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Ambulance, Advanced Life Support Emergency (ALS 1)

California rates for HCPCS A0427

Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 - emergency)

Rates data updated October 2026.

How much does Ambulance, Advanced Life Support Emergency (ALS 1) cost?

$479

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $575 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$263 to $646
FacilityA hospital or hospital-owned outpatient department$575$407 to $955

How much rates vary

Facilitymedian $575 · 10th to 90th $347 to $1,288Professionalmedian $372 · 10th to 90th $219 to $1,549
$100$200$500$1K$2K$5K$10Kfacility $575professional $372

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$346.74
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$295.12
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$1,412.54
Typical High
$3,981.07
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$977.24
Typical High
$1,445.44
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Central California Alliance for Health
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Providence
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$436.52
Typical High
$616.60
Providence
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$616.60
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$407.38
Typical High
$524.81

Where California sits

The same service costs 6.6 times more in Minnesota than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 27th of 51

$479

MN $1,820NC $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.