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Residents question high ambulance bills; staff explain vehicle, equipment and staffing costs

Rosebud County Public Health · July 1, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

During public comment residents asked why ambulance rides cost so much; county staff explained vehicle and equipment costs (about $260,000 plus $100,000–$150,000 in equipment), staffing model, paid-on-call stipends and that roughly 75% of runs are 911 lift assists and 25% are transports.

Residents used the public-comment period to question ambulance charges and the department provided a breakdown of costs and staffing.

A resident asked, "So why are ambulance rides so very expensive if the ambulance were not making much money?" Jared replied that a recent ambulance cost about $260,000 and the outfitting required an additional $100,000 to $150,000 in equipment, and that diesel and disposable medical supplies add to per-call costs.

Jared also described staffing levels: "We've got 2 new EMTs now that completed their national registry, which brings us to 14 EMTs, 2 paramedics, and 5 drivers," and said recent retirements and a departure temporarily reduced paramedic coverage. He explained paid volunteers receive on-call pay for 12-hour shifts and per-call fees on top of that: "a 12 hour shift on call pays 37 to $44 depending on position." The department said about 75% of activity is 911 lift assists and about 25% are transports, and maintenance costs for rigs are a major recurring expense.