Estimate Your Cost Here

Click Here
Wheelchair(or ambulatory) or Stretcher *
Are the number of miles one way........ *
Number of Miles if origination or destination point is in metro Jacksonville. Fill in box with round miles, no decimals or partial miles. * 🛈
Number of Miles if origination or destination point is in metro Jacksonville. Fill in box with round miles, no decimals or partial miles. * 🛈
Number of Miles if origination or destination point is in metro Jacksonville. Fill in box with round miles, no decimals or partial miles. * 🛈
Number of Miles if origination or destination point is in metro Jacksonville. Fill in box with round miles, no decimals or partial miles. * 🛈
Is This Trip One Way or Round Trip, return can be scheduled by phone at appointment *
Current Total Estimate:
$0.00

Rate Sheet

Jax Patient Care Inc.

The rates listed below are based on a one-way trip. (Round trip will be theload fee x2 plus the mileage rate times the round-trip mileage.) Example: Round Trip Wheelchair 45 x 2= 90   Total Mileage 10 miles x 2= 20   Total cost of trip $110

 

Standard Rates

Ambulatory Transportation

Load Fee  $45

Plus $2 Per Mile

Wheel Chair Transportation

Load Fee  $45

Plus $2 Per Mile

Stretcher Transportation

Load Fee  $125

Plus $4 Per Mile

Wait Time W/C – Ambulatory

If driver must wait with PT

$25 an Hour

Wait Time Stretcher

If driver(s) must wait with PT

$50 an Hour

No Show Fee W/C – Ambulatory

If drivers arrive at facility prior to cancelation of the trip

$45 Fee

No Show Fee Stretcher

If drivers arrive at facility prior to cancelation of the trip

$125 Fee

 

Holiday

     (Thanksgiving, Christmas, New Year’s Day, Easter, July 4th, Labor Day, Memorial Day)

 Additional $25 as a quoted rate on the Holiday

Ambulatory

Load Fee  $45

Plus $2 Per Mile

Wheel Chair

Load Fee  $45

Plus $2 Per Mile

Stretcher

Load Fee  $125

Plus $4 Per Mile

 

Distance Travel

Any trip one way the mileage exceeds 40 miles from pickup to drop off. Will be applied in place of regular rate mileage to all legs of the trip.

Ambulatory

Load Fee  $75

Plus $3 Per Mile

Wheel Chair

Load Fee $75

Plus $3 Per Mile

Stretcher

Load Fee $155

Plus $6 Per Mile

 

 

Secured by Formsite
Encrypted