Physician service required to establish and document the need for a power mobility device
Medicare pricing data for 937 providers across 29 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Physician service required to establish and document the need for a power mobility device (HCPCS code G0372) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $8.25, but hospitals typically charge $40.33 — a 4.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $8.25, your out-of-pocket cost would be approximately $1.65. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.9x more than what Medicare allows for this procedure. Medicare actually pays $6.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $9 | $42 | 32 | 114 | +12.8% |
| California | $9 | $34 | 42 | 214 | +11.9% |
| Maryland | $9 | $21 | 18 | 23 | +6.3% |
| Maine | $9 | $23 | 2 | 32 | +4.7% |
| Missouri | $9 | $49 | 13 | 173 | +4.4% |
| Washington | $9 | $25 | 14 | 32 | +4.2% |
| New Jersey | $9 | $38 | 31 | 143 | +3.9% |
| Oklahoma | $9 | $44 | 19 | 314 | +3.9% |
| Illinois | $9 | $26 | 46 | 74 | +3.2% |
| Texas | $9 | $42 | 120 | 704 | +3.2% |
| Georgia | $8 | $39 | 41 | 69 | +1.8% |
| Pennsylvania | $8 | $25 | 16 | 46 | +1.0% |
| Virginia | $8 | $20 | 30 | 60 | +0.4% |
| Ohio | $8 | $29 | 42 | 258 | 0.0% |
| Massachusetts | $8 | $27 | 8 | 11 | -0.1% |
| South Carolina | $8 | $33 | 14 | 34 | -0.1% |
| North Carolina | $8 | $47 | 36 | 49 | -0.6% |
| Kentucky | $8 | $30 | 14 | 21 | -0.7% |
| Nevada | $8 | $49 | 14 | 2,505 | -1.7% |
| Louisiana | $8 | $27 | 11 | 14 | -2.1% |
| Arkansas | $8 | $30 | 14 | 20 | -2.5% |
| Minnesota | $8 | $28 | 21 | 36 | -2.9% |
| Tennessee | $8 | $32 | 24 | 28 | -2.9% |
| Wisconsin | $8 | $32 | 11 | 20 | -3.5% |
| Florida | $8 | $23 | 116 | 357 | -3.8% |
| Mississippi | $8 | $35 | 21 | 33 | -4.4% |
| Michigan | $8 | $18 | 59 | 149 | -4.6% |
| Indiana | $8 | $19 | 28 | 54 | -8.7% |
| Alabama | $7 | $19 | 28 | 159 | -12.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber