A0430

Ambulance service, conventional air services, transport, one way (fixed wing)

Medicare pricing data for 109 providers across 27 states

🤖AI Overview

This procedure has a 5.4x markup — hospitals charge $27,266 but Medicare allows only $5,064. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. 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, conventional air services, transport, one way (fixed wing) (HCPCS code A0430) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5,064, but hospitals typically charge $27,266 — a 5.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1,013

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $5,064, your out-of-pocket cost would be approximately $1,013. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$5,064
Average Hospital Charge
$27,266
Markup Ratio
5.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$27,266.42
Medicare Allowed$5,063.66
Medicare Payment$4,030.75

Hospitals charge 5.4x more than what Medicare allows for this procedure. Medicare actually pays $4,031 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$5,530$29,7905330+9.2%
Alaska$5,467$24,268141,401+8.0%
Missouri$5,388$22,6112610+6.4%
Massachusetts$5,305$21,376111+4.8%
Montana$5,282$17,0604581+4.3%
Colorado$5,271$28,32241,021+4.1%
Wyoming$5,252$32,7413293+3.7%
California$5,145$23,1802691+1.6%
Nebraska$5,117$42,8071109+1.1%
South Dakota$5,073$26,6324659+0.2%
Arizona$5,069$25,9367509+0.1%
Washington$5,054$19,8212612-0.2%
Michigan$5,048$25,4915187-0.3%
New Mexico$5,034$22,3309974-0.6%
Kansas$5,012$38,7634571-1.0%
Utah$5,005$22,3222173-1.2%
Florida$4,909$22,500125-3.1%
Minnesota$4,878$25,506381-3.7%
North Dakota$4,814$18,2203199-4.9%
Oregon$4,776$26,39441,360-5.7%
Texas$4,743$33,26511790-6.3%
Alabama$4,720$40,79811,165-6.8%
Maine$4,575$11,900279-9.7%
Oklahoma$4,507$36,619126-11.0%
South Carolina$4,143$37,719131-18.2%
Arkansas$4,072$20,914366-19.6%
Nevada$4,001$25,218468-21.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber