NEMT Booking – XtraCare Transportation

Mon-Fri 6:30am-6:00pm | Sat 8:00am-1:00pm (Appointment Only) | Closed Sundays | Holidays- (Appointment only)

1-888-620-2215

NEMT Booking — Xtra Care Transportation

Rate Reference

Ambulatory (local)$30 base + $3.65/mi

Wheelchair (local)$45 base + $3.90/mi

Bariatric Wheelchair$55 base + $4.10/mi

Long Distance Ambulatory (50+ mi)$35 base + $4.25/mi

Long Distance Wheelchair (50+ mi)$50 base + $4.45/mi

All Day Service (4+ hrs w/ wait)$375–$500

Wait Time$15 per 30 min

No Show / Late Cancellation$50 fee

First 3 miles are free on trips of 7 miles or more. Trips under 7 miles are billed from mile 1.

Patient / Rider Information

Patient/Rider Name *

Date of Birth

Contact/Guardian Name *

Phone Number *

Email Address *

Transport Type *

Ambulatory — patient walks independently Wheelchair — standard wheelchair transport Bariatric Wheelchair — specialized transport All Day Service — 4+ hours with wait time Long Distance 4+ Hours — call for pricing

Trip Details

Service Area *

Pickup Address *

Drop-off Address / Facility Name *

Estimated Miles (One Way) *

Trip Date *

Pickup Time *

Appointment Time (if applicable)

Appointment Type / Facility

Return trip / wait time needed $15 per 30 min

Additional Notes / Special Requirements

Cancellation Policy: A $50 fee applies to no-shows and late cancellations. By submitting this form you agree to this policy.