Typical Bill
$2,151–$2,440
BLS to ALS base
National Rank
#4 / 51
pricier than most
Surprise-Billing
Limited
How Hawaii compares
Ranked by typical ALS (emergency) base rate, Hawaii is the 4th most expensive of 51 states — pricier than 3 and cheaper than 47.
What drives the cost in Hawaii
Hawaii DOH sets one statewide ambulance fee schedule that applies across all islands.
We hold 1 verified provider rate for Hawaii, sourced from official fee schedules. Cities without a verified rate show a modeled estimate built from the Medicare benchmark and the typical local markup over it. How we calculate this →
Surprise Billing Protection in Hawaii
Hawaii has limited ground-ambulance balance-billing protections, and the federal No Surprises Act does not cover ground ambulances. You may receive a balance bill above what insurance pays.
Verified provider rates in Hawaii
Pulled from official municipal and county fee schedules — click a provider for the full breakdown.
- International Life Support IncCMS Medicare Physician & Other Practitioners — by Provider and Service (CY2024 PUF), provider submitted (billed) charges$2,107–$2,415
- Emergency Medical Services System Hawaii Dept Of HealthCMS Medicare Physician & Other Practitioners — by Provider and Service (CY2024 PUF), provider submitted (billed) charges$2,195–$2,464
Browse cities in Hawaii
Don't see your town? Use the search above — every Hawaii city has its own cost page.
Compare other states
Disclaimer:Rates shown are based on publicly available fee schedules and modeled estimates. Actual charges vary by provider, service level, mileage, and insurance. Contact your insurer for coverage details.