emergency room only medical center in the small town Related: Hospitals are vanishing and undoing ACA may make it worse air ambulance

Three years later, his parents are still reckoning with the aftermath of his 76-mile flight: a bill for $45,930 from for-profit helicopter operator Air Methods.

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Rapid rise in flights

Favorable treatment under federal law means air-ambulance companies, unlike their counterparts on the ground, have few restrictions on what they can charge for their services. Through a quirk of the 1978 Airline Deregulation Act, air-ambulance operators are considered air carriers—similar to Delta Air Lines or American Airlines—and states have no power to put in place their own curbs.

report |

Legal protections

Air Evac EMS North Carolina North Dakota Texas Wyoming American Securities LLC KKR & Co. LP

report Dean Heller Jackie Walorski |

Bill me later

For people with private insurance, short flights in an air ambulance are often followed by long battles over the bill.

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