A0428 Medicaid reimbursement rates by state
Ambulance service, basic life support. 22 state Medicaid programs publish a fee-for-service rate for A0428. Rates run from $55.00 in Kentucky to $784.94 in Arizona, with a median of $178.53.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 22
- Median rate
- $178.53units vary by state
- Highest
- $784.94Arizona
- Medicare (non-facility)
- —not on the physician fee schedule
A0428 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 |
|---|---|---|---|---|---|---|
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $784.94⚠ over 3× mediansince 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) | $351.29since 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) | $284.56since 2026-01-01 | — | — | Plans must pay at least this | — | MHCP Fee Schedule - Current Fee Schedule |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $269.02since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $265.54since 2023-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Ambulance Fee Schedule database, O |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $232.19since 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) | $228.03since 2026-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Ambul |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $208.87since 2025-09-26 | — | — | Plans negotiate; applies out of network | — | Rates for Ambulance and Wheelchair Van S |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $207.61since 2023-07-01 | — | — | Paid by the state, outside plans | — | HCA Ambulance transportation fee schedul |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $203.75since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix to OAC 5160-15-28 (final filed |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker) | $191.09since 2021-06-04 | — | — | Paid by the state, outside plans | — | eMedNY NYS Medicaid Transportation Fee S |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $165.96since 2011-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Non-Emergency Ambulan |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $159.82since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Part II Policies and Procedures for Emer |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $159.41since 2018-07-01 | — | — | Plans negotiate; applies out of network | — | HFS Transportation Fee Schedule (effecti |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $154.89since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $137.96since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Transportation Services Fee Schedule (Tr |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $134.24since 2021-07-01 | — | — | Paid by the state, outside plans | — | Health First Colorado Physician Fee Sche |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $107.16since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $105.62since 2019-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Ambulance |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $70.75since 2025-10-01 | — | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Ambulance Serv |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $58.00since 2025-01-01 | — | — | Paid by the state, outside plans | — | NJMMIS Procedure Master Listing CPTHCPCS |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $55.00since 2025-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Transportation fee schedule |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 A0428?
It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $178.53. Arizona pays the most ($784.94) and Kentucky the least ($55.00).
Which state pays the highest Medicaid rate for A0428?
Arizona, at $784.94, effective 2020-10-01.
Do managed-care plans pay the same rate for A0428?
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 · 23 statesA0427Ambulance service, advanced life support · 22 statesA0431Ambulance service, conventional air services, transport · 22 statesA0425Ground mileage, per statute mile · 21 statesA0430Ambulance service, conventional air services, transport · 21 statesA0426Ambulance service, advanced life support · 20 statesA0433Advanced life support, level 2 (als 2) · 20 statesA0436Rotary wing air mileage, per statute mile · 19 statesA0434Specialty care transport (sct) · 18 statesA0435Fixed wing air mileage, per statute mile · 18 statesT2003Non-emergency transportation; encounter/trip · 17 statesA0130Non-emergency transportation: wheelchair van · 14 states
Track A0428 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.