The emergency medical services in Italy currently consist primarily of a combination of volunteers and private companies providing ambulance service, supplemented by physicians and nurses who perform all Advanced Life Support procedures. The emergency telephone number for emergency medical service in Italy is 118. Emergency medical service is always free of charge. First aid is provided by all the public hospitals: for urgent cases it is completely free of charge for everyone (even for the undocumented), while a copay (about $35) is sometimes asked for non-urgent cases