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See a sample rate comparisonHCPCS A0225 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ambulance service, neonatal transport, base rate, emergency transport, one way
| Key Fact | Detail |
|---|---|
| Service Type | Ambulance and Other Transport Services and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for A0225 |
National average reimbursement for HCPCS A0225 by major payers:
$584.16
$395.13
$409.92
$371.99
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HCPCS A0225
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,023.15Published rateMichael Guillette
Aztec Urgent Care LLC
$670.84Published rateUjuka Iloabuchi
$389.70Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$369.77Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$248.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A0225 vs. Other Ambulance and Other Transport Services and Supplies Codes
The HCPCS A0225 code is part of the Ambulance and Other Transport Services and Supplies services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A0225 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A0210-HCPCS | Low | Non-emergency transportation: ancillary: meals-escort |
| A0225-HCPCS | Moderate | Ambulance service, neonatal transport, base rate, emergency transport, one way |
| A0380-HCPCS | Low | BLS mileage (per mile) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A0225. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A0225 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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