2026 · Medicare Part B · ground ambulance
Medicare Ambulance Fee Schedule Estimator — 2026
Estimate an urban, rural or super-rural ground ambulance amount using national 2026 fee-schedule inputs. Enter the locality GPCI and classification from the CMS ZIP/locality files. This is an estimate, not a payer quote.
Estimate a ground transport
Paramedic intercept (A0432) and air ambulance are not supported by this ground-transport estimator; use the CMS fee file and payer rules for those scenarios.
How the estimator works
For ground services, the adjusted service rate uses RVU × national base × (0.3 + 0.7 × PE GPCI), multiplied by the urban or rural add-on. For rural areas, the first 17 ground miles receive a mileage increase; super-rural pickups can receive an additional 22.6% base-service bonus.
Preparing a claim next?
Review HCPCS codes and mileage documentation, then prepare your paper CMS-1500 claim or electronic 837P file in the Windows software.