Outside state ambulance service

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Outside state ambulance serv

Payers reporting HCPCS A0021

25 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	Humana fee schedule · outpatient · +4 other terms	71	$21.28	$34.26	$5.87 – $62.53
2	Aetna fee schedule · outpatient · +7 other terms	28	$13.55	$20.92	$3.66 – $62.30
3	UnitedHealthcare fee schedule · both · +6 other terms	26	$6.75	$9.28	$6.46 – $19.81
4	Cigna fee schedule · both · +6 other terms	15	$14.77	$13.41	$5.80 – $14.77
5	Wellmark fee schedule · both	13	$7.00	$7.00	$7.00 – $7.00
6	Regence fee schedule · outpatient · +2 other terms	12	$7.28	$7.88	$5.68 – $18.77
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms	10	$20.10	$23.62	$15.53 – $45.99
8	Medica fee schedule · outpatient · +4 other terms	10	$12.95	$12.97	$7.85 – $16.72
9	Ucare fee schedule · both · +3 other terms	9	$9.37	$9.39	$8.76 – $10.11
10	Anthem professional · fee schedule · outpatient · +4 other terms	8	$2.88	$2.88	$2.88 – $2.88
11	Bcbs Mn fee schedule · both · +1 other terms	8	$9.88	$9.88	$9.88 – $9.88
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$6.05	$6.05	$6.05 – $6.05
13	First Health professional · fee schedule · both · +1 other terms	3	$6.20	$6.20	$6.20 – $6.20
14	Kaiser fee schedule · both · +2 other terms	3	$16.48	$10.99	$0.01 – $16.48
15	Bcbs La facility · fee schedule · outpatient	1	$0.02	$0.02	$0.02 – $0.02
16	Bcbs Nc facility · fee schedule · outpatient	1	$11.51	$11.51	$5.56 – $23.40
17	Bcbs Nv fee schedule · outpatient	1	$6.58	$6.58	$6.58 – $6.58
18	Bcbs Vt professional · fee schedule · both · +1 other terms	1	$18.75	$18.75	$18.75 – $18.75
19	Excellus professional · percent of total billed charges · bothfrom % of charges	1	$18.13	$18.13	$17.50 – $18.75
20	Healthpartners facility · fee schedule · outpatient · +1 other terms	1	$22.09	$22.09	$22.09 – $22.09
21	Medical Mutual percent of total billed charges · bothfrom % of charges	1	$18,961	$18,961	$18,961 – $18,961
22	Medicare fee schedule · both · +1 other terms	1	$0.01	$0.01	$0.01 – $0.01
23	MultiPlan fee schedule · both · +1 other terms	1	$10.61	$10.61	$10.61 – $10.61
24	Phcs professional · fee schedule · both	1	$10.16	$10.16	$10.16 – $10.16
25	WellCare fee schedule · both · +1 other terms	1	$0.01	$0.01	$0.01 – $0.01