Providers are stealing, or there are kickbacks.

There was a public investigation in Paraguay when a public entity paid 200k for an ambulance, they should cost 100k at the most.

In Peru the cost of transforming a van into an ambulance is 14.000 dollars.

http://www.laestrella.com.pa/online/impreso/2011/10/05/dispa...

http://www.larepublica.pe/11-03-2007/hubo-sobrevaloracion-en...

I'm talking about the US (I don't know anything about pricing in other countries).

We're in the processing of spec'ing two new ambulances. We're looking at 'mid-range' rigs, and most bids are coming in around $185k-$190k.

Wow. Maybe there are legal or labor expenses way over what we have in South American countries.

I've heard that a lot of medical expenses in the U.S. are due to the high amounts of litigation (I still can't believe the stories of healthcare costs in the United States).

There must be a difference in ambulance spec too. How do you compare this? Can I confirm that the earlier comment of yours meant $14,000USD? I can't read Spanish unfortunately. Thanks.

Yes, it says USD 14.000, but as you say, US ambulances are probably a lot better equipped (and some of that equipment mus t be costly).

The provider is Anjo Tech, according to the article.

I struggle with the European (?) way of denoting thousands - I think maybe some kind of typo has occurred. Sorry!