EMS Rates

EMS Fee Structure

Hanahan Fire and EMS Ambulance User Fees (patient billing) are in place for the purpose of recouping costs. User Fees are set by the Berkeley County Commissioners and based on Federally established Medicare rates.

EMS ambulance billing is determined by the service provided. The following terms are used to describe service types.

• Basic Life Support (BLS) – Medical evaluation, vital signs, bandaging, splinting, oxygen, etc.
• Advanced Life Support (ALS) – Medications, IVs, advanced airway procedures, heart monitoring, 12-lead EKGs, heart pacing, etc.
• ALS I – ALS procedure
• ALS II – Multiple ALS procedures
• Loaded Miles – Distance of transport with patient on board

Everyone transported to an Emergency Department (ED) receives at least BLS care. Some patients receive ALS I or ALS II care.

Not all patients we see are transported to an ED. Some patients who are not transported may still receive BLS, ALS I, or ALS II level care. No Transport fees may be charged when BLS or ALS procedures are performed. ALS No Transport is a single rate, regardless of whether multiple ALS procedures are performed.

Per Medicare standards, Hanahan Fire and EMS does not itemize bills, but instead uses the Medicare flat rate structure.

2022 Rate Chart – Transported to Emergency Department

2022 Rate Chart – No Transport