Emergency transportation in a publicly-owned ambulance in Massachusetts costs about twice the national average, according to an upcoming report from the state's Health Policy Commission.
The report, which has not been publicly released yet, shows disparities in how much insurance payers are charged for ambulance services in Massachusetts between publicly- and privately-owned ambulance companies, and between commercial insurers and public insurance such as MassHealth.
Of the 1.5 million EMS patient transports in Massachusetts in 2019, commercial insurance payers paid municipal ambulance services roughly double what they paid private ambulances per transport. Most payments for middle-tier services were between $500 and $1,000 for private ambulances and between $750 and $2,500 for municipal transports.
Even as emergency trips have gotten more expensive for everyone over the last six years, payments over $2,000 for municipal ambulances have doubled from 17% in 2017 to 34% in 2020 for similar care.
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