logoalt Hacker News

Ntrailstoday at 11:12 AM4 repliesview on HN

> an average helicopter bill was smth around $200K if I remember correctly, with spikes up to $500K.

Those numbers made me blanch somewhat! Having been in a helicopter (aka Air Ambulance) in the UK, all of which operate as charities iirc, I was curious about their costs.

> The average cost of a helicopter mission is £4,748* and the average cost of a critical care car or rapid response vehicle mission is £2,054*[1].

https://www.airambulancesuk.org/about-us/facts/

eesh


Replies

pshirshovtoday at 12:09 PM

In the UK maybe, but in the US you should expect higher bills for _ground_ transport. Like literally, the linked story is about $12K bill for short distance ground transportation not involving any complex procedures. The cases I vaguely remember did include long lists of medical codes.

ano-thertoday at 11:45 AM

Those are more sane numbers (unless you go by helicopter across the US).

Also found this intriguing in your source:

> London’s Air Ambulance crew made history in 1993 by performing the world’s first successful pre-hospital open-heart surgery at the roadside.

closewithtoday at 12:34 PM

I tried to find the asterisk there to see the details, but could not.

FWIW I think that HEMS cost is significantly under costed, as the London HEMS H135s run about £2,500 per flight hour on direct flight costs alone, so I suspect the £4,748 figure is referring to that alone.

I think a closer estimate is probably total annual operational costs divided by total shouts, (£18 MM / 2,000) or about £9,000 per shout.

Even that's an under costing, as the clinical personnel, equipment, and liability is shouldered by the NHS. A pure costing is probably closer to 2-3X that per clinical flight.

Still an order of magnitude less than the commercial US operators.

show 1 reply
gosub100today at 12:27 PM

There are stories where the air ambulance sues patients who are still in ICU because getting paid depends on being first in line to file the lawsuit.

show 1 reply