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Surry County approves revised ambulance fee schedule; staff estimates $120,000 in added revenue
Summary
Supervisors approved updates to ambulance transport fees and an increase in mileage to $20 per mile, with staff estimating about $120,000 in additional annual revenue to help defray the county’s 24‑hour transport contract.
The Surry County Board of Supervisors approved an updated ambulance and medical transport fee schedule at the March 6 meeting, with staff saying the changes should allow the county to recover more reimbursement from insurers and help defray the cost of 24‑hour transport coverage.
County staff summarized the recommendation after confirming details with emergency services leadership and the billing vendor. Among the changes presented were adjustments to basic and advanced life‑support charges, removal of a "treat‑no‑transport" fee the staff said is no longer allowed, and an increase in mileage from $14.25 per mile to $20 per mile. Staff estimated the combined changes would yield roughly $120,000 in additional annual revenue.
Supervisors discussed the risk that state or federal changes to insurance programs could affect reimbursement rates; board members asked staff to monitor state legislation that may alter Medicare/Medicaid payments. After questions, a motion to adopt the new fee schedule was made and approved by voice vote, and the board directed staff to make the changes effective April 1, 2025 as presented.
(Transcript contained garbled dollar amounts for some line items as recorded in the meeting transcript; the board approved the updated schedule as presented by staff and recorded the $120,000 annual estimate.)
