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Ambulance, Advanced Life Support Emergency (ALS 1)

Montana 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?

$468

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $490 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$316 to $490
FacilityA hospital or hospital-owned outpatient department$490$363 to $537

How much rates vary

Facilitymedian $490 · 10th to 90th $288 to $1,318Professionalmedian $398 · 10th to 90th $95 to $1,318
$100$200$500$1K$2Kfacility $490professional $398

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
$676.08
Median
$1,778.28
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$416.87
Typical High
$537.03
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$363.08
Typical High
$489.78
Providence
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$302.00
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$691.83
Typical High
$794.33

Where Montana 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.

Montana· 31st of 51

$468

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.