Why American ambulance rides are so expensive

A San Francisco man was billed over $12,000 for a short, non-emergency ambulance transfer between hospitals following a minor accident. Despite insurance coverage, he was left personally responsible for nearly $3,000 due to out-of-network billing practices.
In July 2023, a 25-year-old man named Jagdish Whitten was out for a run in San Francisco. As he crossed a busy street, a car hit him; he did, in his words, “a little flip” over the vehicle, landed in the road, and dragged himself to the curb. Those who had seen the accident called an ambulance for him. But Whitten waved them off and called a friend, who drove him to a nearby hospital instead: “I knew that ambulances were expensive,” he said, “and I didn’t think I was going to die.”
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