1. (1) A licensed ground ambulance provider may not charge more than the set mileage rate for ambulance transports.
2. (2) Net income and subsidies for a licensed ground ambulance provider may not exceed 10% of gross revenue.
3. (3) A licensed ground ambulance provider may lower the mileage rate at their discretion.
4. (4) A licensed ground ambulance provider may not charge a mileage rate for transportation to a patient who is not transported.
5. (5) The bureau may adjust each rate annually based on financial data received from licensed ground ambulance providers.
6. (6) A mileage rate may be charged up to a maximum of $42.24 per mile computed from the location of the patient upon ambulance arrival to the destination hospital or patient receiving facility. A fuel fluctuation surcharge of $0.25 per mile may be added when the diesel fuel price exceeds $5.10 per gallon, or the gasoline price exceeds $4.25 per gallon as invoiced.
7. (7) A surcharge of $1.50 per mile may be assessed if an ambulance is required to travel two or more miles on unpaved roads.

8. (8) If more than one patient is transported from the location of the patients to the same destination hospital or patient receiving facility, a charge may be assessed to each patient as follows:

   1. (a) The transportation base rate; and
   2. (b) the mileage rate divided equally between the total number of patients.

9. (9) A licensed ground ambulance provider may charge separately for a round trip if the following conditions apply:

   1. (a) no charge is billed to the patient for at least 30 minutes at the hospital or a patient receiving facility at the halfway point of the trip; and
   2. (b) no more than $22.05 per quarter hour is charged for time over 30 minutes.

KEY: emergency medical services, rates

Date of Last Change: August 21, 2025

Authorizing, and Implemented or Interpreted Law: 53-2d-503; 53-2d-103