Non-Emergency Ambulance Transportation
(Must meet medical necessity criteria)
Hospital To Hospital
Hospital To Nursing Home or Personal Care Home
Hospital To Home
Kidney Dialysis
Home To Hospital (Outpatient or Inpatient Procedures)
Any Transport Meeting Medical Necessity Criteria
Non-Emergency Ambulance Transport Costs
Basic Life Support (BLS) Transport $500.00
Advanced Life Support (ALS) Transport $800.00
Specialty Care Transport $1040.00
Oxygen $60.00
Loaded Mileage $10.50 per mile
*Note: All fees are billed to individual medical
insurance/Medicare.
Emergency Ambulance Transports
The following fees apply to emergency calls/transports only.
Basic Life Support (BLS) $550.00
Advanced Life Support 1 (ALS) $830.00
Advanced Life Support 2 (ALS) $950.00 (usually life threatening
emergencies)
*Note: All fees are billed to individual medical
insurance/Medicare
Wheel Chair Van Transports
Provided to those who do not meet medical necessity criteria for
ambulance transportation or do not require transport by ambulance.
The wheel chair van is utilized for Doctor's office visits or
other medical appointments.
Wheel Chair Van Costs
Subscriber Single Trip $30.00 (one way)
Mileage Fee $1.50 after 10 miles
Non-Subscriber
Single Trip $40.00 (one way)
Mileage Fee $2.50 after 10 miles