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

Botulinum injection of neck muscles for neck spasm

CPT 64616the billing code this page is about

Injection of a nerve-blocking drug into the neck muscles, not including the voice box, to reduce involuntary muscle pulling; billed once per session.

Hospitals typically charge $482 cash for this outpatient procedure — the median across 1,497 hospitals that filed a usable cash price; the average of the middle 60% is $508. Most fall between $255 and $876 (20th–80th percentile).

Hospitals
1,497
States
50
Filings dated
Jan 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 1,497 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$293$482$797$1,252

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($170 vs $1,252).

How the prices are spread

$120 – $155: 58 hospitals$120$155 – $202: 74 hospitals$202 – $263: 115 hospitals$202$263 – $341: 159 hospitals$341 – $444: 230 hospitals$341$444 – $577: 171 hospitals$577 – $749: 202 hospitals$577$749 – $974: 159 hospitals$974 – $1,266: 107 hospitals$974$1,266 – $1,646: 74 hospitals$1,266median $482price bands are equal on a log scale
Hospitals per price band (1,349 of 1,497 — the bands cover the 5th to 95th percentile)
FromToHospitals
$120$15558
$155$20274
$202$263115
$263$341159
$341$444230
$444$577171
$577$749202
$749$974159
$974$1,266107
$1,266$1,64674

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$482
Cash as a multiple of Medicare1.54×

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 $482.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $193 across 10 hospitalsNH$193Washington: median $548 across 38 hospitalsWA$548Idaho: median $452 across 15 hospitalsID$452Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $568 across 63 hospitalsMN$568Illinois: median $457 across 62 hospitalsIL$457Wisconsin: median $503 across 66 hospitalsWI$503Michigan: median $366 across 61 hospitalsMI$366New York: median $349 across 52 hospitalsNY$349Massachusetts: median $876 across 40 hospitalsMA$876Oregon: median $277 across 21 hospitalsOR$277Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $355 across 42 hospitalsIA$355Indiana: median $405 across 45 hospitalsIN$405Ohio: median $683 across 101 hospitalsOH$683Pennsylvania: median $418 across 59 hospitalsPA$418New Jersey: median $1,201 across 41 hospitalsNJ$1,201Connecticut: median $595 across 11 hospitalsCT$595Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $760 across 82 hospitalsCA$760Utah: median $343 across 23 hospitalsUT$343Colorado: median $442 across 31 hospitalsCO$442Nebraska: median $396 across 24 hospitalsNE$396Missouri: median $394 across 42 hospitalsMO$394Kentucky: median $503 across 31 hospitalsKY$503West Virginia: median $308 across 24 hospitalsWV$308Virginia: median $440 across 38 hospitalsVA$440Maryland: 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 $529 across 17 hospitalsAZ$529New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $297 across 30 hospitalsKS$297Arkansas: median $178 across 10 hospitalsAR$178Tennessee: median $253 across 30 hospitalsTN$253North Carolina: median $471 across 39 hospitalsNC$471South Carolina: median $824 across 34 hospitalsSC$824Oklahoma: median $179 across 21 hospitalsOK$179Louisiana: median $294 across 22 hospitalsLA$294Mississippi: median $235 across 18 hospitalsMS$235Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $784 across 41 hospitalsGA$784Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $725 across 70 hospitalsTX$725Florida: median $637 across 55 hospitalsFL$637
Cash price by state, most expensive first. National median $482. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ41$1,201+149%$348 – $5,110
Massachusetts MA40$876+82%$430 – $1,439
South Carolina SC34$824+71%$696 – $1,056
Georgia GA41$784+63%$401 – $938
California CA82$760+58%$389 – $1,120
Texas TX70$725+51%$584 – $823
Ohio OH101$683+42%$339 – $1,324
Florida FL55$637+32%$485 – $1,186
Connecticut CT11$595+24%$362 – $677
Minnesota MN63$568+18%$311 – $726
Washington WA38$548+14%$255 – $796
Arizona AZ17$529+10%$207 – $529
Kentucky KY31$503+4%$312 – $1,411
Wisconsin WI66$503+4%$340 – $596
North Carolina NC39$471−2%$269 – $662
Illinois IL62$457−5%$206 – $923
Idaho ID15$452−6%$194 – $818
Colorado CO31$442−8%$322 – $942
Virginia VA38$440−9%$123 – $537
Pennsylvania PA59$418−13%$182 – $999
Indiana IN45$405−16%$253 – $645
Nebraska NE24$396−18%$334 – $646
Missouri MO42$394−18%$145 – $621
Michigan MI61$366−24%$131 – $564
Iowa IA42$355−26%$216 – $627
New York NY52$349−27%$245 – $639
Utah UT23$343−29%$343 – $744
West Virginia WV24$308−36%$120 – $463
Kansas KS30$297−38%$190 – $620
Louisiana LA22$294−39%$156 – $650
Oregon OR21$277−42%$239 – $440
Tennessee TN30$253−48%$57 – $406
Mississippi MS18$235−51%$163 – $257
New Hampshire NH10$193−60%$137 – $464
Oklahoma OK21$179−63%$179 – $247
Arkansas AR10$178−63%$85 – $351
Alabama AL9not enough hospitals filed a usable price
Hawaii HI9not enough hospitals filed a usable price
North Dakota ND9not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Wyoming WY4not 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 $482.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,148$485$265 – $915
Children’s58$712$379 – $1,434
Critical access285$395$206 – $687
Ownership
For-profit108$529$300 – $818
Government239$377$221 – $784
Non-profit1,144$496$255 – $923
System affiliation
Part of a system1,247$499$265 – $906
Independent250$387$216 – $755

Cash price vs list price

Median list price (chargemaster)$839
Median cash price$482
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

1,046 hospitals filed a usable inpatient cash price for this code. The median is $529 and the average of the middle 60% is $544; most fall between $279 and $905.

Cash price percentiles, inpatient, across 1,046 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
$185$328$529$819$1,191

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($185 vs $1,191).

Of the 1,102 hospitals that filed this code inpatient, 1,046 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

1,497 of the 3,956 hospitals with a price file in our corpus (38%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,588 hospitals that filed this code at all gave us
Usable cash price — counted1,497
Cash price carrying a plausibility flag — shown on the compare tool, excluded here56
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 — excluded35
Hospitals that filed this code1,588

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 Chemodenervation Muscle Neck Unilat for Dystonia.

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 neck muscles for neck spasm (CPT 64616) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64616-botulinum-injection-of-neck-muscles-for-neck-spasm