Physician Service Required To Establish And Document The Need For A Power Mobility Device in Pennsylvania
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Pennsylvania Pricing in Context
In Pennsylvania, CPT code G0372 (Physician Service Required To Establish And Document The Need For A Power Mobility Device) carries an average Medicare payment of $6.50 — 2% above the national benchmark of $6.35. 16 providers across the state submitted claims for this procedure in 2023, performing 46 total services. Individual payments in PA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Pennsylvania is $25.04, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Pennsylvania sits above the national Medicare average, commercial rates in the state may also run higher than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Pennsylvania lands near $18.32, with self-pay cash prices typically around $13.13. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Physician Service Required To Establish And Document The Need For A Power Mobility Device cost in Pennsylvania?
The average Medicare payment for Physician Service Required To Establish And Document The Need For A Power Mobility Device in Pennsylvania is $6.50, which is 2% above the national average of $6.35. Providers in PA typically bill $25.04 for this procedure.
What does Physician Service Required To Establish And Document The Need For A Power Mobility Device cost with insurance in Pennsylvania?
With commercial insurance in Pennsylvania, Physician Service Required To Establish And Document The Need For A Power Mobility Device costs an estimated $18.32. Without insurance, the estimated cash price is $13.13. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Physician Service Required To Establish And Document The Need For A Power Mobility Device in Pennsylvania?
16 providers in Pennsylvania billed Medicare for Physician Service Required To Establish And Document The Need For A Power Mobility Device in 2023, performing 46 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Physician Service Required To Establish And Document The Need For A Power Mobility Device cheaper in Pennsylvania than the national average?
No — Physician Service Required To Establish And Document The Need For A Power Mobility Device costs 2% above the national average in Pennsylvania. The state average Medicare payment is $6.50 compared to $6.35 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.