Cost analysis for CPT A0425 — Ground mileage, per statute mile
Average Medicare Payment
$7.77
2023 data
Total Payments (2023)
$728.6M
Services (2023)
99.0M
Price Change (2014–2023)
+22.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $6.36 | $870.8M | 142.9M | — |
| 2015 | $6.46 | $870.2M | 141.1M | +1.6% |
| 2016 | $6.46 | $862.9M | 140.2M | 0.0% |
| 2017 | $6.52 | $872.2M | 140.6M | +0.9% |
| 2018 | $6.58 | $860.6M | 137.7M | +0.9% |
| 2019 | $6.70 | $848.4M | 134.0M | +1.8% |
| 2020 | $6.85 | $784.4M | 121.5M | +2.2% |
| 2021 | $6.93 | $744.3M | 114.0M | +1.2% |
| 2022 | $7.22 | $702.6M | 102.9M | +4.2% |
| 2023 | $7.77 | $728.6M | 99.0M | +7.6% |
The most expensive state pays 1.6x more than the cheapest for this procedure. MP averages $10.28 vs NJ at $6.35.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MP | $10.28 | $27.2K | 2.6K | 2 |
| VT | $8.53 | $3.8M | 440.9K | 64 |
| ME | $8.34 | $4.4M | 533.0K | 142 |
| HI | $8.33 | $1.0M | 122.9K | 3 |
| AK | $8.30 | $1.4M | 169.9K | 34 |
| NH | $8.17 | $4.4M | 543.0K | 114 |
| GU | $8.16 | $130.0K | 15.9K | 2 |
| KY | $8.04 | $16.7M | 2.1M | 164 |
| MS | $7.97 | $14.7M | 1.8M | 27 |
| IA | $7.97 | $6.4M | 804.7K | 227 |
| DE | $7.94 | $2.4M | 299.9K | 60 |
| OR | $7.88 | $7.5M | 948.1K | 108 |
| MT | $7.88 | $2.6M | 324.8K | 80 |
| WY | $7.81 | $988.9K | 126.7K | 19 |
| WI | $7.78 | $13.1M | 1.7M | 322 |
| ID | $7.76 | $2.8M | 366.3K | 64 |
| OK | $7.76 | $14.5M | 1.9M | 102 |
| KS | $7.76 | $8.0M | 1.0M | 123 |
| SD | $7.74 | $2.8M | 357.0K | 94 |
| ND | $7.71 | $2.9M | 377.4K | 79 |
| MN | $7.71 | $10.3M | 1.3M | 145 |
| AR | $7.71 | $14.4M | 1.9M | 59 |
| MO | $7.69 | $16.4M | 2.1M | 178 |
| OH | $7.61 | $29.1M | 3.8M | 826 |
| NC | $7.54 | $26.2M | 3.5M | 180 |
| WA | $7.51 | $12.0M | 1.6M | 187 |
| AL | $7.51 | $16.4M | 2.2M | 124 |
| NM | $7.50 | $3.6M | 485.4K | 59 |
| AZ | $7.49 | $10.9M | 1.5M | 102 |
| IN | $7.48 | $13.4M | 1.8M | 217 |
| UT | $7.48 | $2.9M | 388.9K | 72 |
| WV | $7.46 | $12.4M | 1.7M | 132 |
| MI | $7.44 | $22.8M | 3.1M | 231 |
| TN | $7.44 | $23.8M | 3.2M | 115 |
| VA | $7.43 | $21.2M | 2.9M | 246 |
| NV | $7.43 | $3.8M | 515.7K | 37 |
| CO | $7.40 | $6.7M | 901.5K | 150 |
| LA | $7.34 | $13.8M | 1.9M | 39 |
| IL | $7.32 | $28.3M | 3.9M | 515 |
| PA | $7.32 | $25.5M | 3.5M | 597 |
| NY | $7.28 | $31.2M | 4.3M | 510 |
| TX | $7.25 | $58.6M | 8.1M | 535 |
| NE | $7.24 | $9.7M | 1.3M | 179 |
| CA | $7.11 | $47.4M | 6.7M | 256 |
| MD | $7.06 | $15.8M | 2.2M | 118 |
| FL | $7.01 | $34.4M | 4.9M | 171 |
| GA | $7.00 | $34.6M | 4.9M | 222 |
| SC | $6.97 | $21.7M | 3.1M | 107 |
| CT | $6.93 | $8.4M | 1.2M | 135 |
| MA | $6.88 | $24.0M | 3.5M | 279 |
| DC | $6.83 | $275.8K | 40.4K | 2 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Acadian Ambulance Service, Inc. | Ambulance Service Provider | LA | $8.2M | 1.2M | $7.10 |
| Midwest Medical Transport Company Llc | Ambulance Service Provider | NE | $6.2M | 897.4K | $6.94 |
| Brewster Ambulance Service Inc. | Ambulance Service Provider | MA | $4.8M | 706.7K | $6.81 |
| Acadian Ambulance Service Of Texas Llc | Ambulance Service Provider | TX | $4.3M | 629.3K | $6.81 |
| Lone Star Ambulance 1, Llc | Ambulance Service Provider | TX | $4.2M | 543.2K | $7.64 |
| Viking Enterprises Inc. | Ambulance Service Provider | TX | $3.9M | 552.5K | $7.11 |
| Shoals Ambulance Llc | Ambulance Service Provider | TN | $3.5M | 455.8K | $7.75 |
| Amerimed Emergency Medical Services, Llc | Ambulance Service Provider | GA | $3.1M | 435.7K | $7.08 |
| Mobile Medical Response Inc | Ambulance Service Provider | MI | $3.1M | 392.8K | $7.78 |
| Superior Air-Ground Ambulance Service, Inc | Ambulance Service Provider | IL | $3.0M | 440.4K | $6.90 |
| Seniorcare Emergency Medical Services Inc. | Ambulance Service Provider | NY | $2.5M | 367.5K | $6.80 |
| Cems Of Ohio Inc | Ambulance Service Provider | OH | $2.4M | 312.5K | $7.70 |
| Pafford Medical Services, Inc | Ambulance Service Provider | AR | $2.4M | 306.7K | $7.72 |
| Medstar, Inc. | Ambulance Service Provider | MI | $2.3M | 337.6K | $6.89 |
| Pafford Emergency Medical Services, Inc | Ambulance Service Provider | MS | $2.0M | 272.4K | $7.50 |
| County Of Pinellas Board Of County Commissioners | Ambulance Service Provider | FL | $2.0M | 298.8K | $6.76 |
| Careflite | Ambulance Service Provider | TX | $2.0M | 278.1K | $7.22 |
| Regional Paramedical Services Inc | Ambulance Service Provider | AL | $2.0M | 262.8K | $7.44 |
| Empress Ambulance Service Llc | Ambulance Service Provider | NY | $1.9M | 267.8K | $7.27 |
| Mobile Medic Ambulance Service Inc | Ambulance Service Provider | MS | $1.9M | 278.6K | $6.96 |
Based on the data, CPT A0425 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 22.2% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.