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The Better Government Association (BGA) has published an article detailing the charges imposed by numerous fire departments and local municipalities. Free ambulance rides, once common in the Chicago area, have become increasingly rare, according to a BGA analysis of approximately 130 fire departments in Cook County. The costs for emergency transport vary widely depending on the level of care required, the patient's residency, and other factors.
Ambulance fees range from $0 to $2,587, depending on the type of service provided. These fees are here to stay because many municipalities rely on them to cover emergency service costs and generate revenue, helping to offset local tax increases. In Cook County, a "basic life support" (BLS) ride can cost residents between $0 and $1,200, with an average of $587. This includes basic care such as CPR, splinting fractures, or controlling bleeding. Non-residents often pay more, with BLS fees ranging from $365.42 to $1,400, averaging $732.
For "advanced life support" (ALS), fees range from $0 to $1,900 for residents and $433 to $2,587 for non-residents. ALS typically involves more advanced care, such as cardiac monitoring and administering medication. In Chicago, residents are charged $900 for BLS, $1,050 for a lower-level ALS service, and $1,200 for a higher-level ALS service, plus $17 per mile and $25 for oxygen. Non-residents face an additional $100 fee.
Billing policies also vary significantly. Some agencies accept insurance as full payment, while others bill patients for any remaining balance, and in some cases, they may use collections agencies to recover unpaid debts.
Forest View, McCook, and Rosemont are the only places in Cook County that do not charge residents for ambulance services, although non-residents will still receive a bill.
Here is a summary of ambulance rates across various agencies in Cook County:
| AGENCY | RESIDENT BLS | RESIDENT ALS-1 | RESIDENT ALS-2 | NON-RESIDENT BLS | NON-RESIDENT ALS-1 | NON-RESIDENT ALS-2 | MILEAGE | OTHER FEES |
|--------|--------------|----------------|----------------|------------------|--------------------|--------------------|---------|------------|
| Alsip FD | $700 | $800 | N/A | $800 | $850 | N/A | 15/mi | YES |
| Arlington Heights FD | $400 | $400 | $450 | $600 | $600 | $650 | 0 | - |
| Barrington FD | $420 | $525 | N/A | $525 | $630 | N/A | 45 | YES |
| Barrington Countryside FPD | $600 | $800 | $1,000 | $800 | $900 | $1,100 | 12/mi | - |
| Bartlett FPD | $550 | $800 | $1,000 | $800 | $1,100 | $1,200 | 10/mi | YES |
These rates highlight the wide variation in ambulance costs across different communities. Medicare sets standardized reimbursement rates, which affect how much providers can charge. Despite this, local governments continue to set their own fees based on budgetary needs and service requirements.
Some areas, like Forest View, McCook, and Rosemont, offer free ambulance services to residents, but non-residents are still billed. Overall, the complexity of ambulance billing and pricing makes it difficult for patients to anticipate the true cost of emergency transport.