This is one of the few instances where land transfer and intercontinental flights on first class are way cheaper. Maybe the ambulance took the scenic route and the helicopter made a few passes to possible tourist spots and who knows what else before going to the hospital. Other cases on air ambulance costs include a Valley Med Flight that charged $54,727.26 for a hospital less than an hour’s drive away, $62,749.35 to fly a child with a malignant brain tumor from Wisconsin to Houston to see a specialist, and a $31,253.33 bill for transferring a man from a hospital in Winter Haven, Florida, to a hospital in Orlando for tests, which would only be a one-hour drive. The Association of Air Medical Services said it costs about $3 million to run an independent air medical base that performs about 300 transports a year. This respondent is from Washington and joined Twitter in April 2018.
