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Long-Distance Medical Transport Cost: A Guide to 7 Different Options

On average, long-distance medical transport costs range between $5,000 and $20,000, but depend on various factors like distance, mode of transportation, medical needs, and more.


Published on May 21st, 2024 in Medical Evacuation

Key takeaways

  • Long-distance medical transport refers to the movement of medical patients over large distances.
  • Long-distance medical transport costs depend on factors like transportation method, medical conditions, and distance.
  • Some of the common methods of long-distance medical transport include air ambulances, commercial airlines with a nurse escort, mobile ICUs, and long-distance ground ambulances.

A sudden fall or accident can turn a dream vacation into a nightmare. Medical emergencies are stressful, but finding specialized travel arrangements can be particularly overwhelming if you’re out of your country or comfort zone.

Ensuring a safe and comfortable travel experience for your loved one should the unthinkable occur may require you to seek long-distance medical transport. Plus, if you’re wondering about long-distance medical transport costs or available options, this is the guide for you.

From evaluating providers to understanding the in-transit care process, we can help you cut through the confusion and find clear, actionable information on coordinating these vital services.

What is long-distance medical transport?

Long-distance medical transport is the movement of medical patients over extended distances, typically farther than 200 miles. This style of medical transportation can vary significantly depending on the type of transportation, but there are a few general things you can expect:

  • An attending physician will recommend transportation based on the care needed.
  • A medical team will coordinate with insurance providers or travel assistance companies to find covered transportation options.
  • Trained medical personnel oversee the medical equipment and medication while monitoring vital signs.
  • State-of-the-art medical equipment, from basic to advanced life support, is tailored to meet patients’ diverse medical needs.
  • Medical vehicles have advanced safety features like airbags and wheelchair restraints.

Whether long-distance medical transportation is needed in-country or for medical repatriation, the type of transportation is chosen based on the patient’s medical condition, urgency, travel distance, and the care level required during the transfer. Additionally, teams further enforce travel safety through regular checks and maintenance protocols, establishing a foundation of trust and reliability.

medical transportation

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How much does long-distance medical transport cost?

On average, long-distance medical transport costs are between $5,000 and $20,000, but some types of transportation—like air ambulances and mobile intensive care units (ICUs)—can cost more than $80,000. 

Below, we’ve broken down the long-distance medical transport cost by transportation method.

  • Fixed-wing air ambulance

    • Base cost: $10,000+

    • Average cost: $12,000 to $25,000 per flight

    • Common cost factors:

      • Fuel

      • Medical staff

      • Flight crew

  • Helicopter air ambulance

    • Base cost: $8,000+

    • Average cost: $10,000 to $20,000

    • Common cost factors:

      • Flight time

      • Fuel

      • Call-out fees

  • Commercial airline with nurse escort

    • Base cost: $4,000+

    • Average cost: $5,000 to $15,000

    • Common cost factors:

      • Airfare

      • Medical clearance

      • Escort fee

  • Non-emergency medical transport

    • Base cost: $500+

    • Average cost: $1,000 to $4,000

    • Common cost factors:

      • Equipment

      • Staff

      • Level of care

  • Long-distance ground ambulance

    • Base cost: $3,000+

    • Average cost: $3,000 to $10,000

    • Common cost factors:

      • Fuel

      • Meals and lodging

      • EMT fees

  • Train ambulance services

    • Base cost: $2,000+

    • Average cost: $5,000 to $10,000

    • Common cost factors:

      • Ticket expenses

      • Route availability

      • Medical staff

  • Mobile ICU

    • Base cost: $5,000+

    • Average cost: $8,000 to $20,000

    • Common cost factors:

      • Critical care staff

      • Equipment

      • Patient monitoring

Factors that influence the cost of long-distance medical transport

Navigating long-distance medical transport costs can be as complex as the medical conditions it serves. These costs vary significantly and depend on various factors like:

  • Mode of transport
  • Location or distance
  • Time sensitivity
  • Staffing or escorts
  • Lodging and meals
  • Medical equipment
  • Medical support
  • Ticket expenses
  • Medical transport insurance

Requests that require border crossing or longer distances naturally incur higher expenses, and urgent or last-minute requests often come with a premium, reflecting the additional resources needed to accommodate such expedited services.

Methods of long-distance medical transport

There are several long-distance medical transportation options to choose from depending on the patient’s medical condition, travel distance, and medical needs, including:

  • Air ambulance—fixed-wing
  • Life flight—helicopter
  • Commercial airline with nurse escort
  • Non-emergency medical transport (NEMT)
  • Long-distance ground ambulance 
  • Train ambulance services
  • Mobile ICUs

We cover some of the main types of long-distance medical transport available below.

medical transportation

1. Air ambulance—fixed-wing

A fixed-wing air ambulance is an aircraft specially equipped to quickly transport sick or injured patients over very long distances and varying terrain. Air ambulances provide medically controlled environments and often include specialized medical equipment like an ICU.

This long-distance medical transport option by air ambulance is ideal when:

  • Time is critical, such as for severe trauma, acute medical emergencies, and urgent specialized care.
  • Patients in critical condition need facility-to-facility transportation.
  • Individuals need to be transported out-of-state or out-of-country after significant medical procedures.

