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

Botulinum injections in head and neck for migraine

CPT 64615the billing code this page is about

Injections into muscles of the face, head and neck on both sides, done in one session as treatment for chronic migraine.

Hospitals typically charge $447 cash for this outpatient procedure — the median across 1,558 hospitals that filed a usable cash price; the average of the middle 60% is $466. Most fall between $238 and $783 (20th–80th percentile).

Hospitals
1,558
States
50
Filings dated
Dec 2023 – 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 1,558 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
$146$276$447$675$1,185

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($146 vs $1,185).

How the prices are spread

$112 – $147: 80 hospitals$112$147 – $191: 67 hospitals$191 – $250: 111 hospitals$191$250 – $326: 162 hospitals$326 – $425: 253 hospitals$326$425 – $555: 201 hospitals$555 – $725: 244 hospitals$555$725 – $946: 154 hospitals$946 – $1,234: 62 hospitals$946$1,234 – $1,611: 70 hospitals$1,234median $447price bands are equal on a log scale
Hospitals per price band (1,404 of 1,558 — the bands cover the 5th to 95th percentile)
FromToHospitals
$112$14780
$147$19167
$191$250111
$250$326162
$326$425253
$425$555201
$555$725244
$725$946154
$946$1,23462
$1,234$1,61170

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$447
Cash as a multiple of Medicare1.43×

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 $447.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $287 across 11 hospitalsNH$287Washington: median $336 across 45 hospitalsWA$336Idaho: median $400 across 16 hospitalsID$400Montana: median $326 across 13 hospitalsMT$326North Dakota: median $303 across 14 hospitalsND$303Minnesota: median $592 across 65 hospitalsMN$592Illinois: median $409 across 65 hospitalsIL$409Wisconsin: median $559 across 70 hospitalsWI$559Michigan: median $402 across 63 hospitalsMI$402New York: median $349 across 61 hospitalsNY$349Massachusetts: median $574 across 39 hospitalsMA$574Oregon: median $280 across 22 hospitalsOR$280Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $404 across 11 hospitalsSD$404Iowa: median $350 across 54 hospitalsIA$350Indiana: median $417 across 47 hospitalsIN$417Ohio: median $543 across 95 hospitalsOH$543Pennsylvania: median $400 across 47 hospitalsPA$400New Jersey: median $1,263 across 37 hospitalsNJ$1,263Connecticut: 9 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 $728 across 79 hospitalsCA$728Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $581 across 38 hospitalsCO$581Nebraska: median $338 across 36 hospitalsNE$338Missouri: median $316 across 45 hospitalsMO$316Kentucky: median $524 across 31 hospitalsKY$524West Virginia: median $351 across 24 hospitalsWV$351Virginia: median $489 across 39 hospitalsVA$489Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $421 across 19 hospitalsAZ$421New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $292 across 45 hospitalsKS$292Arkansas: median $168 across 12 hospitalsAR$168Tennessee: median $182 across 30 hospitalsTN$182North Carolina: median $425 across 40 hospitalsNC$425South Carolina: median $675 across 31 hospitalsSC$675Oklahoma: median $202 across 28 hospitalsOK$202Louisiana: median $175 across 17 hospitalsLA$175Mississippi: median $252 across 19 hospitalsMS$252Alabama: median $210 across 10 hospitalsAL$210Georgia: median $938 across 43 hospitalsGA$938Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $557 across 65 hospitalsTX$557Florida: median $587 across 51 hospitalsFL$587
Cash price by state, most expensive first. National median $447. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ37$1,263+182%$327 – $5,339
Georgia GA43$938+110%$525 – $1,128
California CA79$728+63%$331 – $918
South Carolina SC31$675+51%$475 – $731
Minnesota MN65$592+32%$277 – $741
Florida FL51$587+31%$412 – $748
Colorado CO38$581+30%$243 – $940
Massachusetts MA39$574+28%$460 – $1,173
Wisconsin WI70$559+25%$397 – $628
Texas TX65$557+24%$424 – $1,252
Ohio OH95$543+21%$339 – $1,292
Kentucky KY31$524+17%$274 – $1,241
Virginia VA39$489+9%$114 – $562
North Carolina NC40$425−5%$269 – $1,402
Arizona AZ19$421−6%$214 – $424
Indiana IN47$417−7%$290 – $660
Illinois IL65$409−9%$189 – $794
South Dakota SD11$404−10%$382 – $404
Michigan MI63$402−10%$138 – $825
Pennsylvania PA47$400−10%$93 – $595
Idaho ID16$400−11%$238 – $818
West Virginia WV24$351−22%$131 – $470
Iowa IA54$350−22%$197 – $519
New York NY61$349−22%$203 – $639
Nebraska NE36$338−25%$236 – $473
Washington WA45$336−25%$247 – $661
Montana MT13$326−27%$181 – $565
Missouri MO45$316−29%$114 – $601
North Dakota ND14$303−32%$140 – $493
Kansas KS45$292−35%$203 – $950
New Hampshire NH11$287−36%$116 – $565
Oregon OR22$280−38%$231 – $424
Mississippi MS19$252−44%$182 – $334
Alabama AL10$210−53%$56 – $407
Oklahoma OK28$202−55%$182 – $462
Tennessee TN30$182−59%$57 – $339
Louisiana LA17$175−61%$114 – $497
Arkansas AR12$168−63%$103 – $400
Connecticut CT9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Utah UT7not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Delaware DE2not 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 $447.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,133$484$250 – $853
Children’s39$677$315 – $953
Critical access379$367$206 – $643
Ownership
For-profit109$475$216 – $870
Government297$354$210 – $742
Non-profit1,145$470$244 – $783
System affiliation
Part of a system1,266$474$250 – $782
Independent292$362$216 – $788

Cash price vs list price

Median list price (chargemaster)$732
Median cash price$447
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

1,066 hospitals filed a usable inpatient cash price for this code. The median is $510 and the average of the middle 60% is $512; most fall between $260 and $825.

Cash price percentiles, inpatient, across 1,066 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
$167$296$510$748$1,185

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($167 vs $1,185).

Of the 1,128 hospitals that filed this code inpatient, 1,066 gave a usable cash price; 33 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

1,558 of the 3,956 hospitals with a price file in our corpus (39%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,663 hospitals that filed this code at all gave us
Usable cash price — counted1,558
Cash price carrying a plausibility flag — shown on the compare tool, excluded here67
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded37
Hospitals that filed this code1,663

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 Chemodervate Facial/Trigem/Cerv Musc Migraine.

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 injections in head and neck for migraine (CPT 64615) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64615-botulinum-injections-in-head-and-neck-for-migraine