Ohio Attorney General Dave Yost has hauled Superior Air-Ground Ambulance Service of Ohio into court, filing a June 5, 2026, lawsuit that accuses the private ambulance operator of deceptive billing after more than 20 consumers reported surprise out-of-network charges. The complaint says the company did not clearly disclose its out-of-network status, failed to provide required cost estimates, and, in some cases, had patients sign payment authorizations only after they had already been transported.
Yost said "consumers deserve to know when a company is out of network and what costs they may face before services are provided," according to 10TV. The lawsuit seeks restitution, civil penalties, and a court order forcing Superior to comply with Ohio consumer-protection laws. Yost's office says it received complaints from more than 20 consumers who said they were hit with bills after transport.
What Ohio law requires
Ohio enacted House Bill 388 to address unanticipated out-of-network care and related billing disputes, and sections 3902.50 to 3902.54 spell out how reimbursements and arbitration are supposed to work. As detailed in the Ohio Revised Code, providers and ambulance companies face limits on balance billing for certain emergency services and must follow specific notice and negotiation procedures.
Complaints and company response
The Better Business Bureau lists numerous consumer complaints about Superior's billing practices, along with business responses that say the company submits claims to insurers, offers payment plans, and disputes some of the allegations. Superior's Ohio page lists stations in Columbus, Springfield, and Toledo, along with contact phone numbers and an online bill-pay portal. With the Attorney General's lawsuit now filed, those billing practices are headed for judicial review.
Why this matters for patients
Ground ambulance rides were excluded from the federal No Surprises Act balance-billing ban, leaving patients with uneven protections that often depend on state law and how aggressively it is enforced. The federal Centers for Medicare & Medicaid Services has convened an advisory committee to study ground-ambulance billing but has left broader protections to state policy, according to CMS.
What to do if you get a bill
Consumers who receive surprise ambulance bills can file a complaint with the Ohio Attorney General's Consumer Protection Section through the office's online complaint portal and should keep explanation of benefits statements, receipts and any signed authorization forms. The Ohio Attorney General's Office page explains how to submit documents and evidence and includes a web form for affected consumers.
