How Much Does Additional 30 Minutes of Critical Care Cost?
This code represents an additional 30 minutes of critical care services provided to a critically ill or injured patient. It is used when a patient requires constant physician attention and management of life-threatening organ system failure.
π‘ The doctor's Medicare fee is $101 β that's what the physician receives. Hospital/facility charges are separate.
What does Addl Critical Care (30 Min) cost where you live?
Prices vary by location. Pick your city to see local hospital prices.
Why do some cities cost 3β4Γ more than others?
Most of the difference is hospital pricing, not the medicine. The procedure itself is essentially the same everywhere β what changes is what the facility charges:
- Hospitals set their own prices. There's no national price for a procedure, so two hospitals β even in the same city β can charge wildly different amounts for identical care.
- Local costs differ. Wages, rent, and malpractice insurance are far higher in big metros (e.g. San Francisco, New York) than in smaller cities. Medicare adjusts the doctor's fee for this, but only modestly; hospital charges swing much more.
- Competition matters. In areas with few hospitals or one dominant health system, prices tend to run higher. Competitive markets push them down.
- Insurer contracts vary by region, which moves both the negotiated and cash prices.
π‘ Because the difference is mostly pricing power β not quality β it's worth comparing hospitals and asking for the cash/self-pay rate, which is often far below the list price.
Hospitals in
| Hospital | Median price | Range |
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Prices from the Hospital Price Transparency Act. Median = middle price across insurers at that hospital.
Common Questions
How much does Addl Critical Care (30 Min) cost?
Does Medicare cover Addl Critical Care (30 Min)?
How much does it cost without insurance?
Why is the price so different between hospitals?
Why does Addl Critical Care (30 Min) cost so much more in some cities than others?
What should I ask before scheduling?
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