Price Checker / CPT 99469

How much does Neonate Crit Care Subsq cost?

CPT 99469 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $800–$950.

Fair price

$800–$950

What this should cost

With insurance

~$1,450

Typical out-of-pocket

Overcharged if over

$1,200

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About Neonate Crit Care Subsq

CPT code 99469 refers to neonate crit care subsq (billing description: "Neonate crit care subsq"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $337 in a facility (hospital or surgery center) and $337 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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