Cost of Ambulance Services Abroad
A holiday can go from sightseeing to an emergency room in minutes. And while you may know where to go for help, do you know what the ambulance ride could cost? From free emergency services to bills running into thousands of dollars, ambulance charges vary widely across countries. This guide breaks down ambulance costs worldwide and the emergency numbers you might need to save before your trip.

Costs of Ambulance Services in Different Countries
What you pay for an ambulance can vary a lot depending on where you are. While some countries like Japan offer emergency transport at little or no cost, others can leave travellers with bills running into thousands of dollars, as is often the case in the USA.
So, let's take a look at the costs of ambulance services in different countries:
| Country | Cost of Ambulance Services |
| USA | Road ambulance: $500 to $3,000+ (plus per-mile charge) Air ambulance: $20,000 to $200,000 |
| Canada | Road ambulance: CAD 300 - CAD 800 + per kilometer travelled |
| Brazil | Road ambulance: $0-$400 Air ambulance: R$250,000 – R$1,250,000 |
| UK | Road ambulance: £0 (For emergency NHS ambulance service) Air ambulance: £23,000 - £220,000 (international) |
| Germany | Road ambulance: €300 - €600 Air ambulance: €9,000 – €13,000 (domestic) |
| Japan | Road ambulance: ¥7,700 Air ambulance: ¥2,500 - ¥11,400 per min |
| Singapore | Road ambulance: S$0 - S$274 Air ambulance: S$32,000 to S$256,000 |
| France | Road ambulance: €0 (Some co-pays may apply) Air ambulance: €4,500 - €8,000 (domestic) |
| Italy | Road ambulance: €0 (for EHIC/GHIC) - €50 Air ambulance: Starts around €10,500 |
| Thailand | Road ambulance: THB2,000 - THB5,000 Air ambulance: THB2,294,400 - THB2,485,600 |
| South Africa | Road ambulance: R450 - R10,000 |
| Australia | Road ambulance: A$900–A$1,000 (+per km charge) Air ambulance: $2,600 - $16,700 |
| New Zealand | Road ambulance: Around NZD$800 for non residents |
Disclaimer:The ambulance costs mentioned are estimates. The real cost depends on the distance, the medical emergency and patient's condition.
Emergency Ambulance Numbers Around the World
Before you make your Iceland or Europe itinerary, you should have the following emergency number saved in your phone:
| Country | Emergency Ambulance Number |
| USA | 911 |
| Canada | 911 |
| Brazil | 192 |
| UK | 999 |
| Germany | 112 |
| Japan | 119 |
| Singapore | 995 |
| France | 15 / 112 |
| Italy | 118 / 112 |
| Thailand | 1669 |
| South Africa | 10177 |
| Australia | 000 |
| New Zealand | 111 |
How to Save Emergency Ambulance Costs?
Emergency ambulance costs can make a huge dent in your travel budget, which you obviously do not want. So, to save on emergency ambulance costs abroad, you can try these measures:
- Buy Travel Insurance Before Travelling:Choose a policy that covers emergency ambulance transport, hospitalisation and, where relevant, medical evacuation
- Check the Ambulance Coverage Limit:Read through the policy's maximum benefit, exclusions, and whether ground and air ambulance services are covered.
- Check Reciprocal Health Card:Check if you are eligible for reciprocal health cards that provide access to certain medical facilities at a reduced cost or for free.
- Keep the Insurer's Emergency Number Handy:Save the insurer's 24-hour assistance number before travelling.
- Understand Local Ambulance services:Check whether your destination provides free or subsidised public emergency ambulances and whether tourists are charged differently.
Does Travel Insurance Cover Ambulance Costs?
Travel insurance is your ultimate umbrella to cover your unexpected ambulance costs when you are in an unfamiliar country. Most policies cover the cost requiring/dispatching an ambulance for emergencies.
For example, a policy may offer up to $250,000 for emergency medical expenses. This can include eligible ambulance costs. If you need treatment in another city or country, medical evacuation cover can provide up to $100,000 in coverage.
Where available, the insurer can also settle the bill directly with a network hospital, so you may not have to pay the full amount upfront. However, you may have to cover the deductibles, and policy terms may apply.
So before you travel, take a quick look at what your policy covers for ambulance transport and medical evacuation. That way, an unexpected emergency does not turn into an unexpected financial worry.
Cost of Ambulance Services Abroad: FAQs
-
Q1. Do you need to pay if you call an ambulance?
Ans. Whether you need to pay for an ambulance or not depends entirely on the country you are in and your travel insurance coverage. -
Q2. How much does an international air ambulance cost?
Ans. An international air ambulance service can typically range from $20,000 to $200,000. -
Q3. How much does an ambulance cost in the USA?
Ans. A road ambulance can cost between $500 and $3,000+, often with an additional per-mile charge. However, an air ambulance service can cost $20,000 – $200,000, depending on the distance and care required. -
Q4. Which Australian states have free ambulance services?
Ans. In Australia, only Queensland and Tasmania provide free emergency ambulance services to local residents. -
Q5. Which country has the world's best ambulance service?
Ans. There is no official ranking for the best ambulance service in the world. However, Japan, Germany, and Singapore are often recognised for their efficient emergency ambulances. -
Q6. Is an ambulance free in Germany?
Ans. No. If you call for an ambulance in Germany, it is not free. It generally costs between €300 - €600. However, health insurance usually covers most costs, while statutory insurance patients typically pay 10%, capped at €5–€10.
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