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Colorado's surprise billing law does not currently limit out-of-network billing for ambulance services, and new analysis shows the true costs to consumers and insurers.

State Representative Kyle Brown - D-Louisville - represents Colorado House District 12.

He said lawmakers will likely need to step in, because people who need emergency care don't have time to shop around, or figure out if they're calling an in-network ambulance.

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"It's important for us as a state to make sure that ambulance services are well compensated for what they do," said Brown, "and that patients don't end up with a gigantic bill."

Nearly six in ten of the most common ambulance services billed at much higher out-of-network rates, according to the Center for Improving Value in Health Care report.

The price tag for basic services range from $300 to $1,000, and some patients have been hit with surprise bills as high as $2,500.

Ambulance costs also vary depending on who's paying. Commercial insurance companies paid as much as three times what Medicare paid between 2018 and 2023.

Brown noted that Medicare prices are generally viewed as a benchmark rate for services.

"So this data that has been put together is really helpful," said Brown, "because it helps us to understand what insurance companies are currently paying for these services, as a relationship to what Medicare would also pay."

Colorado was the first state in the nation to pass a surprise billing statute in 2019, which Brown noted helped pave the way for the No Surprises Act passed by Congress in 2021.

"But Colorado's statute doesn't protect people from surprise bills in the ambulance setting," said Brown. "And so we need to pass legislation to protect consumers from surprise billing in the ambulance space."