How much does Medicare pay for HCPCS A0429?

Medicare allowed an average of $446.93 per service and paid $351.82 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1252.09, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code A0429?

Ambulance service, basic life support, emergency transport (bls-emergency). It was billed 2,598,660 times to 1,857,522 Medicare beneficiaries by 7,742 providers in 2024.

Which specialty bills A0429 most?

Ambulance Service Provider, with 2,598,660 services from 7,742 clinicians.

HCPCS A0429

Ambulance service, basic life support, emergency transport (bls-emergency)

$446.93Medicare-allowed amount per service, averaged across 2,598,660 services

Providers submitted

$1252.09

Asking price, not received

Medicare allowed

$446.93

The fee schedule figure

Medicare paid

$351.82

Balance is patient coinsurance

Providers submitted an average of $1252.09 for this code and Medicare allowed $446.93 — 2.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $351.82 (79%); the rest is the patient’s coinsurance and deductible.

Services: 2,598,660
Beneficiaries: 1,857,522
Providers billing it: 7,742
Total allowed: $1,161,419,114

What Medicare pays for HCPCS A0429

Across 2,598,660 services billed by 7,742 providers to 1,857,522 beneficiaries, Medicare allowed an average of $446.93 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills A0429

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulance Service Provider	2,598,660	1,857,522	$446.93	7,742

A0429 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	245,555	$475.60	$341.87	543
California	215,725	$500.43	$341.90	222
Pennsylvania	143,154	$430.00	$344.65	519
New Jersey	142,475	$477.78	$344.71	224
Florida	136,898	$426.92	$345.81	153
Massachusetts	132,805	$474.07	$342.48	271
Texas	128,452	$432.60	$343.82	437
Illinois	111,556	$432.97	$344.30	459
Ohio	92,776	$410.76	$343.95	686
Maryland	80,945	$460.96	$346.11	91
Virginia	79,547	$440.47	$343.97	219
Washington	74,816	$476.15	$343.78	179
North Carolina	69,755	$414.80	$342.35	138
Georgia	66,794	$415.75	$339.42	142
South Carolina	66,250	$408.38	$343.14	72
Michigan	64,471	$422.74	$342.95	202
Connecticut	52,122	$465.48	$342.85	134
Indiana	46,388	$413.76	$342.71	197
Wisconsin	42,804	$430.57	$343.28	274
Kentucky	37,464	$401.89	$342.54	157
Tennessee	36,977	$407.48	$342.20	95
Delaware	36,240	$436.04	$342.37	59
Missouri	34,433	$416.85	$343.54	165
Arizona	32,486	$447.02	$343.41	83
Alabama	30,572	$403.18	$340.38	110
Oklahoma	28,426	$421.29	$343.45	98
Minnesota	27,717	$470.40	$341.47	133
West Virginia	25,604	$401.45	$341.51	109
Colorado	22,955	$471.33	$341.87	110
Oregon	22,696	$469.08	$341.47	81
Louisiana	22,658	$407.75	$343.73	32
Iowa	21,746	$429.07	$343.72	182
Kansas	20,936	$433.64	$343.56	110
Nebraska	20,828	$446.06	$342.11	169
Mississippi	19,709	$400.58	$342.94	23
Arkansas	18,802	$412.07	$340.47	55
Nevada	16,610	$445.01	$341.65	28
Maine	14,537	$438.45	$338.95	126
New Hampshire	12,850	$452.74	$340.68	99
Vermont	12,408	$438.79	$338.93	61
Idaho	10,301	$429.55	$342.81	55
Montana	10,260	$488.92	$340.11	67
Alaska	9,826	$513.91	$344.77	26
New Mexico	9,818	$453.32	$341.35	46
South Dakota	8,891	$492.72	$341.39	80
Utah	7,982	$423.95	$342.73	42
Rhode Island	7,544	$449.26	$344.23	44
District of Columbia	7,279	$495.98	$339.96	2
North Dakota	6,944	$481.96	$338.66	68
Hawaii	3,715	$484.33	$343.21	3
Wyoming	2,345	$494.23	$341.41	11
Puerto Rico	1,815	$429.96	$332.46	47
Guam	1,587	$191.75	$342.51	1
Northern Mariana Islands	314	$488.25	$328.97	2
U.S. Virgin Islands	96	$443.96	$347.19	1

Related codes

A0425Ground mileage$9.46
A0436Rotary wing air mileage$38.43
A0427Ambulance service$522.48
A0428Ambulance service$261.47
A0435Fixed wing air mileage$14.65
A0426Ambulance service$327.62
A0433Advanced life support$752.44
A0434Specialty care transport (sct)$919.21
A0431Ambulance service$5614.16
A0430Ambulance service$5195.78

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.