The objective of the research is to provide an analytical model of the economic Cost‑Benefit Analysis (CBA and resultant policy recommendations with the proposed emergency medical service (EMS project in Constanta County (714923 population 2005 Romania in view. The economic cost of investment is US$ 31.5 million as per 2006 price level. The economic benefits are due to (i incremental benefits attributable to EMS at the Constanta Emergency Hospital (CEH as measured by willingness to pay (WTP for healthier life and (ii social cost‑saved (recovery of Productivity foregone due to emergent injury and diseases measured by disability‑adjusted life years (DALY. WTP was estimated by Contingent Valuation Method (CVM‑Double‑bounded Dichotomous Choice method (449 interviewees resulting in US$ 1.6 million par annum (US$ 214.8 per household 8.9 percent of average household disposable income in Constanta. DALY in Constanta in 2005 is estimated at 118885 person‑years while applying the“ratio method”of total DALY to death DALY (7286 deceased and the disability adjustment factors (weighed average 0.67. With his and the productive beneficiaries (age group 15‑59 of EMS at CEH (5812 DALY and the annual household disposable income in Constanta average (US$2420.7 financial‑benefits‑converted to the social cost‑saved is US$ 12.7 million (SCF=0.9 totaling to US$ 14.3 million of economic benefit per year. The economic internal rate of return (EIRR is 32.2 percent thereby quantitatively revealing high economic viability (efficiency in scarce resource allocation of the concerned EMS project in Constanta.