Fees and Rates

EMS fees support the operation and oversight of the emergency medical services system.

The Fiscal Year (FY) 2026-27 fees, as identified below, include the annual increase (if any) and are effective July 1, 2026. EMS Provider invoices will be emailed no later than July 6, 2026.

Same for Both Years

EMT Certification/Recertification

  • County: $50.28 ​
  • State: $75.00 / $37.00

Paramedic Accreditation/Renewal

  • $95.32

MICN Certification/Recertification

  • $37.57

EMR Certification/Recertification

  • $25.00

Card Replacement

  • $5.00

Late Fee (Within 30 Days of Renewal)

  • $30.00

Rush Fee

  • $30.00 

Paramedic Training Programs

  • FY 2026–27: $11,291.03

EMT-1 Training Programs

  • FY 2026–27: $2,074.31

Continuing Education Providers

  • FY 2026–27: $583.58

MICN Training Programs

  • FY 2026–27: $1,210.53

Narcan Training Program

  • FY 2026–27: $703.55

ALS Service Providers

  • FY 2026–27: $23,120.82

EMR Training Program

  • FY 2026–27: $2,110.65

Trauma Centers

  • UC Davis Medical Center
    • FY 2026–27: $165,470.86
  • Mercy San Juan Medical Center
    • FY 2026–27: $90,683.98
  • Kaiser Sacramento – South
    • FY 2026–27: $90,274.79
  • Sutter Roseville Medical Center
    • FY 2026–27: $7,450.88

STEMI Receiving

  • In County / Out of County
    • FY 2026–27: $18,292.31 / $9,146.15

Stroke – Primary

  • In County / Out of County
    • FY 2026–27: $18,292.31 / $9,146.15

Stroke – Comprehensive

  • FY 2026–27: $26,031.36

  • FY 2026–27: $200,183.58​