Marysville Sound

Public Safety · Sep 16, 2026

Marysville Fire District board was scheduled to consider 2027 ambulance billing rates

In materials published ahead of the Sept. 16, 2026 meeting, the Marysville Fire District Board of Directors was scheduled to consider a 2027 ambulance transport fee schedule tied to regional inflation 1.

What the records say

In materials published ahead of the Sept. 16, 2026 meeting, the Marysville Fire District Board of Directors was scheduled to consider an agenda bill adopting the 2027 Emergency Medical Services (Transport) Billing Charge Report, which would set ambulance billing rates effective Jan. 1, 2027 through Dec. 31, 2027 1. The proposed schedule includes an automatic inflation adjustment: each Jan. 1, rates at all service levels and the base mileage rate would rise by the full change in the Seattle-Tacoma-Bellevue area Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W), as published by the U.S. Bureau of Labor Statistics 1. If that index falls below zero, rates would stay unchanged from the prior year 1. Rates would be rounded up to the nearest five dollars, and mileage to the nearest nickel 1.

  • The Marysville Fire District Board of Directors was scheduled to consider the 2027 ambulance transport billing rate schedule at its Sept. 16, 2026 meeting.
  • The proposed rates would be effective Jan. 1, 2027 through Dec. 31, 2027.
  • Rates would automatically increase each Jan. 1 by 100% of the Seattle-Tacoma-Bellevue area CPI-W change; if the index is negative, rates would stay flat.
  • Service-level rates would round up to the nearest $5 and mileage to the nearest $0.05.
  • The same agenda also listed Resolution 2026-004, a proposed second amendment to the 2026 operating budget setting aggregate fund-level appropriations at $57,978,780.

Why it matters

Ambulance billing rates affect what patients and their insurers are charged for emergency medical transport in the district. The proposed schedule would lock in an automatic, CPI-based rate increase each year starting in 2027, meaning charges could rise with regional inflation without a separate board vote each time 1. The available records do not establish the meeting's outcome.

What changed / what's next

  • The proposed 2027 fee schedule would set billing rates effective Jan. 1, 2027 and embed an annual CPI-W-based inflation adjustment in the billing structure 1.
  • The available records do not establish the meeting's outcome; the packet does not include the specific 2027 dollar rates, so residents would need the adopted schedule or meeting minutes to see actual charges 1.