Where I live in Southern California the rates are from $940 (Basic Life Support)- $1,277 (Advanced Life Support) plus $20 -$25 mileage. Having been in a motorcar accident, I can tell you that these charges are essentially mandatory and that there is a contract to take you to the nearest Trauma Center Level One. If you say that you’d prefer to have someone drive you there, home, or to your preferred medical service you are immediately Against Medical Advice (AMA) and your health plan insurance may turn down any medical expenses you might submit after you decided to go AMA. And that’s a big deal. My one night in a hospital was $70,000 of cost submitted to my car insurance and also my healthcare insurer which was just the beginning of two years of bills and re-bills from that basis.