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Monona committee approves revised Fire & EMS fee schedule, raises mileage to $35

Monona Public Safety Committee · December 2, 2025
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Summary

The Monona Public Safety Committee approved a $20.26 fee schedule and raised billable mileage to $35 per mile for the Monona Fire & EMS Department, a change estimated to increase collections by about $20,000 annually.

The Monona Public Safety Committee voted on Nov. 26 to approve a revised fee schedule for the Monona Fire & EMS Department that sets the general fee schedule at $20.26 and increases mileage reimbursement to $35 per billable mile, effective Jan. 1.

Fire/EMS leadership told the committee that the mileage change is the single substantive modification to the schedule and that most neighboring agencies already charge $35 or more. The Fire/EMS Chief said the department has collected just over $100,000 this year under its billing program and estimated the updated mileage and fee schedule could raise collections by about $20,000 based on current call volume.

The Chief noted that insurance companies cover most transports, while Medicaid and Medicare patients pay a percentage determined by formulas the department does not control. "We considered that last year...most of the surrounding agencies are 35 or higher now," the Fire/EMS Chief said when explaining the mileage increase.

A committee member moved to approve the revised rate; another member seconded and the motion carried. The Chief said the department monitors supplier pricing and updates costs as needed; the last pricing update had been in August.

What happens next: The committee-approved changes will become effective Jan. 1 and will be implemented through the Monona Fire & EMS billing process. The committee did not record a separate ordinance number in the transcript.