The cost of an air ambulance can be great, and it’s not always clear if a standard health insurance plan will cover it. Air ambulance insurance or travel membership assistance can help arrange transport and supplement costs.

2. Life flight—helicopter

Similar to a fixed-wing air ambulance, a helicopter air ambulance quickly transports patients across unique terrain. Medical institutions use helicopters to transport emergent patients in remote locations—especially in areas where ground transportation is slow or nearly impossible and time is of the essence. 

Travel assistance and other types of specialized insurance can help offset the costs of a life flight by helicopter.

Emergency Assistance Plus® (EA+®) review:

This December, while finally taking our dream vacation to Fiji, my husband experienced a medical crisis. I immediately called EA+, and I cannot state emphatically enough how grateful I am for the immediate help I received.

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3. Commercial airline with nurse escort 

Commercial flights are often used for non-emergency medical repatriations or when transferring patients over international distances. Many flights can accommodate medical transportation—both sitting and lying down. Plus, a nurse escort (from a medical escort service) can accompany a patient to provide necessary medical support in-flight.

To use a commercial airline as your medical transport:

  • Notify the airline when booking or at least 48 hours before departure.
  • Obtain a Medical Information Form (MEDIF) if required by the airline.
  • Check for approved Portable Oxygen Concentrators (POCs) and necessary documentation if you need supplemental oxygen.
  • Pack and carry essential medication, prescriptions, and supplies in your carry-on luggage.
  • Arrive early at the airport for extra check-in and security time.
  • Notify security and airline staff of medical devices and your need for assistance with boarding, deplaning, and navigating the airport.
  • Inform flight attendants of your needs.

This type of long-distance medical transportation should only be used by patients with stable medical conditions and the ability to travel at high altitudes.

nurse

4. Non-emergency medical transport

NEMT services provide transportation for patients who do not require immediate medical care but need assistance getting to and from medical facilities for appointments or treatments. This service is ideal for:

  • Individuals with mobility issues.
  • Those who require regular treatments like chemotherapy or dialysis.
  • Patients who need post-operative transport for follow-up visits.

Vehicles used for non-emergency medical transport range from specially equipped vans to ambulances, depending on the patient’s needs.

Check out the long-distance medical transport, including NEMT, plans available to you.

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5. Long-distance ground ambulance 

Long-distance ground ambulances are ideal for patients who need basic paramedic support and continuous medical supervision, such as those who require heart monitors, IV fluids, or antibiotics. 

This service is available for patients whose destinations are accessible by road, and it uses ambulances equipped to handle longer journeys, providing necessary medical care en route.

6. Train ambulance services 

In some regions, train carriages are fitted with medical facilities to transport patients. Train ambulances provide a stable and smooth medical environment and are suitable for patients who:

  • Need a comfortable setting
  • Are in a stable condition
  • Have destinations linked by the rail network

7. Mobile ICUs 

Mobile ICUs are advanced ambulances equipped like a hospital ICU to provide high-level medical care. This mode of transport uses specialized medical personnel to transport critically ill patients traveling to a destination reachable by road. Teams use mobile ICUs when:

  • Air transport is not necessary based on a patient’s condition
  • Air transport is not practical, such as in poor weather conditions
  • A patient requires continuous, intensive monitoring and treatment for less time-sensitive conditions like unstable vitals and ventilator use
  • A patient whose condition is less time-sensitive

Comprehensive medical travel support with EA+

Long-distance medical transport can be complicated and costly—from coordinating with multiple parties and sending paperwork and clearances to arranging suitable transportation before and after the medical transport. Often, your need for transportation is also tied to an urgent medical situation, which makes it impossible to interview providers and compare plans.

EA+ during medical emergencies can be a game-changer. As a travel assistance membership, we offer 24/7 access to a network of pre-screened medical providers equipped to arrange and manage medical transport during traveling medical emergencies. 

Whether organizing an air ambulance or helping you avoid high transport costs, EA+ works to handle uncertainties so you can focus on what truly matters—your loved one’s health and well-being.

Learn how travel assistance from EA+ is invaluable for long-distance medical transport and discover our commitment to safety, comfort, and professional medical care.

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FAQ

How much does it cost to transport a patient to another state?

The cost to transport a patient to another state varies widely and depends on factors like the type of transportation method used, the distance traveled, the medical equipment and staff needed, and more.

How much does Medicare pay for medical transport?

Medicare Part B, or medical insurance, may cover approximately 80% of ground transportation costs. It’s also possible Medicare will cover part or all of the costs associated with an air ambulance if urgent, non-ground transportation is necessary.

What types of medical conditions require long-distance medical transportation?

Long-distance medical transportation is suitable for a range of non-emergency medical conditions, including:

  • Chronic illness
  • Cancer
  • Dementia
  • Mobility issues
  • Stroke recovery

Typically, patients on ventilators or with tracheostomies should not use long-distance medical transportation.

Can family members accompany a patient during long-distance medical transport?

Yes, family members can typically accompany their loved one during medical transport to provide emotional support and continuity of care. This is particularly true for parents of pediatric patients. However, depending on the transportation method, there may be space limitations.

What are the steps to prepare for long-distance medical transport?

To prepare for long-distance medical transport:

  • Consult with RN flight coordinators
  • Complete a pre-transfer checklist to ensure medical stability
  • Address all preventable complications

These proactive steps help ensure a safe journey for the patient.

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