Level 1 ER visit cost in Virginia Beach, VA
In Virginia Beach-Chesapeake-Norfolk, VA-NC, 12 hospitals list a cash price for emergency room visit, level 1 of 5, minor problem that may not need a doctor: from $97.50 to $489.92, with a median of $130.00. The lowest listed price is at Riverside Smithfield Hospital — $32.50 less than the median here. Across Virginia, the median is $188.00 at 66 hospitals.
- The median here, $130.00, is 42% below the US median of $222.62.
- That is 1.5× Medicare's 2026 national rate for the same service ($86.15).
- Virginia Beach, VA has the lowest median of 2 metro areas in Virginia with at least 10 hospitals pricing this code.
- Every hospital here lists a cash price below its full list price.
Cash prices at 12 facilities across 8 cities for code 99281, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 16, 2026; the hospital files themselves were last updated between Mar 11, 2026 and Jul 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Virginia Beach-Chesapeake-Norfolk, VA-NC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Riverside Smithfield Hospital lowest Smithfield, VA Nursing Visit Level 1 File of Mar 11, 2026 · source file | $97.50 | $195.00 | — | 50% |
| Sentara Careplex Hospital Hampton, VA · (757) 827-2545 Chg Level I - L&D Er Dept Visit+1 more line at this price File of Apr 1, 2026 · source file | $130.00 | $260.00 | — | 50% |
| Sentara Norfolk General Hospital Norfolk, VA · (757) 388-3000 Level I - Er Dept Visit+1 more line at this price File of Apr 1, 2026 · source file | $130.00 | $260.00 | — | 50% |
| Sentara Princess Anne Hospital Virginia Beach, VA · (757) 507-1520 Chg Level I - L&D Er Dept Visit+1 more line at this price File of Apr 1, 2026 · source file | $130.00 | $260.00 | — | 50% |
| Sentara Virginia Beach General Hospital Virginia Beach, VA · (757) 395-8000 Level I - Er Dept Visit+1 more line at this price File of Apr 1, 2026 · source file | $130.00 | $260.00 | — | 50% |
| Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Level I - Er Dept Visit+1 more line at this price File of Apr 1, 2026 · source file | $130.00 | $260.00 | — | 50% |
| Hospital for Extended Recovery Norfolk, VA · (757) 388-3000 Chg Level I - L&D Er Dept Visit+1 more line at this price File of Apr 1, 2026 · source file | $130.00 | $260.00 | — | 50% |
| Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 HC ER Level 1 File of Apr 1, 2026 · source file | $152.40 | $254.00 | — | 40% |
| Mary Immaculate Hospital Newport News, VA · (757) 886-6000 HC ER Level 1 File of Apr 1, 2026 · source file | $152.40 | $254.00 | — | 40% |
| Bon Secours Harbour View Medical Center Suffolk, VA · (757) 673-5917 HC ER Level 1 File of Apr 1, 2026 · source file | $152.40 | $254.00 | — | 40% |
| Riverside Smithfield Hospital Smithfield, VA Emerg Dept-Brief-Level1 File of Mar 11, 2026 · source file | $296.63 | $593.25 | — | 50% |
| Chesapeake General Hospital Chesapeake, VA · (757) 312-8121 Hc Ob Er Level 1+1 more line at this price File of Jul 1, 2026 · source file | $304.50 | $507.50 | — | 40% |
| Mary Immaculate Hospital Newport News, VA · (757) 886-6000 HC OB ER Level 1 File of Apr 1, 2026 · source file | $432.00 | $720.00 | — | 40% |
| Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 LEVEL 1-FOLLOWUP File of Mar 17, 2026 · source file | $489.92 | $544.36 | $125.20–$517.14 | 10% |
Outpatient: lowest $97.50, median $130.00, highest $489.92 — a 5.0× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $130.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What level 1 ER visit is, what the price covers and why prices differ: Level 1 ER visit explained.