Cost analysis for CPT A0430 — Ambulance service, conventional air services, transport, one way (fixed wing)
Average Medicare Payment
$4012.91
2023 data
Total Payments (2023)
$51.3M
Services (2023)
12.7K
Price Change (2014–2023)
+28.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $3121.53 | $37.2M | 11.2K | — |
| 2015 | $3136.51 | $41.1M | 12.2K | +0.5% |
| 2016 | $3074.92 | $41.4M | 12.4K | -2.0% |
| 2017 | $3234.16 | $42.7M | 12.7K | +5.2% |
| 2018 | $3252.68 | $44.2M | 13.1K | +0.6% |
| 2019 | $3357.13 | $47.1M | 13.6K | +3.2% |
| 2020 | $3451.94 | $49.3M | 13.9K | +2.8% |
| 2021 | $3564.59 | $53.8M | 15.0K | +3.3% |
| 2022 | $3683.81 | $50.7M | 13.6K | +3.3% |
| 2023 | $4012.91 | $51.3M | 12.7K | +8.9% |
The most expensive state pays 1.2x more than the cheapest for this procedure. HI averages $4406.07 vs AL at $3754.97.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| HI | $4406.07 | $1.5M | 330 | 5 |
| AK | $4352.59 | $6.1M | 1.4K | 11 |
| MO | $4293.04 | $2.6M | 610 | 2 |
| VI | $4240.65 | $589.5K | 139 | 1 |
| MT | $4199.33 | $2.4M | 581 | 4 |
| CO | $4193.83 | $4.3M | 1.0K | 4 |
| WY | $4183.31 | $1.2M | 293 | 3 |
| CA | $4097.51 | $2.8M | 691 | 2 |
| NE | $4077.09 | $444.4K | 109 | 1 |
| SD | $4038.33 | $2.7M | 659 | 4 |
| AZ | $4035.54 | $2.1M | 509 | 7 |
| WA | $4019.38 | $2.5M | 612 | 2 |
| MI | $4018.01 | $699.1K | 174 | 4 |
| NM | $4011.13 | $3.9M | 967 | 8 |
| KS | $3993.27 | $2.3M | 571 | 4 |
| UT | $3986.18 | $689.6K | 173 | 2 |
| ND | $3827.97 | $761.8K | 199 | 3 |
| OR | $3803.69 | $5.2M | 1.4K | 4 |
| TX | $3780.56 | $3.0M | 784 | 8 |
| AL | $3754.97 | $4.4M | 1.2K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Rocky Mountain Holdings, Llc | Ambulance Service Provider | AL | $4.4M | 1.2K | $3754.97 |
| Life Flight Network Llc | Ambulance Service Provider | OR | $4.3M | 1.1K | $3793.77 |
| Classic Air Care Llc | Ambulance Service Provider | CO | $3.3M | 795 | $4182.92 |
| Lifemed Alaska, Llc | Ambulance Service Provider | AK | $2.8M | 651 | $4291.62 |
| Reach Air Medical Services Llc | Ambulance Service Provider | CA | $2.6M | 625 | $4134.48 |
| Cal-Ore Life Flight Llc | Ambulance Service Provider | MO | $2.3M | 536 | $4347.96 |
| Dale Aviation Inc | Ambulance Service Provider | SD | $1.7M | 429 | $3939.18 |
| University Of Washington | Ambulance Service Provider | WA | $1.5M | 391 | $3868.78 |
| Csi Aviation, Inc. | Ambulance Service Provider | NM | $1.4M | 364 | $3966.21 |
| Northeast Montana Stat Air Amublance Cooperative | Ambulance Service Provider | MT | $1.2M | 279 | $4208.98 |
| Apollo Medflight, Llc | Ambulance Service Provider | TX | $1.1M | 278 | $3850.02 |
| Island Air, Inc. | Ambulance Service Provider | WA | $947.2K | 221 | $4285.82 |
| Guardian Flight Llc | Ambulance Service Provider | AK | $881.5K | 200 | $4407.47 |
| Guardian Flight Llc | Ambulance Service Provider | AK | $813.8K | 184 | $4422.99 |
| Elite Medical Air Transport, Llc | Ambulance Service Provider | TX | $794.4K | 208 | $3819.13 |
| Shc 2021 Llc | Ambulance Service Provider | MT | $722.2K | 171 | $4223.47 |
| Med-Trans Corporation | Ambulance Service Provider | KS | $704.8K | 174 | $4050.44 |
| Med-Trans Corporation | Ambulance Service Provider | KS | $628.3K | 156 | $4027.87 |
| Aac-Air Ambulance Caribbean Inc. | Ambulance Service Provider | VI | $589.5K | 139 | $4240.65 |
| Guardian Flight Llc | Ambulance Service Provider | NM | $554.3K | 136 | $4076.07 |
Based on the data, CPT A0430 shows a 1.2x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 28.6% 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.