How Much Does an Ambulance Ride Cost With and Without Insurance?

The average cost of an ambulance ride is $2125. However, factors like ground mileage and severity of services affect the final prices of ambulance services. Ambulance rides are not protected under the No Surprises Act, which aims to reduce surprise medical billing. Given the high and unpredictable cost of ambulance services, patients need to understand the factors contributing to cost.

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Average Out Of Pocket Cost of an Ambulance Ride

The average cost of an ambulance ride without insurance in the United States can range from a few hundred to several thousand dollars, depending on these and various other factors. The average base rate might range from $400 to $1,200 or more, while mileage can cost anywhere from $10 to $30 per mile, and these are ballpark figures and can vary widely.

1. Base Rate/Pickup Fee: $400-$1200

This is a fixed fee for the ambulance service, regardless of the distance traveled. It generally covers the costs associated with having personnel and ambulances available to respond to calls.

2. Mileage: $10-$30/mile

Ambulance services typically charge a per-mile fee once they arrive on the scene to the time they deliver the patient to the hospital. This rate compensates for fuel, vehicle maintenance, and depreciation, ranging from $10 to $30 per mile. For example, a 20-mile ride could incur a $200-$600 mileage charge. 

3. Advanced Life Support (ALS) vs. Basic Life Support (BLS): $975-$1300

The level of service provided impacts the cost. ALS, which requires more advanced training and equipment, is more expensive than BLS.

• Basic life support (BLS), also called “first-step treatment,” are services that can be provided by either a paramedic or emergency medical technician (EMT). These services are for patients who do not need cardiac monitoring or respiratory interventions.
• Advanced life support (ALS) services are more invasive and require procedures with needles or other devices that make cuts in the skin, requiring the paramedic to have a higher level of training than an EMT. ALS ambulances typically have airway equipment, cardiac life support, cardiac monitors, and glucose monitors on board.

4. Oxygen and Medical Supplies

If the patient requires oxygen or any other medical supplies, such as bandages, IV fluids, or medications, these are added to the cost.

5. Wait Time

In some cases, if the ambulance has to wait at the scene before transporting the patient, there could be an additional charge.

6. Specialty Care Transport (SCT)

For critically ill or injured patients who need a higher level of care during transport, such as that provided by a nurse or paramedic with extended skills, the cost is even higher.