NEW YORK (VINnews) — The FDNY is weighing significant increases to ambulance and emergency medical service fees, pointing to higher operating costs and expected wage increases, according to a report by the New York Post.

The proposal would raise the price of a standard 911 ambulance trip by nearly one-third, while on-site treatment without transport could see an even larger jump. Charges for more advanced levels of care would also climb under the plan.

Officials said the changes are aimed at narrowing the gap between the city’s actual cost of providing emergency care and what is currently recovered through billing, shifting less of the burden onto taxpayers. Mileage fees for transport would remain the same.

At the same time, labor issues continue to loom. Contracts for emergency medical workers remain unresolved, and union leaders say lower pay compared with other uniformed services has fueled staffing shortages and slower response times.

Union representatives warned that without addressing compensation disparities, the system risks losing a substantial portion of its workforce, potentially straining emergency response capabilities.

A public hearing on the proposed increases is set for mid-May.