A0427 Medicaid reimbursement rates by state
Ambulance service, advanced life support. 38 state Medicaid programs publish a fee-for-service rate for A0427. Rates run from $25.00 in Kentucky to $1,024.45 in Louisiana, with a median of $378.87.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 38
- Median rate
- $378.87units vary by state
- Highest
- $1,024.45Louisiana
- Medicare (non-facility)
- —not on the physician fee schedule
A0427 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $1,024.45since 2023-07-01 | — | — | Plans must pay at least this | — | LDH Medicaid Emergency Ground Ambulance |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $845.14since 2020-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Other Ground Emergency Transp |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $667.43since 2024-01-01 | — | — | Plans must pay at least this | — | 54 Pa.B. 1024 Medical Assistance Program |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $540.66since 2026-01-01 | — | — | Plans must pay at least this | — | MHCP Fee Schedule - Current Fee Schedule |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $527.58since 2023-10-01 | — | — | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $520.59since 2026-01-01 | — | — | Not classified | — | MaineCare Section 5 - Ambulance Services |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $513.54since 2023-07-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $511.14since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $505.82since 2026-04-01 | — | — | Plans must pay at least this | — | BMS Ambulance Fee Schedule Effective 4/1 |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $485.83since 2023-07-01 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $474.75since 2024-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Ambulance |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $441.33since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $441.17since 2023-02-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Transpor |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $433.26since 2026-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Ambul |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $420.62since 2014-01-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $418.84since 2024-07-01 | — | — | Not classified | — | CMAP fee schedule: Transportation - Basi |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $404.26since 2020-07-01 | — | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $396.86since 2025-09-26 | — | — | Plans negotiate; applies out of network | — | Rates for Ambulance and Wheelchair Van S |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $387.24since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $370.49since 2025-01-01 | — | — | Plans must pay at least this | — | Medicaid Transportation Fee Schedule - E |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $364.93since 2023-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Ambulance Fee Schedule database, O |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $324.93since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Part II Policies and Procedures for Emer |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $300.95since 2025-07-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker) | $296.00since 2023-07-01 | — | — | Paid by the state, outside plans | — | eMedNY NYS Medicaid Transportation Fee S |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $289.75since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix to OAC 5160-15-28 (final filed |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $266.91since 2025-05-16 | — | — | Not classified | — | Arkansas Medicaid Transportation Fee Sch |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $247.00since 2013-07-01 | — | — | Paid by the state, outside plans | — | Provider Type 32, Specialty 932 Ambulanc |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $239.10since 2018-07-01 | — | — | Plans negotiate; applies out of network | — | HFS Transportation Fee Schedule (effecti |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $213.37since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Transportation Services Fee Schedule (Tr |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $211.50since 2021-10-01 | — | — | Not classified | — | Ambulance Reimbursement Rates |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $202.76since 2021-07-01 | — | — | Paid by the state, outside plans | — | Health First Colorado Physician Fee Sche |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $179.08since 2024-01-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $174.86since 2022-07-01 | — | — | Not classified | — | SCDHHS Ambulance Fee Schedule (schedule |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $168.43since 2019-07-01 | — | — | Paid by the state, outside plans | — | HCA Ambulance transportation fee schedul |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $127.01since 2015-10-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #11 AMBULANCE |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $124.68since 2025-10-01 | — | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Ambulance Serv |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $118.20since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $25.00since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Transportation fee schedule |
Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for A0427?
It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $378.87. Louisiana pays the most ($1,024.45) and Kentucky the least ($25.00).
Which state pays the highest Medicaid rate for A0427?
Louisiana, at $1,024.45, effective 2023-07-01.
Do managed-care plans pay the same rate for A0427?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.
Related Transportation codes
A0429Ambulance service, basic life support, emergency transport · 40 statesA0425Ground mileage, per statute mile · 38 statesA0428Ambulance service, basic life support · 38 statesA0431Ambulance service, conventional air services, transport · 38 statesA0426Ambulance service, advanced life support · 35 statesA0430Ambulance service, conventional air services, transport · 35 statesA0436Rotary wing air mileage, per statute mile · 35 statesA0433Advanced life support, level 2 (als 2) · 34 statesA0435Fixed wing air mileage, per statute mile · 33 statesA0434Specialty care transport (sct) · 32 statesT2003Non-emergency transportation; encounter/trip · 26 statesA0998Ambulance response and treatment, no transport · 25 states
Track A0427 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.