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
$4
Average
$29
Median
$23
High
$103
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 138 hospitals; the 90th percentile is 4.8× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Indiana University Health Jay Inc. Portland, IN | $32 | $33 | $15 | 47% | 1–10 | $18 – $115 |
| 2 | USA Health University Hospital Mobile, AL | $16 | $16 | — | — | — | $16 – $16 |
| 3 | SwedishAmerican Hospital Rockford, IL | $22 | $22 | $3 | 13% | — | $19 – $27 |
| 4 | Laird Hospital, Inc. Union, MS | $18 | $18 | $1 | 3% | — | $18 – $19 |
| 5 | Yuma Regional Medical Center Yuma, AZ | $6 | $6 | $1 | 11% | — | $5 – $7 |
| 6 | Adventist Health Mendocino Coast Bragg, CA | $15 | $15 | $3 | 20% | — | $8 – $19 |
| 7 | Mayo Clinic Health System Mankato 56001-4752 | $105 | $103 | $10 | 10% | — | $23 – $108 |
| 8 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN | $27 | $28 | $7 | 25% | — | $7 – $40 |
| 9 | Mayo Clinic Health System Lake City 55041-1143 | $105 | $103 | $11 | 11% | — | $23 – $109 |
| 10 | Vanderbilt Bedford Hospital Shelbyville, TN | $25 | $27 | $4 | 15% | — | $12 – $33 |
Ask Claude or any MCP client for HCPCS G0372 pricing at a specific hospital — see how to connect.