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[–] El_oso_mugroso14 0 points 1 point (+1|-0) ago 

Every area is different I guess. My county has 50+ companies(most of them corrupt or committing fraud) but you as the patient have the right to transported by any company you want regardless of any contract an ambulance company may have with the city, to any hospital you want in the area. Now that being said if you have Medicare/Medicaid they will only pay for you to be transported to the closest facility. You would pay the difference, unless you need specialized care not provided at the closest facility. Usually insurances follow suit with Medicare guidelines.