Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)
Medicare pricing data for 2,631 providers across 50 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $404 | $1,983 | 6 | 478 | +26.6% |
| North Dakota | $384 | $1,240 | 27 | 501 | +20.3% |
| Montana | $379 | $1,186 | 37 | 772 | +18.9% |
| Wyoming | $377 | $1,332 | 14 | 303 | +18.0% |
| South Dakota | $363 | $849 | 30 | 873 | +13.9% |
| California | $363 | $3,392 | 101 | 11,376 | +13.8% |
| Colorado | $356 | $1,621 | 59 | 2,393 | +11.7% |
| Minnesota | $353 | $1,919 | 43 | 3,494 | +10.7% |
| Hawaii | $353 | $2,234 | 1 | 613 | +10.7% |
| Washington | $348 | $2,262 | 44 | 2,873 | +9.0% |
| Connecticut | $343 | $1,024 | 13 | 1,965 | +7.4% |
| Massachusetts | $342 | $2,755 | 44 | 5,926 | +7.0% |
| Oregon | $340 | $1,602 | 42 | 1,676 | +6.7% |
| New Jersey | $340 | $872 | 4 | 80 | +6.4% |
| New York | $340 | $1,505 | 110 | 8,517 | +6.4% |
| Maryland | $339 | $984 | 17 | 5,211 | +6.2% |
| New Hampshire | $339 | $1,892 | 13 | 1,284 | +6.1% |
| Nevada | $334 | $1,227 | 19 | 1,315 | +4.8% |
| Utah | $333 | $1,808 | 40 | 2,228 | +4.5% |
| Idaho | $332 | $855 | 31 | 862 | +4.0% |
| Arizona | $331 | $1,423 | 34 | 4,689 | +3.8% |
| Vermont | $330 | $874 | 28 | 1,035 | +3.5% |
| Rhode Island | $330 | $1,023 | 3 | 100 | +3.3% |
| Nebraska | $328 | $1,111 | 32 | 5,670 | +2.8% |
| Delaware | $323 | $1,136 | 2 | 62 | +1.2% |
| Maine | $322 | $862 | 45 | 1,153 | +1.1% |
| Texas | $319 | $1,413 | 184 | 14,580 | +0.1% |
| Wisconsin | $318 | $1,704 | 70 | 5,486 | -0.4% |
| Virginia | $318 | $1,171 | 46 | 5,945 | -0.4% |
| Illinois | $315 | $1,786 | 92 | 9,705 | -1.2% |
| Kansas | $315 | $898 | 66 | 3,173 | -1.3% |
| Pennsylvania | $313 | $1,169 | 178 | 9,244 | -1.8% |
| Iowa | $312 | $909 | 62 | 2,136 | -2.2% |
| New Mexico | $312 | $459 | 22 | 1,756 | -2.2% |
| Florida | $311 | $935 | 68 | 15,052 | -2.5% |
| Michigan | $309 | $1,043 | 95 | 7,726 | -3.0% |
| Arkansas | $308 | $959 | 42 | 6,364 | -3.5% |
| Missouri | $306 | $973 | 90 | 5,563 | -4.1% |
| North Carolina | $305 | $682 | 95 | 6,850 | -4.4% |
| Oklahoma | $305 | $1,136 | 74 | 6,111 | -4.5% |
| Ohio | $301 | $1,126 | 92 | 15,570 | -5.6% |
| Indiana | $301 | $1,577 | 53 | 4,176 | -5.6% |
| Alabama | $300 | $765 | 73 | 4,171 | -5.9% |
| South Carolina | $300 | $1,514 | 26 | 4,420 | -5.9% |
| Georgia | $300 | $1,528 | 94 | 4,551 | -5.9% |
| Tennessee | $297 | $1,450 | 75 | 6,549 | -6.8% |
| Mississippi | $297 | $1,184 | 18 | 2,727 | -6.9% |
| West Virginia | $296 | $1,035 | 54 | 2,673 | -7.2% |
| Kentucky | $294 | $1,186 | 106 | 3,622 | -7.8% |
| Louisiana | $293 | $2,119 | 12 | 2,971 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber