A0428 — Ambulance service, basic life support, non-emergency transport, (bls)

What the market charges

Across 755 negotiated rates, the middle 80% fall between $110 and $647, with a median of $252.

What Medicare pays

Medicare allowed an average of $261 for this code, across 2,897,867.2 services billed by 2,683 providers. At the median, the market charges about what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing A0428 most, by Medicare service volume, each compared against the national average of $261. Each links to the providers Mishe lists there.

  • Texas — 213 providers billed it, Medicare allowed $249 — 5% below the national average
  • New Jersey — 66 providers billed it, Medicare allowed $259 — 1% below the national average
  • California — 102 providers billed it, Medicare allowed $312 — 20% above the national average
  • Georgia — 143 providers billed it, Medicare allowed $225 — 14% below the national average
  • New York — 98 providers billed it, Medicare allowed $301 — 15% above the national average
  • South Carolina — 55 providers billed it, Medicare allowed $222 — 15% below the national average
  • Massachusetts — 39 providers billed it, Medicare allowed $285 — 9% above the national average
  • Illinois — 99 providers billed it, Medicare allowed $263 — 1% 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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