See a sample report
Real CY 2026 Ohio locality data — the same format you get with a paid plan.
Middletown, OH · auto-detected
Rates reflect the selected service, location, and calendar year, including applicable geographic adjustments. These amounts are reimbursement benchmarks, not guaranteed payments.
For covered Original Medicare Part B ambulance services, the usual payment split is 80% Medicare and 20% coinsurance after the deductible. Actual payment depends on coverage, claim processing, and applicable adjustments.
| HCPCS | Description | Type | Urban | Rural | Super-Rural | +10% |
|---|---|---|---|---|---|---|
| A0428 | BLS Non-Emergency BLS, conventional ambulance services, non-emergency transport | BLS | $432.18 | $467.95 | $573.71 | $475.40 |
| A0429 | BLS Emergency BLS, conventional ambulance services, emergency transport | BLS | $595.86 | $645.04 | $790.82 | $655.45 |
| A0426 | ALS-1 Non-Emergency ALS, level 1, conventional ambulance services, non-emergency | ALS | $598.47 | $642.13 | $787.25 | $658.32 |
| A0427 | ALS-1 Emergency ALS, level 1, conventional ambulance services, emergency | ALS | $762.35 | $821.08 | $1006.24 | $838.59 |
| A0433 | ALS-2 ALS, level 2, conventional ambulance services | ALS | $798.72 | $860.14 | $1054.53 | $878.59 |
| A0434 | SCT Specialty Care Transport (SCT), conventional ambulance | SCT | $732.94 | $788.36 | $966.93 | $806.23 |
| A0432 | Paramedic Intercept Paramedic intercept (PI) — ALS assistance to a BLS unit; payable only in rural areas without ALS services | ALS | $845.21 | $910.41 | $1116.16 | $929.73 |
| A0430 | Fixed Wing Air Fixed wing air ambulance, conventional air services (50% rural adjustment; no super-rural bonus) | Air | $3218.47 | $4827.71 | $4827.71 | $3540.32 |
| A0431 | Rotary Wing (Helicopter) Rotary wing air ambulance, conventional air services (50% rural adjustment; no super-rural bonus) | Air | $4127.83 | $6191.75 | $6191.75 | $4540.61 |
| A0425 | Ground Mileage Ground ambulance mileage, per mile | Mileage | $8.81 | $8.81 | $8.81 | $9.69 |
| A0435 | Fixed Wing Mileage Fixed wing air ambulance mileage, per loaded mile (50% rural adjustment) | Mileage | $11.97 | $17.96 | $17.96 | $13.17 |
| A0436 | Rotary Wing Mileage Rotary wing air ambulance mileage, per loaded mile (50% rural adjustment) | Mileage | $24.82 | $37.23 | $37.23 | $27.30 |
Three ways to use EMSrate Pro
From a single rate lookup to full market intelligence.
Look up rates
Find Medicare Fee Schedule amounts by ZIP code for BLS, ALS, SCT, paramedic intercept, air ambulance, and mileage — including rural and super-rural adjustments.
Compare markets
Benchmark reimbursement across localities, service areas, and hospitals to spot the highest-paying ZIPs and underserved areas.
Model scenarios
Estimate revenue, model contract pricing across payer mixes, and project annual reimbursement with loaded-mileage calculations.
CMS Ambulance Fee Schedule
Rates sourced from the official CMS Ambulance Fee Schedule and ZIP-code crosswalk files — CY 2026.
Built for billing teams
Trusted by ambulance providers, billing companies, fire/EMS departments, hospitals, and consultants.
Updated annually
Refreshed each calendar year with the latest CMS conversion factor, GPCI values, and rural designations.
Choose Your Plan
Start free, upgrade when you need more.
No lock-in. Cancel anytime. Sign in, click the gear icon, and open the Account & Subscription tab to turn off auto-renewal. You'll keep full access through the end of your current billing period. Partial months aren't refunded.
Free Trial
Free Trial
$0Explore the platform before subscribing.
- 2 ZIP codes, up to 3 lookups each
- Ground, Air, SCT & mileage rates
- Rural & super-rural designation
- No credit card required
Paid Plans
Operations
Find and compare reimbursement rates for daily work.
- Unlimited ZIP code lookups
- Ground, air, SCT & mileage rates
- ZIP code comparisons
- Rural & super-rural analysis
- Mileage & revenue calculations
- CMS reference library & billing guidance
- Saved searches
- CSV & PDF exports
- 1 user per subscription
Best for: Ambulance providers, air medical programs, hospitals, billing companies, long-term care facilities, revenue cycle teams
Analytics Pro
Analyze markets and model revenue and contract scenarios.
- Everything in Operations
- Revenue estimator (projection & scenarios)
- Contract pricing & modeling
- Service area analysis
- Hospital / facility lookup
- CSV & PDF exports on every report
- 1 user per subscription
Best for: Healthcare transportation brokers, managed care organizations, Medicare Advantage plans, Medicaid managed care plans, EMS consultants, business development leaders, network development teams
Enterprise
Coming SoonTeam and organizational capabilities, with specifics published when confirmed.
- Multi-user teams & seats
- Shared searches & workspaces
- Centralized billing
Best for: Multi-site providers, regional health systems, and managed care organizations.
Plan details
Does the free trial expire or reset?
No. It never expires and does not reset. Each trial ZIP is limited to 3 lookups — once a lookup is used, it is gone for good. Subscribe to Operations for unlimited lookups.
Does a failed lookup count against my trial?
No. A ZIP code that is not found does not use up a lookup or one of your two trial ZIPs. Only successful lookups count.
Are the two trial ZIP codes permanently selected?
You choose them. The first two ZIP codes you successfully look up become your trial ZIPs — locked in once looked up, so pick the ones you actually need.
How many users does each subscription include?
Operations and Analytics Pro each cover one user. Enterprise (coming soon) will support teams and organizations.
Are exports Excel workbooks or CSV files?
CSV on every report, with PDF on select reports. CSV opens directly in Excel, Google Sheets, or any spreadsheet app — no conversion needed.
Which analytics capabilities are available today?
Revenue Estimator, Contract Pricing, Service Area Analysis, and Hospital / Facility Lookup. Additional market-intelligence tools are on the roadmap.
Frequently asked questions
CMS Ambulance News
AI-compiled summaries of CMS changes that affect Medicare ambulance reimbursement. Open the source link to verify each item.
CMS implements a new probationary prior authorization process for newly enrolled DMEPOS suppliers effective October 15, 2026.
CMS announces a nationwide 1-year probationary prior authorization process for new DMEPOS suppliers starting October 15, 2026.