Trauma Star air ambulance costs and rate study
Summary
The county's air ambulance program is spending far more than it takes in — roughly $3.8 million in the hole this year, with $4.5 million in helicopter debt through 2038. Rates haven't changed since 2016 and flight volumes have dropped about 50 percent. Commissioners want a professional rate study to figure out what the service should cost and why usage is falling.
At a glance
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Last discussed Sep 9, 2026.
Impact analysis
About a $3.8 million annual shortfall this year, shared by the county and sheriff's office, plus $4.5 million in debt service on the helicopters through 2038.
Anyone in the Keys who needs critical-care air transport — the program flies the most critically ill and injured to hospitals off-island.
Taxpayer funds absorb the shortfall, and rate increases could raise out-of-pocket costs for insured patients.
Mentions & discussions (1)
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