The Midtown Tunnel carries U.S. Route 58 across the Southern Branch of the Elizabeth River in the South Hampton Roads area of Virginia, US.

Owned by the Virginia Department of Transportation (VDOT), it is operated and maintained by Elizabeth River Crossings under a 58-year public–private partnership concession agreement.

Formerly a toll-free facility, open road tolling was implemented on February 1, 2014 by VDOT to help finance repairs and expansion to the tunnel.

This analysis concluded that the development and enhancements of the Midtown Tunnel and MLK Freeway Extension projects could be financially feasible if tolls were also collected to supplement inadequate public funds.

Under the agreement VDOT retained ownership and oversight of the tunnels, however ERC will finance, build, operate and maintain the facilities for a 58-year concession period.

ERC will also assume risk of delivering the project on a performance-based, fixed-price, fixed-date contract, protecting users and taxpayers from cost overruns and delays.

[3][4] Funding is expected from tolls, private equity, contributions from the Commonwealth and a low-interest Federal Highway Administration loan.

The tunnel's 11 concrete elements were towed down the Chesapeake Bay to the Project site in Portsmouth for immersion and placement under the Elizabeth River.

This also gave time for a civil lawsuit to work its way to the Virginia Supreme Court who ruled on the case in November 2013, allowing tolling to begin in February 2014.