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Ambulance, Advanced Life Support Emergency (ALS 1)

Iowa 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?

$759

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $759 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$759$646 to $759
FacilityA hospital or hospital-owned outpatient department$759$513 to $759

How much rates vary

Facilitymedian $759 · 10th to 90th $363 to $2,630Professionalmedian $759 · 10th to 90th $324 to $759
$500$1K$2Kfacility $759professional $759

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$389.05
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$251.19
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$645.65
Typical High
$812.83
Hally Health
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Medica
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$660.69
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$489.78
Typical High
$724.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$478.63
Typical High
$676.08
Wellmark
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Wellmark
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58

Where Iowa 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.

Iowa· 12th of 51

$759

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.