CPT 99291 Critical Care

How Much Does Critical care, first 30-74 minutes Cost?

Critical care, first 30-74 minutes (CPT 99291) costs $223 at Medicare rates. Hospital outpatient rate: $844.

Cost Comparison by Payer

How much Critical care, first 30-74 minutes costs across different settings and payers

Medicare
Facility rate
$223
Hospital Outpatient
OPPS rate
$844
Medicare (Facility)
$223
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$320
Non-facility setting
Hospital Outpatient
$844
OPPS rate

Critical care, first 30-74 minutes Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA* $299 $449 — $749
AL — ALABAMA $214 $320 — $534
AR — ARKANSAS $212 $317 — $529
AZ — ARIZONA $225 $338 — $563
AZ — Phoenix $228 $342 — $570
CA — BAKERSFIELD $230 $345 — $576
CA — CHICO $228 $343 — $571
CA — EL CENTRO $228 $343 — $571
CA — FRESNO $228 $343 — $571
CA — HANFORD-CORCORAN $228 $343 — $571
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $240 $360 — $600
CA — Los Angeles $244 $366 — $610
CA — MADERA $228 $343 — $571
CA — MERCED $228 $343 — $571
CA — MODESTO $228 $343 — $571
CA — NAPA $248 $372 — $619
CA — OXNARD-THOUSAND OAKS-VENTURA $237 $355 — $592
CA — REDDING $228 $343 — $571
CA — REST OF CALIFORNIA $228 $343 — $571
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $235 $353 — $588
CA — SACRAMENTO-ROSEVILLE-FOLSOM $235 $353 — $588
CA — SALINAS $234 $351 — $585
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $236 $354 — $591
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $257 $385 — $642
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) $260 $389 — $649

How to Reduce Your Cost for Critical care, first 30-74 minutes

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($320) differs from the facility rate ($223). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $188 to $299 depending on location. Commercial rates vary even more.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

4.50
Work RVU
1.75
Practice Expense RVU
0.64
Malpractice RVU

Payment = Total RVU () x CF ($33.40) = N/A

Frequently Asked Questions

How much does Critical care, first 30-74 minutes cost?

The Medicare facility rate for Critical care, first 30-74 minutes is $223. In a hospital outpatient setting, the rate is $844. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Critical care, first 30-74 minutes cost without insurance?

Without insurance, the cost of Critical care, first 30-74 minutes can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Critical care, first 30-74 minutes?

Most commercial health insurance plans and Medicare cover Critical care, first 30-74 minutes when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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