Ambulance Billing Information


Patients are not billed for ambulance transport.  We only bill your insurance.


After several years of debate, the Clarke County Volunteer Fire and Rescue Association, the Clarke County Fire, EMS and Emergency Management and the Clarke County Board of Supervisors have decided to institute a billing system for EMS transports beginning May 1, 2015.

The system is known as Fee For Service

The reason for initiating this program is due to the large number of EMS-related incidents responded to by Clarke County.  These EMS-related incidents include medical problems, personal injuries, and motor vehicle crashes.

While we continue to operate with a very limited budget, both the volunteer and career departments throughout the County have had to look at various funding alternatives.

Even though this is a new process for Clarke County, it is not for a large portion of the Commonwealth of Virginia and other parts of the country as about 80% of other jurisdictions in the country charge medical insurance carriers for ambulance transport services.  Locally, the City of Winchester and the Counties of Warren Shenandoah, and Frederick all currently charge for EMS transports.

While this program will enable us to recover some of the costs of providing these services, while also keeping taxes at an affordable rate, we will always need your help as we have in the past for volunteer fire and rescue companies.

HIPPA Privacy Information

Notice of Privacy Practices

HIPPA Individual Rights Complaint Form

FFS Brochure updated June 2017

Clarke County Patient Request for Access to Protected Health Information


Program Information

Below you will find information regarding what we charge for EMS Transport services.  You will also find information on items you may receive in the mail.  Occasionally we are not able to obtain your insurance information or a signature at the time of transport.  If that should happen you will receive a form in the mail with instructions on how to provide that information to us.

Our current third party billing company is Premier Accounts Receivable Management

314 Hope Drive, Winchester VA 22601


Ambulance Fee Schedule

  • Basic Life Support (BLS) Transport Emergency Base Rate - $440.00
  • Basic Life Support (BLS) Transport Non-Emergency Base rate - $431.00
  • Advanced Life Support (ALS) Transport Non-Emergency Base Rate - $512.00
  • Advanced Life Support (ALS) Transport Emergency Base Rate - $550.00
  • Advanced Life Support, Level 2 (ALS) Transport Base Rate - $755.00
  • Mileage (per loaded mile, from pickup location to hospital) - $11.00


Fee For Service Questions or Concerns

Melanie Radford

Billing Coordinator

101 Chalmers Court

Berryville, VA 22611

Office - (540) 955-5105

Fax - (540) 955-5180