Skip to main content

AAA Releases 2025 Medicare Rate Calculator

On December 23, 2024, CMS posted a revised version of the CY 2025 Ambulance Fee Schedule Public Use Files on its website.  These files contain the Medicare allowed amounts for the various levels of ambulance service and mileage.  The file is organized by state, and by payment locality within each state.  The 2025 Ambulance Fee Schedule Public Use File can be viewed by clicking here.

Unfortunately, CMS has elected in recent years to release its Public Use Files without state and payment locality headings.  As a result, in order to look up the rates in your service area, you would need to know the CMS contract number assigned to your state.  This is not something the typical ambulance service would necessarily have on hand.  For this reason, the AAA has created a reformatted version of the CMS Medicare Ambulance Fee Schedule, which includes the state and payment locality headings.  Members can access this reformatted fee schedule below.

The American Ambulance Association is also pleased to announce the release of its 2025 Medicare Rate Calculator tool.  The AAA believes this is a valuable tool that can assist members in budgeting for the current year.  This calculator has been updated to account for recent changes in Medicare policies, including the 2025 Ambulance Inflation Factor and the extension of the temporary adjustments for ground ambulance services (i.e., 2% urban, 3% rural, and super rural bonus) through March 31, 2025.  This extension was the result of Section 3203 of the American Relief Act, 2025.  Barring further legislation, these temporary adjustments will expire on March 31, 2025.

Note on Medicare Sequestration: Both the Ambulance Fee Schedule Public Use Files and the AAA Medicare Rate Calculator display the current Medicare allowables.  Neither takes into account the impact of so-called “budget sequestration” on Medicare payments.  By law, the sequester requires Medicare contractors (and Medicare Advantage insurers) to reduce the amounts they pay under the Medicare Ambulance Fee Schedule by 2% (i.e., 2% off the 80% of the Medicare allowable typically paid by the Medicare contractor).

2025-Medicare-Rate-Calculator

2025.AmbulanceFeeSchedule.StateLocalHeadings.

Register Now: EMS Focus Webinar

EMS Focus
WEBINAR

Post-Crash Care – Innovations in Managing Patient Entrapment and Extrication

Hosted by NHTSA’s Office of EMS on Thursday, December 19, at 1pm ET / 10am PT


EMS clinicians respond to nearly 1.5 million motor vehicle crashes on the nation’s roadways each year. Of those, at least 55,226 involve patients trapped or pinned in vehicles in need of extrication.

In this webinar, experts will explore entrapment-related injuries and the specialized skills and training EMS clinicians need.

Panelists will review:

  • Current NAEMSP recommendations for entrapped patients
  • The latest research from the United Kingdom
  • Traditional extrication techniques and technology
  • Rapid extrication methods, self-extrication and the hazards of prolonged entrapment
  • Training and skills needed to manage entrapped patients and support patient-centered rescue throughout the extrication process
  • Patient communication and airway, injury and hypothermia management
Register Now

Panelists Include:

Nichole Bosson, MD, MPH, NRP, FAEMS, medical director, Los Angeles County Emergency Medical Services Agency, associate clinical professor at the David Geffen School of Medicine at UCLA; faculty member and EMS fellowship director in the Department of Emergency Medicine at Harbor-UCLA.

Tim Nutbeam, MB, ChB, Medicine, professor of emergency medicine and post-collision care, Peninsula Medical School, University of Plymouth, Great Britain; consultant in emergency medicine and prehospital emergency medicine.

Attendees will be encouraged to submit questions during any point of the discussion. The webinar and Q&A will last approximately one hour.


About EMS Focus

EMS Focus provides a venue to discuss crucial initiatives, issues and challenges for EMS stakeholders and leaders nationwide. Be sure to visit ems.gov for information about upcoming webinars and to view past recordings.

We are committed to providing equal access to this webinar for all participants. Persons with disabilities in need of an accommodation should contact nhtsa.ems@dot.gov to request an accommodation no later than Friday, December 13, 2024.

Sign up to receive the latest news from the Office of EMS, including webinars, newsletters and industry updates.

Contact Us

1200 New Jersey Avenue, SE
Washington, DC 20590
nhtsa.ems@dot.gov

Stay In Touch!

By signing up, you agree to the AAA Privacy Policy & Terms of Use.Â