Ambulance Billing

NEW

OC Ambulance webplacement

The Emergency Services Department dispatches ambulances upon request and provides emergency services.

The Revenue and Collections Division of the Tax Office collects for these services. 

Bill Inquiry

For assistance with an ambulance bill, please contact the Tax Office at 919-245-2100 option 3 

Required Documents

Before Revenue and Collections can file insurance, the office needs a signed medical release form on file for each ambulance trip occurrence.

EMS Ambulance Bill Payment Options:

  • Payment can be made by cash, check, money order.
  • (NEW) Pay Online
  • Pay with debit/credit cards by phone at 1-844-435-3981. When prompted for a 22-digit bill number, please use your Run Number instead.
  • E-Payment Transactions: Free - no fees charged.

Bill Deadlines

Payment is due 30 days after the billing date.

Ambulance Billing Payment Assistance

If you have received a bill for Orange County ambulance service, you may be eligible for assistance in paying the bill. Please see the chart provided to determine if your income is 200% or less of the 2025 Federal Poverty Guideline according to your household size. If your income does fall within the 200% or less category, please contact us for further assistance.

2025 Federal Poverty Guidelines

Federally facilitated marketplaces will use the 2025 guidelines to determine eligibility for Medicaid and CHIP.

Household Size100%133%150%200%250%300%400%
1$15,650$20,814.50$23,475$31,300$39,125$46,950$62,600
2$21,150$28,129.50$31,725$42,300$52,875$63,450$84,600
3$26,650$35,444.50$39,975$53,300$66,625$79,950$106,600
4$32,150$42,759.50$48,225$64,300$80,375$96,450$128,600
5$37,650$50,074.50$56,475$75,300$94,125$112,950$150,600
6$43,150$57,389.50$64,725$86,300$107,875$129,450$172,600
7$48,650$64,704.50$72,975$97,300$121,625$145,950$194,600
8$54,150$72,019.50$81,225$108,300$135,375$162,450$216,600
 



Mail checks 

Orange County Revenue
Ambulance Billing
P.O. Box 8181
Hillsborough, NC. 27278

Please refer to our FAQs for answers to common EMS billing questions. 

  1. I thought this service was covered in my tax bill, no one ever told me there was a charge.
  2. Does Orange County Emergency Medical Services bill medical insurance?
  3. What if the insurance information was not given at the time of service?
View All FAQs

(*Fees- A convenience fee will be associated with credit or debit card transactions. This convenience fee is a charge assessed when a consumer pays with credit card rather than by cash, check or Automated Clearing House (ACH) transfer. Orange County has partnered with Point and Pay LLC to offer credit and debit card payment solutions to its taxpayers. This fee is paid to and retained by Point and Pay LLC for the use of its service . This fee is separate from your property tax amount, and Orange County does not receive any portion of the convenience fee.)