SANTA FE, N.M. (AP) — Ambulance rates will rise for some in New Mexico, particularly those without health insurance after state regulators approved a rate hike for a Presbyterian-affiliated nonprofit ambulance company.

The Santa Fe New Mexican reported that Albuquerque Ambulance Service cited rising labor costs and inflation when it applied for the rate increase that resulted in 65% in service rate increases and 15% in mileage rate increases. It had initially applied for much higher increases.

The rate hike was approved Thursday.

Patients on Medicaid or Medicare, which make up about 77% of the patients that use Albuquerque Ambulance Service, will not see a rate increase, along with those on veterans health benefits, according to the New Mexican.

The patients most affected are those without health insurance, which makes up approximately 7% of the company’s patients, according to the New Mexican.

Health care spending in the United States has more than doubled in the past two decades, reaching $4.5 trillion in 2022, according to the Centers for Medicare & Medicaid Services.

Albuquerque Ambulance Service operates nearly 100,000 transports annually in the counties with Albuquerque and Santa Fe, along with Sandoval and Rio Arriba counties, according to the New Mexican.