A0426

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)

Medicare pricing data for 2,631 providers across 50 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) (HCPCS code A0426) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $319.04, but hospitals typically charge $1,415 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$63.81

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $319.04, your out-of-pocket cost would be approximately $63.81. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$319.04
Average Hospital Charge
$1,415
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,415.24
Medicare Allowed$319.04
Medicare Payment$252.48

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $252.48 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$404$1,9836478+26.6%
North Dakota$384$1,24027501+20.3%
Montana$379$1,18637772+18.9%
Wyoming$377$1,33214303+18.0%
South Dakota$363$84930873+13.9%
California$363$3,39210111,376+13.8%
Colorado$356$1,621592,393+11.7%
Minnesota$353$1,919433,494+10.7%
Hawaii$353$2,2341613+10.7%
Washington$348$2,262442,873+9.0%
Connecticut$343$1,024131,965+7.4%
Massachusetts$342$2,755445,926+7.0%
Oregon$340$1,602421,676+6.7%
New Jersey$340$872480+6.4%
New York$340$1,5051108,517+6.4%
Maryland$339$984175,211+6.2%
New Hampshire$339$1,892131,284+6.1%
Nevada$334$1,227191,315+4.8%
Utah$333$1,808402,228+4.5%
Idaho$332$85531862+4.0%
Arizona$331$1,423344,689+3.8%
Vermont$330$874281,035+3.5%
Rhode Island$330$1,0233100+3.3%
Nebraska$328$1,111325,670+2.8%
Delaware$323$1,136262+1.2%
Maine$322$862451,153+1.1%
Texas$319$1,41318414,580+0.1%
Wisconsin$318$1,704705,486-0.4%
Virginia$318$1,171465,945-0.4%
Illinois$315$1,786929,705-1.2%
Kansas$315$898663,173-1.3%
Pennsylvania$313$1,1691789,244-1.8%
Iowa$312$909622,136-2.2%
New Mexico$312$459221,756-2.2%
Florida$311$9356815,052-2.5%
Michigan$309$1,043957,726-3.0%
Arkansas$308$959426,364-3.5%
Missouri$306$973905,563-4.1%
North Carolina$305$682956,850-4.4%
Oklahoma$305$1,136746,111-4.5%
Ohio$301$1,1269215,570-5.6%
Indiana$301$1,577534,176-5.6%
Alabama$300$765734,171-5.9%
South Carolina$300$1,514264,420-5.9%
Georgia$300$1,528944,551-5.9%
Tennessee$297$1,450756,549-6.8%
Mississippi$297$1,184182,727-6.9%
West Virginia$296$1,035542,673-7.2%
Kentucky$294$1,1861063,622-7.8%
Louisiana$293$2,119122,971-8.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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