Price Checker / CPT 99468
How much does Neonate Crit Care Initial cost?
CPT 99468 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 45x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,500–$1,800
What this should cost
With insurance
~$2,050
Typical out-of-pocket
Overcharged if over
$2,250
Push back above this
The average hospital charge of $74,558 is $72,908 over the fair price (about 45x the fair rate).
What hospitals charge for Neonate Crit Care Initial
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Cameron Memorial Community Hospital Angola, IN | $1,663 | — | 40230% |
| Denver Health Medical Center Denver, CO | — | — | 18839% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Neonate Crit Care Initial
CPT code 99468 refers to neonate crit care initial (billing description: "Neonate crit care initial"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $779 in a facility (hospital or surgery center) and $779 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.