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Ambulance, Advanced Life Support Emergency (ALS 1)

South Dakota 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?

$794

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $955 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$955$759 to $1,202
FacilityA hospital or hospital-owned outpatient department$759$676 to $1,349

How much rates vary

Facilitymedian $759 · 10th to 90th $490 to $2,291Professionalmedian $955 · 10th to 90th $759 to $1,202
$500$1K$2Kfacility $759professional $955

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
$1,348.96
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$812.83
Medica
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$489.78
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$426.58
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$489.78
Typical High
$630.96
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 South Dakota 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.

South Dakota· 10th of 51

$794

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.