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Nelson County raises ambulance transport fees to 170% of Medicare allowable
Summary
The Board adopted Resolution R2025-05 to increase ambulance transport fees effective Jan. 1, 2025 (BLS $773, ALS1 $918, ALS2 $1,328, $16 per loaded mile) after staff presented Medicare-comparison options and collection estimates; the policy retains hardship waivers and volunteer write-offs.
The Nelson County Board of Supervisors voted unanimously Jan. 14 to raise ambulance transport fees, adopting Resolution R2025-05 to set rates at 170% of the Medicare allowable effective Jan. 1, 2025.
County Administrator Candice McGarry told the Board that the current rates had been unchanged since 2012 and presented comparisons to 150%, 170% and 200% of Medicare-allowable rural rates along with revenue projections tied to different collection rates. Staff recommended either 150% or 170% in the…
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