When a patient is transported to a hospital/medical facility, the fee will be one of the following:

When a patient is transported to a hospital/medical facility, the fee will be one of the following:

• For Basic Life Support (BLS) the charge is $600 Basic Life Support is the transportation by ground ambulance vehicle and the provision of medical supplies and services without Advanced Life Support intervention.
• For Advanced Life Support, Level 1 (ALS-1) the charge is $780 ALS-1 service is the transportation by ground ambulance vehicle and the provision of medically necessary supplies and services including the provision of an ALS assessment and at least one ALS intervention.
• For Advanced Life Support, Level 2 (ALS-2) the charge is $900 ALS-2 service is the transportation by ground ambulance vehicle and the provision of medically necessary supplies and services including: (1) at least three separate administrations of one or more medications by intravenous push/bolus or by continuous infusion; or (2) ground ambulance transport and the provision of at least one advanced life-saving procedure.

In addition,

• For all transports, a charge of $12.00 per mile is charged based on the number of miles a patient is transported to a medical facility.

The City of Alexandria Fire Department’s ambulance billing is handled by a third-party company known as Change Healthcare Solutions (recently acquired by Optum).

• The company can be reached toll free at (833)-812-0564 between the hours of 9 a.m. and 5 p.m. EST.

Patients of the Alexandria Fire Department EMS will usually receive correspondence and bills from Change Healthcare, and not the Alexandria Fire Department.

You can receive a copy of your ambulance bill by contacting Cameron Hall, Administrative Support V at 703.746.5241. You can also make records requests by visiting the City's Records Request webpage.

You can receive a copy of a fire incident report by contacting Cameron Hall, Administrative Assistant at 703-746-5241. You can also make records requests by visiting the City's Records Request webpage.

For assistance with EMS Hardship Applications or reductions please contact Larosa Farmer at Larosa.Farmer@alexandriava.gov or (703) 746-5253. 

The qualified reasons for hardship are as follows:

(1) Persons in the custody of the police department or the office of the sheriff of the city;

(2) Persons determined to be medically indigent according to (i) the eligibility determination made by the hospital to which the person is transported, or (ii) Level A of the income level scales established by the health department of the city for the purpose of determining eligibility for health services;

(3) Victims of violent crime, as identified by the commonwealth's attorney for the city;

(4) Persons affected by fire, flood, storm, natural or man-made calamity or disaster, or by widespread public disturbance or disorder when an emergency rescue vehicle of the city responds as a matter of policy without call;

(5) City of Alexandria employees who become ill or are injured during working hours while carrying out work-related duties; or

(6) Children 18 years of age or younger who require emergency medical service and transport while attending school or a school-related activity. (Code 1963, Sec. 36-59, as amended by Ord. No. 2564, 5/16/81, Sec. 1; Ord. No. 2908, 3/21/84, Sec. 1; Ord. No. 3490, 12/15/90, Sec. 1; Ord. No. 4045, 5/5/99, Sec. 1; Ord. No. 4448, 5/20/06, Sec. 1; Ord. No. 4534, 5/5/08, Sec. 1; Ord. No. 4947, 5/16/15, Sec. 1)

At this time, payments cannot be made with a credit card, though the City is still working to coordinate with the vendor to accept credit card payments. Currently, payments should be made via check.

Once you provide insurance information, Change Healthcare Management Solutions, Inc. will alert your insurance who will work with Change Healthcare to pay a portion of your bill. If further information is requested by your insurance in order to process the claim, you will be contacted.