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Air Ambulance: Federal IDR benchmarks

In 2025-Q4 the median prevailing offer for Air Ambulance (CPT N/A) was 237% of the QPA, across 9,513 payment determinations covering 12,078 items or services.

QuarterMedian prevailing offer, % of QPADeterminationsItems or services
2025-Q1225%11,32013,113
2025-Q2241%12,12513,984
2025-Q3253%10,90314,520
2025-Q4237%9,51312,078

Source: CMS Federal IDR Supplemental Tables, reporting year 2025 (CMS reports page). Quarterly medians cannot be combined into a yearly median, so each quarter is shown separately.

What this does and does not tell you

A median describes the middle of past outcomes for the whole specialty. It is not a prediction for a specific claim: the QPA band, the plan, the state, the evidence you submit and the entity all matter. Lower-QPA items tend to see higher multiples; see QPA bands.

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