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Procedure price report · Other non-OR or closed therapeutic nervous system procedures

Botulinum injection into salivary glands for drooling

CPT 64611the billing code this page is about

Injections into both parotid and both submandibular salivary glands to reduce saliva production; the code covers all four glands treated in one session.

Hospitals typically charge $410 cash for this outpatient procedure — the median across 934 hospitals that filed a usable cash price; the average of the middle 60% is $434. Most fall between $190 and $778 (20th–80th percentile).

Hospitals
934
States
50
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 934 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$122$243$410$673$1,183

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($122 vs $1,183).

How the prices are spread

$108 – $142: 80 hospitals$108$142 – $187: 56 hospitals$187 – $247: 63 hospitals$187$247 – $326: 120 hospitals$326 – $430: 115 hospitals$326$430 – $567: 142 hospitals$567 – $748: 109 hospitals$567$748 – $987: 78 hospitals$987 – $1,302: 41 hospitals$987$1,302 – $1,717: 38 hospitals$1,302median $410price bands are equal on a log scale
Hospitals per price band (842 of 934 — the bands cover the 5th to 95th percentile)
FromToHospitals
$108$14280
$142$18756
$187$24763
$247$326120
$326$430115
$430$567142
$567$748109
$748$98778
$987$1,30241
$1,302$1,71738

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$410
Cash as a multiple of Medicare1.31×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $410.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $826 across 24 hospitalsWA$826Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $446 across 29 hospitalsMN$446Illinois: median $339 across 33 hospitalsIL$339Wisconsin: median $395 across 52 hospitalsWI$395Michigan: median $341 across 50 hospitalsMI$341New York: median $349 across 39 hospitalsNY$349Massachusetts: median $513 across 19 hospitalsMA$513Oregon: median $243 across 13 hospitalsOR$243Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $290 across 21 hospitalsIA$290Indiana: median $194 across 31 hospitalsIN$194Ohio: median $557 across 49 hospitalsOH$557Pennsylvania: median $363 across 38 hospitalsPA$363New Jersey: median $1,210 across 41 hospitalsNJ$1,210Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $750 across 65 hospitalsCA$750Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $557 across 13 hospitalsCO$557Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $243 across 23 hospitalsMO$243Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $353 across 10 hospitalsWV$353Virginia: median $431 across 28 hospitalsVA$431Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $122 across 19 hospitalsTN$122North Carolina: median $108 across 17 hospitalsNC$108South Carolina: median $639 across 21 hospitalsSC$639Oklahoma: median $183 across 14 hospitalsOK$183Louisiana: median $138 across 17 hospitalsLA$138Mississippi: median $267 across 14 hospitalsMS$267Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $439 across 25 hospitalsGA$439Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $516 across 57 hospitalsTX$516Florida: median $620 across 55 hospitalsFL$620
Cash price by state, most expensive first. National median $410. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ41$1,210+195%$327 – $5,419
Washington WA24$826+101%$259 – $1,714
California CA65$750+83%$541 – $823
South Carolina SC21$639+56%$475 – $806
Florida FL55$620+51%$296 – $871
Colorado CO13$557+36%$288 – $940
Ohio OH49$557+36%$359 – $1,324
Texas TX57$516+26%$303 – $1,007
Massachusetts MA19$513+25%$297 – $1,101
Minnesota MN29$446+9%$266 – $600
Georgia GA25$439+7%$430 – $721
Virginia VA28$431+5%$122 – $455
Wisconsin WI52$395−4%$323 – $595
Pennsylvania PA38$363−12%$82 – $606
West Virginia WV10$353−14%$292 – $357
New York NY39$349−15%$233 – $418
Michigan MI50$341−17%$122 – $667
Illinois IL33$339−17%$137 – $636
Iowa IA21$290−29%$237 – $498
Mississippi MS14$267−35%$169 – $364
Oregon OR13$243−41%$239 – $829
Missouri MO23$243−41%$77 – $1,282
Indiana IN31$194−53%$137 – $651
Oklahoma OK14$183−55%$183 – $183
Louisiana LA17$138−66%$92 – $388
Tennessee TN19$122−70%$122 – $305
North Carolina NC17$108−74%$108 – $248
Nebraska NE9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $410.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care768$405$185 – $806
Children’s56$750$323 – $1,452
Critical access109$359$161 – $585
Ownership
For-profit58$443$168 – $788
Government138$303$173 – $498
Non-profit737$441$199 – $823
System affiliation
Part of a system800$425$190 – $806
Independent134$356$185 – $686

Cash price vs list price

Median list price (chargemaster)$745
Median cash price$410
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

652 hospitals filed a usable inpatient cash price for this code. The median is $455 and the average of the middle 60% is $465; most fall between $236 and $806.

Cash price percentiles, inpatient, across 652 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$137$259$455$673$1,007

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($137 vs $1,007).

Of the 691 hospitals that filed this code inpatient, 652 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

934 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 996 hospitals that filed this code at all gave us
Usable cash price — counted934
Cash price carrying a plausibility flag — shown on the compare tool, excluded here41
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded21
Hospitals that filed this code996

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR or closed therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as PR Chemodenerv Parotid/Submandib Salivary Glands, Bilat.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Botulinum injection into salivary glands for drooling (CPT 64611) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64611-botulinum-injection-into-salivary-glands-for-drooling