NEMT Rate Card Generator
Enter your company details, pick your vehicle types, and set your rates. Download a clean PDF rate card you can hand to any broker or facility in under 5 minutes.
Company Information
Appears at the top of your rate card
Vehicle Types
Select all vehicle types you operate
Set Your Rates
Select a state above to auto-fill market-rate defaults
Add-Ons & Terms
Additional fees and rate card terms
Your Company Name
Rate Schedule
Effective: May 20, 2026
Expires: November 19, 2026
Trip Rates by Vehicle Type
| Vehicle | Base | / Mile | Wait /30 min | After Hours |
|---|---|---|---|---|
AMBAmbulatory | $25.00 | $1.85 | $15.00 | +$10.00 |
WAVWheelchair Van (WAV) | $40.00 | $2.25 | $20.00 | +$15.00 |
* After-hours surcharge added to base rate. After-hours: Before 6:00 AM or after 8:00 PM
Add-On Fees
Stair Assist
$15.00
per trip
Oxygen Transport
$20.00
per trip
Escort / Attendant
$25.00
per trip
Holiday Rate
+25%
of base rate
Wait Time Policy
A grace period of 15 minutes is provided at no charge. Wait time fees apply in 30-minute increments thereafter at the rate shown per vehicle type.
Terms & Conditions
All rates are subject to change with 30-day written notice. Rates shown are base rates; final invoice may include applicable fuel surcharges and state or local fees.
Provider Authorized Signature
Broker / Facility Representative
Print Name & Title
Date
Generated by MedFlow Digital — medflowdigital.com
Valid through November 19, 2026
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Why Every NEMT Provider Needs a Rate Card
Brokers like Modivcare, MTM, and Veyo receive hundreds of provider applications. Operators who submit a clear, signed rate card move through credentialing faster than those who quote rates in an email. Providers without one often get skipped entirely, regardless of their service record.
A rate card also protects you in private pay situations. When a discharge planner at a dialysis center asks what you charge, a formatted document carries more weight than a verbal quote. It sets clear expectations, prevents billing disputes, and gives you something to attach to a Master Service Agreement.
What to Include in Your NEMT Rate Card
Every broker-ready rate card covers the same core items. Here is what you need for each vehicle type you operate:
- Base Rate: A flat pickup fee charged on every trip, regardless of distance. This covers dispatch, driver readiness, and vehicle preparation. Most ambulatory operators charge $20 to $35 per trip.
- Per Loaded Mile Rate: The per-mile charge for miles driven with the patient on board. Deadhead miles are not billed separately, but your base rate should account for them. Wheelchair van operators typically charge $2.00 to $2.75 per mile.
- Wait Time Policy: State your grace period and your billing rate per 30-minute block. A 15-minute grace period followed by $15 to $25 per 30-minute increment is standard across most states.
- After-Hours Surcharge: A flat fee added to trips that dispatch before 6 AM or after 8 PM. Most operators charge $10 to $40 depending on vehicle type.
- Add-On Fees: Itemized charges for stair assists, oxygen transport, and escort accompaniment. List each one separately so brokers and facilities cannot dispute what they agreed to.
How Rates Vary by State
NEMT rates differ across states because labor costs, fuel prices, and Medicaid reimbursement levels vary. Ambulatory operators in California or New York typically charge 20 to 35 percent more per trip than operators in Mississippi or Arkansas. That gap reflects real differences in driver wages and insurance costs, not just market preference.
This tool adjusts the default rate suggestions based on your state. Treat those defaults as a starting point, not a ceiling. If you run stretcher or bariatric transport, or serve rural routes with long deadhead distances, your rates should be higher. Use our NEMT Profit Calculator to confirm each rate covers your actual cost before you publish it.
How to Submit Your Rate Card to Brokers
Attach your rate card PDF to your broker application alongside your W-9, commercial auto insurance certificate, and NPI number. Brokers use your rate schedule to place you in a network tier. Submit a complete package on the first attempt and you avoid the back-and-forth that delays credentialing by weeks.
For private pay facility clients, bring your rate card to the first meeting with a discharge planner or case manager. Tell them the rates are your standard schedule. If the facility commits to a minimum weekly trip volume, you can negotiate a reduced rate in a separate written amendment.
Frequently Asked Questions
Do I legally need a rate card to operate an NEMT business?
A rate card is not a legal requirement. But most Medicaid brokers require a documented rate schedule during credentialing and at each renewal. Private pay facility clients expect one before signing any contract. Without one, you give the other party control over pricing conversations.
How often should I update my NEMT rate card?
Review your rate card every 6 to 12 months. Fuel prices, driver wages, and insurance premiums change throughout the year. If your costs rise and your published rates stay flat, you start losing money on every trip. Most contracts require 30 days of written notice before a rate change takes effect, so plan updates ahead of your contract renewal dates.
Can I charge different rates to different brokers?
Yes. Your rate card is your standard commercial schedule. You can negotiate different terms with specific brokers or facilities through written contract amendments. Many operators keep one published rate card as their baseline and negotiate volume discounts separately for high-volume accounts.
What is the difference between a base rate and a per-mile rate?
The base rate is a flat fee charged on every trip, regardless of how far you drive. It covers dispatch time, driver availability, and vehicle setup. The per-mile rate applies only to loaded miles, meaning miles driven with the patient in the vehicle. Together, they form the full trip charge. A typical ambulatory trip might be $25 base plus $1.85 per mile.
Should I include stretcher and BLS rates on the same card as ambulatory?
Yes. Brokers and facilities want to see your full vehicle pricing on one document. If you have a stretcher van and an ambulatory fleet, list both. It shows you run a multi-vehicle operation and prevents billing confusion when a facility needs a higher-acuity vehicle than your standard sedan.
Can I use this rate card as my Master Service Agreement?
No. A rate card covers pricing only. It does not address liability terms, insurance requirements, cancellation policies, or confidentiality. Use your rate card as the pricing exhibit attached to a full MSA. The signature block on this document is designed to be signed as part of that broader contract package.
