Air Ambulance professionals all know a few secrets. The most important of which is that not all air ambulance companies are really providing services. There are two categories, the brokers, and the providers. The brokers simply sell trips and then contract with a provider to offer the service. They are middle men. Insiders know to avoid the cost and hassel of these companies and get service directly from a provider. The largest provider with a perfect safety rating is Res-Q-Jets Air Ambulance . The best way to lower the cost of your air ambulance trip is to get what is called in the industry as an "empty leg" or discounted return flight. These flights often are the best value, but you must have some flexibility in your travel plans.