EMS Fees


​​​​​​​Fiscal Years 2025-26 & 2026-27

The Fiscal Year (FY) 2026-27 fees, as identified below, include the annual increase (if any) and are effective July 1, 2026. EMS Provider invoices will be emailed no later than July 6, 2026.

Personnel Fees - Same for Both Years

  • EMT Certification/Recertification
    • County: $50.28 ​
    • State: $75.00 / $37.00 
  • Paramedic Accreditation/Renewal
    • $95.32 
  • MICN Certification/Recertification
    • $37.57 
  • EMR Certification/Recertification
    • $25.00 
  • Card Replacement
    • $5.00 
  • Late Fee (Within 30 Days of Renewal) 
    • $30.00 
  • Rush Fee
    • $30.00 ​​

Hospital Fees

  • Trauma Centers
    • UC Davis Medical Center
      • FY 2025–26: $157,591.29
      • FY 2026–27: $165,470.86
    • Mercy San Juan Medical Center
      • FY 2025–26: $86,365.69
      • FY 2026–27: $90,683.98
    • Kaiser Sacramento – South
      • FY 2025–26: $85,975.99
      • FY 2026–27: $90,274.79
    • Sutter Roseville Medical Center
      • FY 2025–26: $7,096.08
      • FY 2026–27: $7,450.88
  • STEMI Receiving
    • In County / Out of County
      • FY 2025–26: $17,421.24 / $8,710.62
      • FY 2026–27: $18,292.31 / $9,146.15
  • Stroke – Primary
    • In County / Out of County
      • FY 2025–26: $17,421.24 / $8,710.62
      • FY 2026–27: $18,292.31 / $9,146.15
  • Stroke – Comprehensive
    • FY 2025–26: $24,791.77
    • FY 2026–27: $26,031.36

CE & Training Program Fees

  • Paramedic Training Programs
    • FY 2025–26: $10,753.37
    • FY 2026–27: $11,291.03
  • EMT-1 Training Programs
    • FY 2025–26: $1,975.54
    • FY 2026–27: $2,074.31
  • Continuing Education Providers
    • FY 2025–26: $555.79
    • FY 2026–27: $583.58
  • MICN Training Programs
    • FY 2025–26: $1,152.88
    • FY 2026–27: $1,210.53
  • Narcan Training Program
    • FY 2025–26: $670.04
    • FY 2026–27: $703.55
  • ALS Service Providers
    • FY 2025–26: $22,019.82
    • FY 2026–27: $23,120.82
  • EMR Training Program
    • FY 2025–26: $2,010.14
    • FY 2026–27: $2,110.65​

Medical Control Fee

  • FY 2025–26: $190,651.03
  • FY 2026–27: $200,183.58​




 
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