Startup costs for a single-vehicle NEMT operation typically range from $15,000 to $55,000 depending on your state and vehicle type. Major costs include: vehicle purchase ($12,000–$75,000 depending on type), commercial auto insurance ($3,800–$12,000/year), LLC formation fees ($50–$300 by state), and Medicaid enrollment fees (varies by state — Florida charges $350; Mississippi and Tennessee charge nothing). Wheelchair-accessible vehicles cost significantly more than sedans but generate higher Medicaid reimbursement rates.
See our state-specific guides: Mississippi, Alabama, Georgia.
