Medina raises ambulance rates by 5% for most types of care

Photo by Tom Rivers: An ambulance leaves the Medina fire station for a call on July 29, 2025.

MEDINA – The rates will be going up by 5 percent for most services and types of care from the Medina Fire Department’s ambulance.

The rate for mileage remains at $38 per mile, and the fire department kept bariatric at $850, out-of-district care at $75 and BLS treat and release at $396.78.

The following represent 5 percent increases: ALS treat and release, $564.39; BLS non-emergency, $923.35; BLS emergency, $1,172.42; ALS 1 non-emergency, $1,347.98; ALS 1 emergency, $1,661.82; ALS 2, $1,898.22; paramedic intercept, $1,220.71; and specialty care transport, $1,854.31. The new rates will be effective April 1.

The fire department ambulance typically brings in about $1.2 million in revenue a year. The revenue is on pace for $1.7 million for the fiscal year ending May 31, said Steve Cooley, the Medina fire chief.

The new rates are close to the average for the ambulance providers served by MedEx, an ambulance billing company based in LeRoy.

Cooley said he wants the rates to be fair for the people served by the Medina FD ambulance.

He said he is concerned by possible cuts through the Medicaid program. Gov. Hochul has proposed cuts that could reduce Medina’s revenue by about $70,000 a year, Cooley said.

Courtesy Medina Fire Department: Here is the new rate structure for ambulance services provided by the Medina Fire Department.