Montgomery County Hospital District EMS Ambulance User Fees (patient billing) are in place for the purpose of recouping costs. User Fees are set by the MCHD Board of Directors, based on established Medicare rates. Even though current rates are set at 200% of the Medicare rates, the user fees still do not recoup all costs.
EMS ambulance billing is determined by the service provided. The following terms are used to describe service types.
Everyone transported to an Emergency Department (ED) receives at least BLS care. Some patients receive ALS or ALS II level care.
Not all patients we see are transported to an ED. Some patients who are not transported may still receive BLS, ALS or ALS II level of care. An Assist No Transport fee may be charged when a patient is evaluated, vital signs, supplies used and ALS or BLS procedures are performed.
In some situations insurance companies and Medicare pay some portion of the EMS bill. What remains of the bill after they have paid is the responsibility of the patient. Refer to your insurance company or Medicare for information on how much they will cover.