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Ambulance & EMS Fee Schedule Calculator

Under CMS 42 CFR § 414.610, ground ambulance services require precise level-of-service selection (BLS, ALS1, ALS2, SCT), mandatory 2-character origin and destination modifier pairs (e.g. SH, RH, NH), and statutory rural mileage multipliers. Calculate your Medicare allowable reimbursement and generate audit-ready ANSI X12 837P Loop 2400 CR1 segments.

Medicare Ambulance Fee Schedule (AFS) Engine

CMS 42 CFR § 414.610 Ground Mileage & Level of Service

Advanced assessment, cardiac monitoring, IV initiation, or single ALS medication.

Loaded Ground Miles14 miles

Loaded statute miles with patient on board (A0425)

Designated under CMS ZIP Code urban/rural mapping

Mandatory Origin & Destination ModifiersModifier: SH
Medical Necessity & Statutory Compliance (42 CFR § 424.36)
AFS Reimbursement BreakdownCMS AFS CY2026
Base Transport Rate (A0427-SH):$555.90
Loaded Mileage (A0425 × 14 mi):+$124.88
Total Medicare Allowable:$680.78
Medicare 80% Payment:$544.62
Patient 20% Coinsurance:$136.16
Transport Documentation Valid

Modifiers SH properly describe transport from Scene of Accident / Acute Event to Hospital / Emergency Department.

Request EMS Billing Audit

ANSI X12 837P Loop 2400 CR1 Ambulance Segment

Electronic Claim Generator with Origin/Destination Modifiers

ISA*00* *00* *ZZ*AMBULANCE-SUB *ZZ*MEDICARE-MAC *260905*1115*^*00501*000000002*0*P*:~ GS*HC*AMBULANCE-SUB*MEDICARE-MAC*20260905*1115*1*X*005010X222A1~ ST*837*0002*005010X222A1~ BHT*0019*00*20260905002*20260905*1115*CH~ NM1*85*2*METRO EMS & AMBULANCE CORP*****XX*1492049182~ CLM*EMS-CLAIM-902*680.78***11:B:1*Y*A*Y*Y~ // LOOP 2300 / 2400 CR1: AMBULANCE TRANSPORT INFORMATION CR1*LB*185*A*14***S*H~ // LINE 1: AMBULANCE BASE RATE (HCPCS + ORIGIN/DEST MODIFIER) LX*1~ SV1*HC:A0427:SH*555.90*UN*1~ DTP*472*D8*20260905~ // LINE 2: LOADED GROUND MILEAGE (A0425 + ORIGIN/DEST MODIFIER) LX*2~ SV1*HC:A0425:SH*124.88*UN*14~ DTP*472*D8*20260905~ SE*14*0002~ GE*1*1~ IEA*1*000000002~

Request Emergency Medical Transport (EMS) Billing Audit

Discover unbilled loaded miles, overturn medical necessity denials, and streamline repetitive PCS workflows.

Next Step For Your Practice

Turn these Ambulance Fee Schedule Calculator insights into recovered cash

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