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Ambulance, Advanced Life Support Emergency (ALS 1)

Washington, DC 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?

$331

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $331 for this service. Most negotiated rates run $331 to $490.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $331 · 10th to 90th $331 to $794Professionalmedian $479 · 10th to 90th $229 to $575
$500facility $331professional $479

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
$331.13
Median
$331.13
Typical High
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$331.13
CareFirst
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44

Where Washington, DC sits

The same service costs 323.6 times more in California 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.

Washington, DC· 44th of 51

$331

CA $89,125NC $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.