Non-Emergency Medical Transportation Rates in Pennsylvania
Current private pay NEMT rate estimates for Pennsylvania. These rates reflect typical charges from licensed providers across the state.
Quick answer
Non-emergency medical transportation in Pennsylvania typically costs $35–$65 for an ambulatory (sedan) ride, $70–$120 for a wheelchair van, and $325–$550 for a stretcher ride, as a base rate, plus $2.00–$4.00 per mile (ambulatory) to $5.50–$14.00 per mile (stretcher). These are estimated market ranges, not quotes; Pennsylvania Medicaid covers rides to covered appointments for eligible members.
Dream Care Rides serves Illinois and Northwest Indiana, and runs long-distance trips to and from the Chicago area. Call (708) 505-6994 to price one.
Last updated · By Otse Amorighoye, Founder & CEO, Dream Care Rides
Pennsylvania NEMT Rate Table
Private pay base rates and per-mile charges for non-emergency medical transportation in Pennsylvania. Rates are estimated ranges based on published provider data. Actual costs vary by provider, pickup location, and trip details.
| Service Type | Base Rate | Per Mile |
|---|---|---|
| Ambulatory (Sedan/SUV) | $35 - $65 | $2.00 - $4.00 |
| Wheelchair (ADA Van) | $70 - $120 | $3.00 - $6.00 |
| Stretcher (Ambulette) | $325 - $550 | $5.50 - $14.00 |
Rates are estimated private pay ranges. Contact local providers for exact pricing.
Common NEMT Surcharges in Pennsylvania
| Surcharge | Typical Range | Details |
|---|---|---|
| After-Hours / Evening | $10 - $25 | Trips before 7 AM or after 6 PM |
| Weekend Service | 25% - 50% surcharge | Saturday and Sunday trips |
| Holiday Service | 50% - 100% surcharge | Federal holidays |
| Stair Assistance | $25 - $50 | Per flight of stairs navigated |
| Oxygen Equipment | $25 - $40 | Portable O2 setup and monitoring |
| Bariatric (300+ lbs) | $30 - $100+ | Specialized equipment, possible extra crew |
| Deadhead Miles | $1.50 - $4.00 / mile | Empty miles the vehicle travels to reach your pickup location |
| Extended Area Fee | $25 - $75 | Pickups outside the provider's primary service zone |
| Additional Passenger | $10 - $25 | Companion or escort |
How Pennsylvania NEMT Rates Compare to the National Average
Pennsylvania's NEMT rates are near the national average. Here's how the midpoint of Pennsylvania's base rates stacks up:
Medicaid NEMT Coverage in Pennsylvania
Pennsylvania Medicaid provides non-emergency medical transportation benefits to eligible enrollees through a managed care model. The primary NEMT coordinator in Pennsylvania is HealthChoices managed care.
In a managed care model, each Medicaid managed care plan is responsible for arranging NEMT for its members. Patients contact their health plan directly to schedule rides to covered appointments.
To qualify, you must have active Pennsylvania Medicaid coverage, no other means of transportation to your appointment, and be traveling to a Medicaid-covered medical service. Learn more in our NEMT qualification guide.
About This Rate Data
Dream Care Rides is based in Olympia Fields, Illinois and serves Illinois and Northwest Indiana. These Pennsylvania rates are provided as a reference for patients and families researching NEMT costs nationwide.
Need NEMT in Illinois or Northwest Indiana? Dream Care Rides offers ambulatory, wheelchair, and stretcher transport with ADA-compliant vehicles and trained drivers.
Frequently Asked Questions: NEMT in Pennsylvania
How much does NEMT cost in Pennsylvania?
Private pay NEMT rates in Pennsylvania typically range from $35 - $65 for ambulatory (sedan) transport, $70 - $120 for wheelchair transport, and $325 - $550 for stretcher transport. Per-mile charges are additional and vary by service type. These are estimated market ranges, not quotes.
Does Medicaid cover medical transportation in Pennsylvania?
Yes. Pennsylvania Medicaid covers non-emergency medical transportation for eligible beneficiaries. Pennsylvania uses a managed care model to coordinate NEMT services. The primary coordinator is HealthChoices managed care. Patients must be Medicaid-eligible and traveling to a covered medical appointment.
What is the per-mile rate for NEMT in Pennsylvania?
Per-mile rates in Pennsylvania vary by service type: ambulatory transport is $2.00 - $4.00/mile, wheelchair transport is $3.00 - $6.00/mile, and stretcher transport is $5.50 - $14.00/mile. These are charged on top of the base rate.
Are Pennsylvania NEMT rates higher or lower than average?
Pennsylvania NEMT rates are near the national average. The national average base rate is approximately $48 for ambulatory, $88 for wheelchair, and $411 for stretcher transport. Pennsylvania's rates reflect local cost of living, fuel costs, and market conditions.
What surcharges apply to NEMT in Pennsylvania?
Common NEMT surcharges in Pennsylvania include weekend service (25%-50% extra), holiday service (50%-100% extra), stair assistance ($25-$50 per flight), oxygen equipment ($25-$40), and wait time fees that start after a 10-15 minute grace period. Evening and after-hours trips may also carry a $10-$25 surcharge.
How do I find a reliable NEMT provider in Pennsylvania?
To find reliable NEMT in Pennsylvania, ask your Medicaid plan or insurance carrier for approved providers. You can also search online for licensed NEMT companies in your area. Look for providers with ADA-compliant vehicles, proper insurance, and positive patient reviews. For patients in Illinois or Northwest Indiana, Dream Care Rides is available at (708) 505-6994.
Does Medicare cover non-emergency medical transportation in Pennsylvania?
Original Medicare (Parts A and B) does not cover routine rides to doctor appointments in Pennsylvania or any other state. Part B covers ground ambulance when other transport could endanger your health, and non-emergency ambulance only when it is medically necessary with a written order (for example, some dialysis patients); you pay 20% of the Medicare-approved amount after the Part B deductible. Some Medicare Advantage plans include rides to appointments as a supplemental benefit, so check your plan's Evidence of Coverage. People with both Medicare and Medicaid can use Pennsylvania Medicaid's NEMT benefit.
Does Dream Care Rides provide rides in Pennsylvania?
Not for local trips. Dream Care Rides serves Illinois and Northwest Indiana. If a trip starts or ends in the Chicago area, Dream Care Rides can price it as a long-distance ride; call (708) 505-6994. These Pennsylvania figures are market estimates for comparison.
Related Resources
- Nationwide NEMT Rate Comparison - Compare rates across all 50 states
- NEMT Cost Guide - How pricing works and what affects your trip cost
- NEMT Cost Calculator - Get an instant estimate for your trip
- Private Pay NEMT - Options for patients paying out of pocket
Need Medical Transportation?
Dream Care Rides provides NEMT in Illinois and Northwest Indiana. Call today for a free quote or book online in under 2 minutes.