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411 <br />R CE ,'E AR t d 1992 <br />Service Rates For Private Pay, Non-Contract Facilities <br />1. Non-Emergency and Convalescent Transport Service. <br />Base Rate $ on 00 <br />Mileage $ 3.75 per mile <br />Oxygen $ 25.00 <br />2. Emergency Room Transport Service, Hospital to Hospital <br />Service, which includes some, but not necessarily <br />all of the following services: Base Life Support, <br />Ventilators, IV's, Trachs, Traction, Spinal Immobilization, <br />and Isolettes. <br />Base Rate $ 100.00 <br />Mileage $ 4.00 per mile <br />oxygen $ 75-00 <br />3. Additional charges applicable to both types of service. <br />(A) All of the above charges are based on a loaded one way <br />trip. A round trip (loaded) would be double the listed <br />charges. <br />(B) Waiting time will be charged after the first 15 <br />minutes at the rate of $ 1 _5o pe= minute <br />(C) The charge for cancellation of a trip after the <br />ambulance arrives is $ 45.00 <br />(D) Furnishing of requested personnel is at the following <br />rates: <br />EMT $ 25.00 per hour <br />LPN $ 27-on per hour <br />RN $ -jn_nn per hour <br />(E) Furnishing of oxygen on a trip of more than 100 <br />miles (one way) shall be considered a long distance <br />trip and and the charge is $ .20 per mile <br />4. Other Provisions: <br />(A) Discounts from the above rates are available on <br />out-of-state transports. <br />(B) Prescheduling is recommended for doctor's appointment, <br />requests for additional personnel, and out-of-state <br />transports. <br />(C) Prices are subject to change upon giving Lee County <br />thirty days notice. <br />(D) Special discount rates are available for facilities <br />