HCPCS A0428

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

Current codeMedical Transport - Ground13 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS A0428 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$173 – $46013 plans$115$288
Cascade Medical CenterLeavenworth$343 – $1,2812 plans$1,634$2,043
Deaconess Medical CenterSpokaneFile dated 2026-08-27$460 – $1,0912 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$414 – $8465 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$173 – $1,92417 plans$115$288
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$145 – $1,13314 plans$115$288
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$145 – $1,13314 plans$115$288
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$145 – $1,13314 plans$115$288
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$433 – $1,0893 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$145 – $1,13314 plans$115$288
Virginia Mason Medical CenterSeattle$272 – $1,1657 plans——
WhidbeyHealth Medical CenterCoupeville—$655$655
Yakima Valley MemorialYakimaFile dated 2026-08-27$312 – $6806 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.