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Understanding the true cost of outsourced NEMT dispatching requires looking beyond the monthly invoice. When you factor in everything that outsourcing replaces — salaries, benefits, technology, training, management, and facility costs — the financial picture becomes clear.

Common Pricing Models

Per-Trip Pricing

The most common model charges $2-6 per trip, depending on complexity. Simple ambulatory dispatch is on the lower end; wheelchair and stretcher trips with coordination requirements are higher. For a 50-trip-per-day operation, monthly costs range from $3,000-9,000.

Pricing Model
Cost Range
Best For
Per-Trip Fee
$3-$8 per trip
High-volume operators
Monthly Retainer
$2,500-$6,000/mo
Consistent volume
Per-Minute
$0.50-$1.50/min
Low-volume startups
Hybrid Model
Base + per trip
Growing companies

Monthly Retainer

Some providers offer flat monthly rates based on volume tiers. This model provides cost predictability and often works out cheaper for consistent-volume operations. Typical retainers range from $3,000-15,000 monthly depending on volume and service scope.

Per-Minute Pricing

Call-based pricing at $0.75-1.50 per minute works well for operations where customer service calls are a major component. Monthly costs vary based on call volume and average handle time.

Total Cost Comparison

50 trips/day operation — In-house dispatch: $15,000-25,000/month (including all costs). Outsourced dispatch: $4,000-9,000/month. Annual savings: $72,000-192,000.

What Is Included

Quality dispatch providers include trained dispatchers, technology platforms, 24/7 coverage, quality assurance, and reporting in their pricing. Understand exactly what is covered before comparing prices.

Conclusion

Outsourced NEMT dispatching is significantly more cost-effective than in-house operations for the vast majority of NEMT providers. Request detailed quotes from multiple providers and compare total cost of ownership, not just the monthly invoice.

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