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Is This Trip One Way or Round Trip, return time can be scheduled by phone at appointment *
Are the number of miles one way........ *
Wheelchair(or ambulatory) or Stretcher (Under 30 or RT) *
Wheelchair(or ambulatory) or Stretcher (over 30) *
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. * 🛈
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. * 🛈
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 the load fee x2 plus the mileage rate times the round-trip mileage.) Example: Round Trip Wheelchair $50 x 2= $100   Total Mileage 5 miles ea. way x 2.50= 25   Total cost of trip $125

 

Standard Rates

Ambulatory Transportation

Base Rate  $50

Plus $2.50 Per Mile

Wheel Chair Transportation

Base Rate $50

Plus $2.50 Per Mile

Stretcher Transportation

Base Rate  $135

Plus $5 Per Mile

Wait Time W/C – Ambulatory

If driver must wait with PT

$50 an Hour

Wait Time Stretcher

If driver(s) must wait with PT

$100 an Hour

No Show Fee W/C – Ambulatory

If drivers arrive at facility prior to cancelation of the trip

$65 Fee

No Show Fee Stretcher

If drivers arrive at facility prior to cancelation of the trip

$145 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

Base Rate  $50

Plus $2.50 Per Mile

Wheel Chair

Base Rate $50

Plus $2.50 Per Mile

Stretcher

Base Rate $135

Plus $5 Per Mile

 

Distance Travel

Any trip one way the mileage exceeds 30 miles from pickup to drop off. Will be applied in place of regular rate mileage to all legs of the trip.

Ambulatory

Base Rate  $80

Plus $5.00 Per Mile

Wheel Chair

Base Rate $80

Plus $5.00 Per Mile

Stretcher

Base Rate $185

Plus $10 Per Mile

 

 

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