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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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$115$288
Cascade Medical CenterLeavenworth$270 – $1,8222 plans$1,634$2,043
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$115$288
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$115$288
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$115$288
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$115$288
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$115$288

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.