E. Duane Howard:They'll pay $100.00 for ambulance transport to RMH. I can see the the hospital from my rear deck. It is less than a mile away and the ambulance fee is over $350.00.
E. Duane:
I’m conducting a little experiment here to see if I can respond to you in Word, then copy and paste it to the panel site.
With respect to the ambulance fee you pay for a trip to RMH, which is apparently quite close to your home: The fee is standard within Roanoke city, no matter where you live, and it would be the same if you lived on the northern border of the city. The only variation is whether the transport is for BLS (basic life support) or ALS (advanced life support, and it is always the same for these two services irrespective of the amount of care you need during the trip. I think the fee is similar for Roanoke county as well.
The reason the fee seems high is that it isn’t based on amount of service rendered (other than the BLS/ALS rating). Transporting a working code blue with continuous CPR and all the extra resources in supplies and manpower that entails will cost the same as a person complaining of shortness of breath and some mild chest discomfort. Transporting a patient weak and sick with flu-like symptoms will cost the same as a person with a cut finger. By the way, don’t laugh at the cut finger – many of the calls we receive need little more than cleansing and a band-aid. Many of them could safely be transported by cab or private vehicle, but often the patient has no car or money for a cab, or they may simply be incapable of making appropriate decisions.
The patient’s insurance and/or Medicare may pay all or part of the transport, but often no one pays, and the city has to eat the bill. Think of the $350-plus fee as a way to cover the cost of transporting all patients, rich and poor, insurance or no insurance, critical and non-critical. Our goal is to be at your house four minutes or less from the time that you call 911, and we’ll deliver appropriate care, whether you called for a paper cut or an immediately critical life threat.
I typed this in a 14 font so let’s see if it transfers….