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Ambulance Fee Schedule

The following reflects the current ambulance service rates as adopted by the St. Charles County Ambulance District Board of Directors effective 02/01/2018. The rates may not reflect actual charges due to contractual discounts based upon commercial or governmental payor plan participation. Patient responsibility will depend upon applicable rate, plan, unmet deductibles, co-pays, other variables affecting patient responsibility, and ability to pay as determined by applicable SCCAD policy based on demonstrated financial hardship.

HCPCS CODEDESCRIPTIONRESIDENT RATENON-RESIDENT RATE
A0426ALS-1 Non-Emergency Transport$841.50$1009.80
A0428BLS Non-Emergency Transport$701.25$841.50
A0427ALS-1 Emergency Transport$1332.38$1598.85
A0429BLS Emergency Transport$1122.00$1346.40
A0433ALS-2 Emergency Transports$1928.43$2314.11
A0434SCT Critical Care Transport$2279.05$2734.86
A0425Mileage, Loaded$23.33$27.99
A0998Response, Evaluation and/or Treatment – No Transport$945.00$1181.00
A0999Helicopter Standby$200.00$200.00