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Ambulance, Advanced Life Support Emergency (ALS 1)

Missouri rates for HCPCS A0427

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

Rates data updated July 2026.

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

$288

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $275 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$275 to $437
FacilityA hospital or hospital-owned outpatient department$275$275 to $501

How much rates vary

Facilitymedian $275 · 10th to 90th $257 to $501Professionalmedian $288 · 10th to 90th $257 to $977
$10$50$200$1Kfacility $275professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$1,737.80
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$426.58
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$436.52
Typical High
$794.33

Where Missouri sits

The same service costs 6.5 times more in Alaska than in South 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.

Missouri· 30th of 51

$288

AK $1,318SC $204

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.