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The Better Government Association (BGA) has published an article detailing the charges imposed by numerous fire departments and local municipalities across Cook County. Free ambulance rides, once common in the Chicago area, are now rare, according to a BGA analysis of about 130 fire departments. The costs for emergency transport vary widely depending on factors like the level of care needed, patient residency, and location.
Ambulance fees can range from $0 to $2,587, depending on the type of service required. These charges are here to stay as many towns and cities rely on them to cover emergency service costs and generate revenue, helping to offset rising local taxes. In Cook County, basic life support (BLS) services can cost residents between $0 and $1,200, with an average of $587. Non-residents may pay between $365.42 and $1,400, averaging around $732. Advanced life support (ALS) services range from $0 to $1,900 for residents and $433 to $2,587 for non-residents. ALS typically includes more advanced care such as cardiac monitoring and medication administration.
In Chicago, BLS is priced at $900, while less intensive ALS services cost $1,050, and more advanced ALS services cost $1,200, plus $17 per mile and $25 for oxygen. Non-residents face an additional $100 fee. Billing policies also differ—some agencies accept insurance as full payment, others bill patients for any remaining balance, and some use collections agencies if necessary.
Forest View, McCook, and Rosemont are the only areas in Cook County that do not charge residents for ambulance services, though non-residents still receive bills. A detailed table lists the rates for various fire departments, including BLS, ALS-1, ALS-2, mileage charges, and other fees. For example, Alsip FD charges $700 for BLS and $800 for ALS-1, while Elgin FD offers BLS at $442.75 and ALS-2 at $760. Many departments include mileage fees, ranging from $7/mi to $25/mi, and some add extra charges like oxygen or equipment usage.
The variation in pricing highlights the lack of standardization in ambulance billing across the region. Medicare sets a standardized rate schedule, which increases annually based on inflation, but this doesn’t necessarily reflect the actual fees charged by local providers. Despite these differences, the financial burden on patients remains significant, especially for those who are not residents.
This data underscores the need for greater transparency and consistency in ambulance billing practices, so that residents and visitors alike can better understand and prepare for potential costs.