Out-of-City fire departments are not currently offering Treat and Refer service. In the instance when another jurisdiction or agency responds to a call within Surprise city limits to provide emergency medical service, the end result may include on-scene treatment either with or without transport to a hospital. If there is a transport to the hospital, the billing policy of that ambulance applies to the services rendered. If there is no transport to the hospital, the out-of-city fire departments are not currently charging for the response. The City of Surprise cannot affect the policy of another ambulance company. Vise- versa the City of Surprise will also seek cost recovery when it responds outside of the city to other areas when requested.