Doctor visits and therapy CPT 99291 Outpatient

Critical care (first hour) cost in Virginia Beach, VA

In Virginia Beach-Chesapeake-Norfolk, VA-NC, 12 hospitals list a cash price for critical care, first 30 to 74 minutes: from $297.90 to $3,463.66, with a median of $2,661.00. The lowest listed price is at Children's Hospital of the King's Daughters — $2,363.10 less than the median here. Across Virginia, the median is $2,535.00 at 66 hospitals.

The median here, $2,661.00, is 32% above the US median of $2,019.93.
That is 3.2× Medicare's 2026 national rate for the same service ($843.92).
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 99291, 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.

Lowest$297.90Children's Hospital of the King's Daughters

Median$2,661.00half of hospitals charge less

Highest$3,463.66in this market

Difference11.6×highest vs lowest

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.

median

Lowest $297.90Highest $7,963.66

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Children's Hospital of the King's Daughters lowest Norfolk, VA · (757) 668-9647 PR CRITICAL CARE ILL/INJUR* File of Mar 17, 2026 · source file	$297.90	$331.00	$134.26–$314.45	10%
Bon Secours Harbour View Medical Center Suffolk, VA · (757) 673-5917 HC E/M Crit Care,ER, 1st 30-74min File of Apr 1, 2026 · source file	$1,337.40	$2,229.00	—	40%
Mary Immaculate Hospital Newport News, VA · (757) 886-6000 HC E/M Crit Care,ER, 1st 30-74min File of Apr 1, 2026 · source file	$1,337.40	$2,229.00	—	40%
Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 HC E/M Crit Care,ER, 1st 30-74min File of Apr 1, 2026 · source file	$1,337.40	$2,229.00	—	40%
Riverside Smithfield Hospital Smithfield, VA Critical Care 1st 30-74 Min File of Mar 11, 2026 · source file	$2,275.00	$4,550.00	—	50%
Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Ed Critical Care 30-74 Minutes File of Apr 1, 2026 · source file	$2,661.00	$5,322.00	—	50%
Sentara Virginia Beach General Hospital Virginia Beach, VA · (757) 395-8000 Ed Critical Care 30-74 Minutes File of Apr 1, 2026 · source file	$2,661.00	$5,322.00	—	50%
Hospital for Extended Recovery Norfolk, VA · (757) 388-3000 Ed Critical Care 30-74 Minutes File of Apr 1, 2026 · source file	$2,661.00	$5,322.00	—	50%
Sentara Norfolk General Hospital Norfolk, VA · (757) 388-3000 Ed Critical Care 30-74 Minutes File of Apr 1, 2026 · source file	$2,661.00	$5,322.00	—	50%
Sentara Careplex Hospital Hampton, VA · (757) 827-2545 Ed Critical Care 30-74 Minutes File of Apr 1, 2026 · source file	$2,661.00	$5,322.00	—	50%
Sentara Princess Anne Hospital Virginia Beach, VA · (757) 507-1520 Ed Critical Care 30-74 Minutes File of Apr 1, 2026 · source file	$2,661.00	$5,322.00	—	50%
Chesapeake General Hospital Chesapeake, VA · (757) 312-8121 Hc E/M Crit Care,Er, 1St 30-74Min File of Jul 1, 2026 · source file	$3,463.66	$5,772.76	—	40%
Chesapeake General Hospital Chesapeake, VA · (757) 312-8121 Hc Critical Care W/ Trauma Evaluation File of Jul 1, 2026 · source file	$7,963.66	$13,272.76	—	40%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Outpatient: lowest $297.90, median $2,661.00, highest $3,463.66 — a 11.6× difference within the same market.

As an inpatient, the same code is billed by 11 facilities here, median $2,661.00. 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 critical care (first hour) is, what the price covers and why prices differ: Critical care (first hour) explained.

3 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 99291 ($1,874.40). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Hospital	Cash price	File
Children's Hospital of the King's Daughters Norfolk, VACRITCL CARE,E/M 30-74MIN	$52.10	file
Children's Hospital of the King's Daughters Norfolk, VACRITICAL CARE E/M30-74M	$52.10	file
Children's Hospital of the King's Daughters Norfolk, VALEVEL 6-CRITICAL VISIT	$155.58	file

File Link to the hospital's own price file.