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.
Original text from hospital filings
Outside state ambulance serv
The hospitals that file a Regence rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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15 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $25.54 | $25.54 – $25.54 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 4 | $7.28 | $5.68 – $8.23 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 4 | $7.28 | $5.68 – $8.23 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 4 | $7.28 | $5.68 – $8.23 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 4 | $7.28 | $5.68 – $8.23 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 4 | $7.28 | $5.68 – $8.23 |
| 7 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $24.77 | $24.77 – $24.77 |
| 8 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 1 | $18.77 | $18.77 – $18.77 |
| 9 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $7.21 | $6.91 – $7.90 |
| 10 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $7.95 | $7.34 – $8.15 |
| 11 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $7.21 | $6.91 – $7.90 |
| 12 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 1 | $11.38 | $11.38 – $11.38 |
| 13 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 4 | $9.24 | $8.53 – $9.48 |
| 14 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 4 | $7.21 | $6.91 – $7.90 |
| 15 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID professional · case rate · outpatient | 1 | $9.45 | $9.45 – $9.45 |
← Payers reporting HCPCS A0021 · Snapshot 20261108T203506Z-bb90dbab