Ambulance Billing

Fees for Emergency Medical Services

The City and County of San Francisco assesses fees for the delivery of pre-hospital emergency medical care, in accordance with the current San Francisco Ordinance posted below. Although emergency services are performed by the San Francisco Fire Department, billing operations and the collection of fees are performed by a private billing company. 

Access & Update Your Account Information / Make Payments: 

Service Date Online Portal Billing Customer Service Line
Services prior to August 1, 2022 Access Portal Link Call 888-980-9218
Services after August 1, 2022 Access Portal Link Call 833-532-2237

You may also complete the insurance information on the billing invoice and mail to the address below. Payments can also be made with a personal check, cashier's check, or money order. Please make the check payable to: "San Francisco Fire Department" and include your account number on the memo line. Send the check to the address below. DO NOT SEND CASH. 

San Francisco Fire Department

Ambulance Billing

P.O. Box 059745

Los Angeles, CA 90074-9745

Disputes and Financial Hardship

If you feel you received a bill in error, you may submit a dispute letter for review. Disputes must be submitted in writing and must be delivered via U.S. Mail (phone, fax or e-mail protests will not be accepted). Protest letters must be sent to the address listed below. Reviews may take up to 30 days. Once a determination is made, the decision will be final and shall not be subject to further protest.

If you are not covered by insurance, cannot obtain Medi-Cal or Medicare coverage, and you do not have sufficient funds to pay the invoice, you may apply for the Fire Department's Financial Hardship Program. This program covers emergency medical services provided by the San Francisco Fire Department only and has no bearing on any other City services that may have been provided.

Applicants must sign and complete the Financial Hardship Program Application and provide required documents. Please download a copy of the Financial Hardship Application available here as a PDF:

Send application and all documents via U.S. Mail to the address listed below:

San Francisco Fire Department

Disputes and Hardship

P.O. Box 059745

Los Angeles, CA 90074-9745


Requesting Medical and Billing Records

If you wish to obtain a copy of your medical record or billing record, please follow the instructions concerning Medical & Billing Records. Please note that only the patient or other authorized person may obtain a copy of these records. For any questions, contact the Custodian of Medical Records.

Notice of Privacy Practices

Important Fee Information

Fees for Fire Department Emergency Medical Services 

Code Section Fee Description FY 2023-24 Fee
Health Code Article 3 Sec 128.1 Basic Life Service $2,519.00
Health Code Article 3 Sec 128.1 Advanced Life Service $2,519.00
Health Code Article 3 Sec 128.1 Mileage Fee (per mile) $48.00
Health Code Article 3 Sec 128.1 Treatment without Transportation (per call) $560.00

As of July 1, 2011, fees are increased annually to reflect changes in the Medical Consumer Price Index as determined by the SF Controller's Office.

Due to various reasons, an account may be forwarded to the Bureau of Delinquent Revenue, which is the official collection agency for the City and County of San Francisco.