A0427 — Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

What the market charges

Across 742 negotiated rates, the middle 80% fall between $125 and $1,160, with a median of $396.

What Medicare pays

Medicare allowed an average of $522 for this code, across 3,690,907 services billed by 6,857 providers. At the median, the market charges less than Medicare pays for this code — 24% less.

Where this is billed, and what it costs there

The states billing A0427 most, by Medicare service volume, each compared against the national average of $522. Each links to the providers Mishe lists there.

  • California — 205 providers billed it, Medicare allowed $595 — 14% above the national average
  • Florida — 161 providers billed it, Medicare allowed $505 — 3% below the national average
  • Texas — 428 providers billed it, Medicare allowed $513 — 2% below the national average
  • Illinois — 430 providers billed it, Medicare allowed $514 — 2% below the national average
  • North Carolina — 143 providers billed it, Medicare allowed $494 — 5% below the national average
  • Pennsylvania — 432 providers billed it, Medicare allowed $507 — 3% below the national average
  • Ohio — 714 providers billed it, Medicare allowed $487 — 7% below the national average
  • Massachusetts — 256 providers billed it, Medicare allowed $554 — 6% above the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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