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Ambulance, Advanced Life Support Emergency (ALS 1)

Oregon 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?

$380

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $324 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$407$245 to $741
FacilityA hospital or hospital-owned outpatient department$324$275 to $759

How much rates vary

Facilitymedian $324 · 10th to 90th $275 to $1,023Professionalmedian $407 · 10th to 90th $245 to $1,445
$100$200$500$1K$2Kfacility $324professional $407

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
$323.59
Median
$380.19
Typical High
$478.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Moda Health
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$457.09
Typical High
$758.58
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Providence
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$407.38
Typical High
$758.58
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$245.47
Typical High
$407.38
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$794.33
Typical High
$1,174.90
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,445.44
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$588.84
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$741.31
Typical High
$741.31
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Moda Health
Setting
Professional
Modifier
QN · Ambulance by provider
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89

Where Oregon 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.

Oregon· 42nd of 51

$380

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.