas to $408.78 in Alaska, a 45% spread.

National non-facility rate

$295.26

Office and other outpatient settings

Facility rate
$295.26

Hospital and ASC settings

Highest state
$408.78

Alaska

Lowest state
$281.66

Arkansas · 45% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $295.26
CPT 99477 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $295.26, national facility $295.26.
StateRate compared visuallyNon-facilityFacility
Alaska
$408.78$408.78
District of Columbia
$317.90$317.90
New York
$316.96$316.96
New Jersey
$314.42$314.42
Florida
$309.02$309.02
Illinois
$307.58$307.58
Connecticut
$306.58$306.58
Washington
$306.19$306.19
California
$305.70$305.70
Massachusetts
$305.50$305.50
Maryland
$301.42$301.42
Rhode Island
$299.71$299.71
Michigan
$298.24$298.24
Colorado
$297.94$297.94
Pennsylvania
$297.39$297.39
Georgia
$296.27$296.27
Oregon
$295.68$295.68
Hawaii
$295.67$295.67
Puerto Rico
$295.57$295.57
Virgin Islands
$295.57$295.57
New Hampshire
$295.40$295.40
West Virginia
$295.28$295.28
Montana
$295.24$295.24
Texas
$294.80$294.80
Delaware
$294.42$294.42
New Mexico
$294.24$294.24
Nevada
$292.91$292.91
Louisiana
$291.84$291.84
Arizona
$291.74$291.74
Wyoming
$291.53$291.53
Ohio
$291.28$291.28
Missouri
$291.16$291.16
Utah
$290.97$290.97
Virginia
$290.24$290.24
South Carolina
$289.53$289.53
Kentucky
$288.82$288.82
Maine
$287.80$287.80
Vermont
$287.70$287.70
Oklahoma
$287.02$287.02
North Carolina
$286.92$286.92
North Dakota
$286.73$286.73
Minnesota
$286.52$286.52
South Dakota
$285.73$285.73
Mississippi
$284.97$284.97
Indiana
$284.44$284.44
Tennessee
$284.33$284.33
Idaho
$283.93$283.93
Kansas
$283.62$283.62
Wisconsin
$283.35$283.35
Alabama
$283.14$283.14
Nebraska
$282.70$282.70
Iowa
$282.60$282.60
Arkansas
$281.66$281.66

Billed by 1 specialties

Commercial rates for 99477

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates