Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PHYSICIAN SERVICE REQ TO ESTABLISH AND DOC THE NEED FOR A POW MOB DEVICE
Low
$0
Average
$22
Median
$13
High
$105
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
198 hospitals; the 90th percentile is 5.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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239 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 2 | $13 | $13 | $4 | 33% | — | $9 – $17 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 6 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 8 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 9 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 10 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 12 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 14 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 15 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 16 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 18 | BASSETT HOSPITAL OF SCHOHARIE COUNTY Cobleskill, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | Blessing Hospital Quincy, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 24 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $11 | $2 | 20% | — | $9 – $15 |
← Payers reporting HCPCS G0372 · Snapshot 20261111T120946Z-9134e7f7