Skip Navigation

EIP Notice: Post-Landfall Resources and Information... More »


Leon County contracts with a third party vendor, who provides patient accounts receivable services to the County. The vendor will bill the patient’s insurance carrier, on behalf of Leon County, as a courtesy; however, it is the responsibility of the patient to follow up with their insurance company to resolve any delays in payment. In the event that an insurance company denies the claim for any reason, or does not pay the full amount, the patient will be responsible for any remaining balance. 

For billing questions click here.

Insurance Contracting

 Leon County’s EMS Division is partially supported by a Municipal Services Taxing Unit, with the remainder of funding coming from fees for services. Due to the nature of the funding sources, Leon County does not contract with any insurance companies other than those required by law. Therefore, depending on the nature of a patient’s insurance coverage, they will be required to pay any amount that exceeds the “customary” allowable recognized by the insurance company. 

Medical Necessity

 Many insurance carriers, including the Medicare and Medicaid Programs, require that a patient’s medical condition warrant the use of an ambulance before they will allow payment. Furthermore, the policies regarding Medical Necessity are unique to each insurance company and can be quite complex. Leon County, in its capacity as the 911 ambulance provider is not responsible for situations where an insurance carrier determines that an ambulance transport does not meet their Medical Necessity requirements. In such cases, the patient will be billed for full charges.

Collection Agency

Leon County has established a policy for the collection of delinquent accounts. In cases where it is necessary, Leon County does utilize the services of a licensed collection agency. Sending an account to a collections agency is used as a last resort in cases where the efforts of the billing vendor to secure payment have been unsuccessful. Patients unable to afford paying the entire balance due in one lump sum are welcome to make affordable monthly payments on their account. For your convenience, Visa and Mastercard are accepted as forms of payments.

EMS Billing Rates

Updated October 2022

Type of Service

FY 2023 rate

Stand-by, 2 crew members w/ vehicle

$153/hr (3 hour min)

Stand-by, 1 crew member, no vehicle

$76/hr (3 hour min)

First Aid Assessment


Basic Life Support Non-Emergency Base


Basic Life Support Emergency Base


Advanced Life Support 1 Non-Emergency Base


Advanced Life Support 1 Emergency Base


Advanced Life Support 2 Base


Specialty Care Transport Base


Transport Mileage