Chapter 9.30


9.30.010    Definitions.

9.30.020    Ambulance transport rates.

9.30.030    Authority to promulgate regulations.

9.30.040    Billing functions and services.

9.30.050    Interest, penalties, collections.

9.30.010 Definitions.

“Advanced life support service” includes medication administration, IV therapy, cardiac monitoring, defibrillation, external cardiac pacing, intubation, combi-tube, PTL, needle cricothyrotomy, PASG, needle thoracostomy. An ALS 2 charge may follow at least three separate administrations of one or more medications by intravenous push/bolus or by continuous infusion (excluding crystalloid fluids); or transport and the provision of at least one of the ALS 2 procedures approved by Medicare. [Ord. 1512 § 1, 2013; Ord. 1461 § 1, 2009.]

9.30.020 Ambulance transport rates.

The following rates are established for ambulance transports performed by the city of Clarkston, effective November 1, 2018:



Basic Life Support (BLS)


Advanced Life Support (ALS)


Advanced Life Support 2


Local Interfacility: (within Clarkston, Asotin County, Lewiston) Between hospitals, discharge from hospital to extended care facility, shelter home or home, regardless of residency.

Basic Life Support (BLS)


Advanced Life Support (ALS)


Out-of-Area Transport: (within radius including Spokane, Coeur d’Alene, Walla Walla, Orofino, and Grangeville) Nonresident charge will be added for patients who are not a resident of Clarkston.

Basic Life Support (BLS)


Advanced Life Support (ALS)


Nonresident Charge:


For patients who are not resident of the city of Clarkston


Mileage Fee:

$11.50 per mile

(Charges only as patient is transported)



Standby Time: (for medical convenience during medical testing)

$100.00 per hour at 1/2 hour increments

Special Event Standby: (events such as concerts, boat races, martial arts contest, rodeo, etc.)

When using a rescue truck as the vehicle – Actual personnel cost including overtime, reserve EMT/firefighter cost, volunteer point cost

Actual cost

When an ambulance is required – Calculated on half-hour increments

$100.00 per hour



Supplies used in the delivery of emergency medical services that are not replenished by a receiving medical facility shall be billed to the patient for the actual cost plus 10 percent.

[Ord. 1606 § 1, 2018; Ord. 1561 § 1, 2016; Ord. 1512 § 1, 2013; Ord. 1461 § 1, 2009.]

9.30.030 Authority to promulgate regulations.

The fire chief is hereby authorized to promulgate any and all regulations necessary to implement the provisions of this chapter, including without limitation requirements for billing, payment, collections and penalties for delinquent payments. [Ord. 1512 § 1, 2013; Ord. 1461 § 1, 2009.]

9.30.040 Billing functions and services.

The fire chief is authorized to perform billing services necessitated through passage of the ordinance codified in this chapter. The fire chief is hereby given express authority to enter into agreements with other governmental entities or private companies for the provision of ambulance billing and collection services, subject to contract approval by the city council. [Ord. 1512 § 1, 2013; Ord. 1461 § 1, 2009.]

9.30.050 Interest, penalties, collections.

Interest may be charged on the unpaid balance of all ambulance accounts at the rate of one and one-half percent per month beginning 30 days after the date the first statement is sent to the patient after third-party payer payments are received or denial occurs. [Ord. 1512 § 1, 2013; Ord. 1461 § 1, 2009.]