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Orgo-Life the new way to the future Advertising by AdpathwayDubuque will nearly double transport charges and begin billing for vehicle crashes, fires and special rescues, moves expected to generate $1.2M a year
December 03, 2025 02:25 PM •
DUBUQUE, Iowa — The Dubuque Fire Department is raising its ambulance billing rates for the first time in more than 10 years.
Fire Chief Amy Scheller said the current rates no longer reflect the actual cost of providing service.
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Under the new structure, basic life support transport will increase from $620 to $1,162, while both levels of advanced life support, previously billed at $735 and $1,065, will rise to $2,324.
The department expects the rate increase to generate about $990,000 annually, a change approved by City Manager Michael Van Milligen that will take effect January 1, KCRG reported.
The department also plans to begin charging for vehicle crashes, vehicle fires, hazardous conditions and special rescue calls through a new Fire Cost Recovery Fee, which is expected to generate about $120,000 annually.
Together, the two fee changes are expected to generate about $1.2 million annually, which the department says will fund five new full-time firefighter-paramedic positions, each starting at $70,442 plus benefits.
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Bill Carey is the associate editor for FireRescue1.com and EMS1.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at [email protected].
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