Calling for an ambulance can be a life-saving decision, but the bill that follows can be a shock. The cost of an ambulance ride has risen sharply in recent years, leaving many wondering, “How much does an ambulance ride really cost?” Let’s break down the factors influencing the price and explore ways to manage these expenses.
According to a study by Fair Health, the cost for Advanced Life Support (ALS) ground ambulance services increased by 22.6% in 2020, while Basic Life Support (BLS) ambulance rides saw a 17.5% increase. This brings the average charge to $1,277 for ALS and $940 for BLS.
ALS vs. BLS Ambulance Services: What’s the Difference?
The price difference hinges on the level of care provided.
Basic Life Support (BLS)
BLS ambulances are equipped with EMTs providing “first-step treatment.” They handle patients requiring basic monitoring for issues such as lower body fractures or those needing transport without cardiac monitoring. BLS services include first aid, CPR, AED, and basic airway management.
Advanced Life Support (ALS)
ALS ambulances have paramedics trained in advanced clinical monitoring and interventions. This includes cardiac monitoring, advanced airway management, and IV and medication administration.
Emergency dispatchers determine which type of ambulance is sent based on proximity and the emergency’s nature. You typically don’t get to choose.
Average Ambulance Ride Cost: A State-by-State Breakdown
While the national averages are $1,277 for ALS and $940 for BLS, the actual how much ambulance ride costs can vary widely depending on location. Mileage and local regulations also play a significant role.
For example:
- Washington D.C.: $1,000 for BLS or ALS, plus $15.00 per loaded mile.
- Tacoma, WA: $980 for BLS and $1,220 for ALS, with a mileage rate of $20 per mile.
- Anchorage, AK: $800 for BLS and $900 for ALS (plus $12 per mile), with an additional $100 charge for residents outside Anchorage.
- New York City, NY: $900 for BLS and $1,525 – $1,625 for ALS (depending on service level), plus $15 per mile.
- Chicago, IL: A staggering $2,946 for BLS and $3,227 for ALS, plus $19 per mile.
Contact your local health department to determine the specific costs in your area.
Why Are Ambulance Rides So Expensive?
Several factors contribute to the high cost of ambulance services:
- Operating Costs: Maintaining an ambulance service involves significant expenses, including staffing, facility rent, fuel, and supplies.
- BLS vs. ALS: ALS services are more expensive due to the advanced equipment, specialized training, and higher wages for paramedics.
- Treatment Provided: The specific treatments administered, such as oxygen, medications, CPR, or intubation, impact the final bill.
- State Regulations: Some states may impose out-of-network charges, leading to surprise bills, including California, Colorado, Florida, Illinois, Texas, Washington, and Wisconsin.
- Mileage: Longer distances, especially in rural areas or when specialized care is required at a distant facility, increase the cost.
Paying for an Ambulance Ride: Your Options
You can typically pay with cash or credit card, but check with your insurance provider first to see if your plan covers some or all of the cost.
- Health Insurance: Many private health insurance policies cover ambulance rides if deemed an emergency or medically necessary. Check your plan details.
- Auto Insurance: If a car accident necessitates the ambulance ride, your auto insurance might cover the fees.
- Medicare: Medicare Part B covers 80% of the Medicare-approved amount for emergency (and sometimes non-emergency) ambulance transport after you meet your deductible.
- CareCredit: The CareCredit credit card can help cover costs not covered by insurance.
Negotiating Ambulance Ride Costs and Alternatives
- Ambulance Membership Programs: Some companies, fire departments, and hospitals offer membership programs with discounted rates for members. Read the fine print to understand coverage limitations.
- Consider Alternatives (Non-Emergency): In non-emergency situations, explore alternatives like asking a friend/family member for a ride, using a taxi or rideshare, or driving yourself (if safe to do so). However, in a medical emergency, calling 911 is always the best course of action.
CareCredit for Emergency Care Financing
For managing medical bills, consider healthcare financing options like CareCredit. It allows you to pay for necessary care and manage payments effectively.
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Author Bio
Adrienne Santos-Longhurst is a writer covering health and lifestyle for almost two decades. Her work has appeared in Healthline, Insider, Medical News Today, and more.
