HRHospitalRates.comCompare prices

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

Botulinum injection of face muscles on one side

CPT 64612the billing code this page is about

Injection of a nerve-blocking drug into the muscles supplied by the facial nerve on one side, used for conditions such as eyelid or facial spasm; billed per side treated.

Hospitals typically charge $410 cash for this outpatient procedure — the median across 1,306 hospitals that filed a usable cash price; the average of the middle 60% is $447. Most fall between $223 and $784 (20th–80th percentile).

Hospitals
1,306
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 1,306 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
$154$257$410$692$1,128

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($154 vs $1,128).

How the prices are spread

$117 – $150: 66 hospitals$117$150 – $194: 67 hospitals$194 – $251: 116 hospitals$194$251 – $324: 146 hospitals$324 – $419: 218 hospitals$324$419 – $541: 152 hospitals$541 – $699: 157 hospitals$541$699 – $903: 118 hospitals$903 – $1,167: 84 hospitals$903$1,167 – $1,507: 60 hospitals$1,167median $410price bands are equal on a log scale
Hospitals per price band (1,184 of 1,306 — the bands cover the 5th to 95th percentile)
FromToHospitals
$117$15066
$150$19467
$194$251116
$251$324146
$324$419218
$419$541152
$541$699157
$699$903118
$903$1,16784
$1,167$1,50760

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: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $410 across 36 hospitalsWA$410Idaho: median $363 across 11 hospitalsID$363Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $303 across 10 hospitalsND$303Minnesota: median $327 across 54 hospitalsMN$327Illinois: median $390 across 42 hospitalsIL$390Wisconsin: median $371 across 64 hospitalsWI$371Michigan: median $422 across 57 hospitalsMI$422New York: median $356 across 58 hospitalsNY$356Massachusetts: median $547 across 39 hospitalsMA$547Oregon: median $249 across 16 hospitalsOR$249Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $326 across 34 hospitalsIA$326Indiana: median $219 across 32 hospitalsIN$219Ohio: median $686 across 65 hospitalsOH$686Pennsylvania: median $418 across 57 hospitalsPA$418New Jersey: median $465 across 37 hospitalsNJ$465Connecticut: 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 76 hospitalsCA$750Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $549 across 17 hospitalsCO$549Nebraska: median $235 across 26 hospitalsNE$235Missouri: median $280 across 40 hospitalsMO$280Kentucky: median $650 across 18 hospitalsKY$650West Virginia: median $369 across 26 hospitalsWV$369Virginia: median $272 across 40 hospitalsVA$272Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $607 across 13 hospitalsAZ$607New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $307 across 17 hospitalsKS$307Arkansas: median $178 across 10 hospitalsAR$178Tennessee: median $145 across 23 hospitalsTN$145North Carolina: median $396 across 32 hospitalsNC$396South Carolina: median $566 across 28 hospitalsSC$566Oklahoma: median $247 across 23 hospitalsOK$247Louisiana: median $270 across 24 hospitalsLA$270Mississippi: median $257 across 19 hospitalsMS$257Alabama: median $373 across 10 hospitalsAL$373Georgia: median $914 across 40 hospitalsGA$914Hawaii: median $278 across 10 hospitalsHI$278Texas: median $548 across 71 hospitalsTX$548Florida: median $485 across 51 hospitalsFL$485
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
Georgia GA40$914+123%$784 – $1,128
California CA76$750+83%$422 – $935
Ohio OH65$686+67%$295 – $1,324
Kentucky KY18$650+59%$388 – $1,507
Arizona AZ13$607+48%$363 – $607
South Carolina SC28$566+38%$475 – $879
Colorado CO17$549+34%$262 – $705
Texas TX71$548+34%$415 – $672
Massachusetts MA39$547+33%$402 – $1,231
Florida FL51$485+18%$412 – $896
New Jersey NJ37$465+14%$327 – $5,339
Michigan MI57$422+3%$117 – $569
Pennsylvania PA57$418+2%$182 – $1,045
Washington WA36$4100%$242 – $712
North Carolina NC32$396−4%$239 – $701
Illinois IL42$390−5%$161 – $684
Alabama AL10$373−9%$187 – $510
Wisconsin WI64$371−9%$359 – $806
West Virginia WV26$369−10%$319 – $522
Idaho ID11$363−11%$225 – $818
New York NY58$356−13%$317 – $818
Minnesota MN54$327−20%$233 – $692
Iowa IA34$326−20%$197 – $423
Kansas KS17$307−25%$203 – $1,969
North Dakota ND10$303−26%$125 – $493
Missouri MO40$280−32%$111 – $455
Hawaii HI10$278−32%$157 – $661
Virginia VA40$272−34%$202 – $303
Louisiana LA24$270−34%$111 – $688
Mississippi MS19$257−37%$187 – $423
Oregon OR16$249−39%$174 – $252
Oklahoma OK23$247−40%$195 – $434
Nebraska NE26$235−43%$199 – $386
Indiana IN32$219−46%$148 – $610
Arkansas AR10$178−57%$68 – $291
Tennessee TN23$145−65%$122 – $374
Montana MT9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Delaware DE1not 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 care998$435$234 – $818
Children’s55$705$357 – $1,385
Critical access251$321$195 – $572
Ownership
For-profit96$493$235 – $817
Government206$358$216 – $701
Non-profit1,002$415$225 – $806
System affiliation
Part of a system1,085$416$230 – $806
Independent221$363$206 – $705

Cash price vs list price

Median list price (chargemaster)$690
Median cash price$410
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

896 hospitals filed a usable inpatient cash price for this code. The median is $460 and the average of the middle 60% is $490; most fall between $236 and $818.

Cash price percentiles, inpatient, across 896 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
$170$283$460$746$1,084

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($170 vs $1,084).

Of the 953 hospitals that filed this code inpatient, 896 gave a usable cash price; 33 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

1,306 of the 3,956 hospitals with a price file in our corpus (33%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,406 hospitals that filed this code at all gave us
Usable cash price — counted1,306
Cash price carrying a plausibility flag — shown on the compare tool, excluded here68
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded31
Hospitals that filed this code1,406

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 Chemodnrvtj Musc Musc Innervated Facial Nrv Unil.

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 of face muscles on one side (CPT 64612) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64612-botulinum-injection-of-face-muscles-on-one-side