Air ambulances in the United States are operated by a variety of hospitals, local government agencies, and for-profit companies. Medical evacuations by air are also performed by the United States Armed Forces (for example in combat areas, training accidents, and United States Coast Guard rescues) and United States National Guard (typically while responding to natural disasters).
In 2002, the federal government increased the reimbursement for medical flights for Medicare and Medicaid patients. This caused an increase in the number of for-profit ambulance services, which charge much higher rates than non-profit hospitals and expanded services available to people with private health insurance. With lower reimbursements, hospitals could still operate the service as a loss leader because severely injured patients would be incurring significant charges for medical treatment. NPR cited one 2008 case where two patients were transported from the same accident scene to the same hospital, where the hospital charged $1,700 and the private service charged $13,000.[1]
Air Evac Lifeteam – the largest medical transport program under one name, covers Alabama, Arkansas, Georgia, Illinois, Indiana, Iowa, Kentucky, Mississippi, Missouri, Ohio, Oklahoma, Tennessee, Texas and West Virginia. Also operates Texas LifeStar in Central Texas.
Boston MedFlight – Headquartered in Bedford, Massachusetts Boston MedFlight transports emergency patients
Calstar (California Shock Trauma Air Rescue) is a nonprofit regional air ambulance company serving California and northern Nevada.
CareFlite – a 501c not-for-profit that is based in Dallas Texas area and sponsored by Baylor Scott & White Hospitals, Parkland Hospital, THR hospitals, JPS Hospital, and Methodist Hospitals.
Critical Air Medicine – Doing business as Critical Air, is based in San Diego, California
Delaware State Police Aviation Section The Delaware State Police Aviation Section provides 24 hour multi-mission EMS, Law Enforcement, Search and Rescue services to citizens and guest of the State of Delaware. They operate 3 Bell 429’s and a Cessna 182Q. They are staffed by Pilots and Paramedics who are all sworn Delaware State Troopers.
Mercy Flights – Medford, Oregon. Was the first successful air ambulance in the country, is non-profit. Serves mainly Southern Oregon and Northern California; 150-mile (240 km) radius for helicopter, and almost anywhere West of the Rocky Mountains for the fixed wing airplane, within 1,000 miles (1,600 km) of Medford.
Survival Flight – Ann Arbor, Michigan – CAMTS certified critical care transport program of Michigan Medicine, provides rapid and safe transport of critically ill and injured patients of any age group.