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

Botulinum injection into voice box muscle, one side

CPT 64617the billing code this page is about

Injection into the muscles of the larynx on one side, with needle electrode (EMG) guidance to locate the muscle.

Hospitals typically charge $711 cash for this outpatient procedure — the median across 606 hospitals that filed a usable cash price; the average of the middle 60% is $730. Most fall between $306 and $1,253 (20th–80th percentile).

Hospitals
606
States
48
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 606 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
$182$382$711$1,154$1,826

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($182 vs $1,826).

How the prices are spread

$126 – $166: 13 hospitals$126$166 – $219: 38 hospitals$219 – $290: 27 hospitals$219$290 – $383: 49 hospitals$383 – $506: 48 hospitals$383$506 – $669: 56 hospitals$669 – $883: 145 hospitals$669$883 – $1,167: 63 hospitals$1,167 – $1,542: 53 hospitals$1,167$1,542 – $2,037: 54 hospitals$1,542median $711price bands are equal on a log scale
Hospitals per price band (546 of 606 — the bands cover the 5th to 95th percentile)
FromToHospitals
$126$16613
$166$21938
$219$29027
$290$38349
$383$50648
$506$66956
$669$883145
$883$1,16763
$1,167$1,54253
$1,542$2,03754

Against Medicare

Medicare pays (OPPS 2026, national rate)$721
Median cash price$711
Cash as a multiple of Medicare0.99×

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 $711.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $451 across 12 hospitalsWA$451Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $773 across 19 hospitalsMN$773Illinois: median $399 across 22 hospitalsIL$399Wisconsin: median $510 across 13 hospitalsWI$510Michigan: median $136 across 30 hospitalsMI$136New York: median $820 across 26 hospitalsNY$820Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $399 across 15 hospitalsIA$399Indiana: median $741 across 22 hospitalsIN$741Ohio: median $802 across 38 hospitalsOH$802Pennsylvania: median $803 across 36 hospitalsPA$803New Jersey: median $3,786 across 33 hospitalsNJ$3,786Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,280 across 50 hospitalsCA$1,280Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $755 across 17 hospitalsMO$755Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $1,390 across 11 hospitalsAZ$1,390New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $662 across 15 hospitalsNC$662South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $179 across 16 hospitalsOK$179Louisiana: median $510 across 14 hospitalsLA$510Mississippi: median $329 across 12 hospitalsMS$329Alabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $895 across 29 hospitalsGA$895Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $675 across 36 hospitalsTX$675Florida: median $689 across 25 hospitalsFL$689
Cash price by state, most expensive first. National median $711. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ33$3,786+432%$767 – $5,110
Arizona AZ11$1,390+95%$1,100 – $1,390
California CA50$1,280+80%$1,180 – $1,826
Georgia GA29$895+26%$382 – $1,163
New York NY26$820+15%$820 – $881
Pennsylvania PA36$803+13%$73 – $1,018
Ohio OH38$802+13%$398 – $1,052
Minnesota MN19$773+9%$659 – $1,277
Missouri MO17$755+6%$357 – $850
Indiana IN22$741+4%$449 – $1,168
Florida FL25$689−3%$689 – $1,960
Texas TX36$675−5%$675 – $765
North Carolina NC15$662−7%$459 – $662
Louisiana LA14$510−28%$248 – $758
Wisconsin WI13$510−28%$510 – $925
Washington WA12$451−37%$294 – $1,264
Iowa IA15$399−44%$399 – $789
Illinois IL22$399−44%$182 – $805
Mississippi MS12$329−54%$258 – $373
Oklahoma OK16$179−75%$179 – $427
Michigan MI30$136−81%$83 – $785
Massachusetts MA9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Montana MT1not 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 $711.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care533$733$334 – $1,253
Children’s18fewer than 20 hospitals
Critical access53$659$253 – $1,168
Ownership
For-profit56$675$300 – $1,163
Government74$662$312 – $1,154
Non-profit474$755$307 – $1,277
System affiliation
Part of a system521$757$357 – $1,263
Independent85$450$221 – $944

Cash price vs list price

Median list price (chargemaster)$1,125
Median cash price$711
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

420 hospitals filed a usable inpatient cash price for this code. The median is $689 and the average of the middle 60% is $736; most fall between $306 and $1,253.

Cash price percentiles, inpatient, across 420 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
$182$383$689$1,163$1,826

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($182 vs $1,826).

Of the 440 hospitals that filed this code inpatient, 420 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

606 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 649 hospitals that filed this code at all gave us
Usable cash price — counted606
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
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 — excluded16
Hospitals that filed this code649

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 23, 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 Larynx Unilat W/Emg.

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 voice box muscle, one side (CPT 64617) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64617-botulinum-injection-into-voice-box-muscle-one-side