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

Botulinum injection into 6 or more trunk muscles

CPT 64647the billing code this page is about

Injections into six or more muscles of the trunk in one session, used for muscle spasm or dystonia of the back or abdomen.

Hospitals typically charge $881 cash for this outpatient procedure — the median across 1,035 hospitals that filed a usable cash price; the average of the middle 60% is $945. Most fall between $424 and $1,727 (20th–80th percentile).

Hospitals
1,035
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 1,035 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
$256$519$881$1,517$2,459

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($256 vs $2,459).

How the prices are spread

$184 – $249: 48 hospitals$184$249 – $336: 56 hospitals$336 – $455: 68 hospitals$336$455 – $614: 103 hospitals$614 – $830: 164 hospitals$614$830 – $1,121: 146 hospitals$1,121 – $1,515: 141 hospitals$1,121$1,515 – $2,047: 122 hospitals$2,047 – $2,765: 53 hospitals$2,047$2,765 – $3,736: 33 hospitals$2,765median $881price bands are equal on a log scale
Hospitals per price band (934 of 1,035 — the bands cover the 5th to 95th percentile)
FromToHospitals
$184$24948
$249$33656
$336$45568
$455$614103
$614$830164
$830$1,121146
$1,121$1,515141
$1,515$2,047122
$2,047$2,76553
$2,765$3,73633

Against Medicare

Medicare pays (OPPS 2026, national rate)$721
Median cash price$881
Cash as a multiple of Medicare1.22×

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 $881.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 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 $881 across 33 hospitalsWA$881Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $973 across 39 hospitalsMN$973Illinois: median $791 across 44 hospitalsIL$791Wisconsin: median $930 across 58 hospitalsWI$930Michigan: median $733 across 46 hospitalsMI$733New York: median $820 across 41 hospitalsNY$820Massachusetts: median $1,149 across 29 hospitalsMA$1,149Oregon: median $333 across 11 hospitalsOR$333Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $427 across 16 hospitalsIA$427Indiana: median $360 across 24 hospitalsIN$360Ohio: median $1,439 across 62 hospitalsOH$1,439Pennsylvania: median $834 across 50 hospitalsPA$834New Jersey: median $924 across 38 hospitalsNJ$924Connecticut: 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 $1,469 across 75 hospitalsCA$1,469Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $577 across 18 hospitalsCO$577Nebraska: median $356 across 11 hospitalsNE$356Missouri: median $671 across 29 hospitalsMO$671Kentucky: median $1,067 across 16 hospitalsKY$1,067West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,355 across 26 hospitalsVA$1,355Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $969 across 15 hospitalsAZ$969New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $571 across 13 hospitalsKS$571Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $627 across 14 hospitalsTN$627North Carolina: median $1,235 across 26 hospitalsNC$1,235South Carolina: median $1,658 across 23 hospitalsSC$1,658Oklahoma: median $220 across 19 hospitalsOK$220Louisiana: median $519 across 15 hospitalsLA$519Mississippi: median $621 across 11 hospitalsMS$621Alabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,916 across 27 hospitalsGA$1,916Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $590 across 56 hospitalsTX$590Florida: median $1,388 across 56 hospitalsFL$1,388
Cash price by state, most expensive first. National median $881. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA27$1,916+117%$659 – $1,973
South Carolina SC23$1,658+88%$1,200 – $2,128
California CA75$1,469+67%$985 – $3,858
Ohio OH62$1,439+63%$703 – $3,106
Florida FL56$1,388+58%$1,128 – $1,960
Virginia VA26$1,355+54%$623 – $1,530
North Carolina NC26$1,235+40%$361 – $1,235
Massachusetts MA29$1,149+30%$746 – $2,151
Kentucky KY16$1,067+21%$628 – $3,376
Minnesota MN39$973+10%$711 – $1,166
Arizona AZ15$969+10%$302 – $969
Wisconsin WI58$930+6%$631 – $1,529
New Jersey NJ38$924+5%$767 – $4,881
Washington WA33$8810%$459 – $1,164
Pennsylvania PA50$834−5%$100 – $1,325
New York NY41$820−7%$325 – $915
Illinois IL44$791−10%$300 – $1,828
Michigan MI46$733−17%$99 – $1,596
Missouri MO29$671−24%$337 – $949
Tennessee TN14$627−29%$195 – $627
Mississippi MS11$621−30%$412 – $621
Texas TX56$590−33%$586 – $904
Colorado CO18$577−35%$472 – $1,178
Kansas KS13$571−35%$300 – $4,743
Louisiana LA15$519−41%$295 – $742
Iowa IA16$427−52%$427 – $858
Indiana IN24$360−59%$248 – $1,105
Nebraska NE11$356−60%$272 – $482
Oregon OR11$333−62%$333 – $672
Oklahoma OK19$220−75%$220 – $480
Idaho ID9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Delaware DE1not 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 $881.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care844$908$427 – $1,738
Children’s47$848$484 – $3,074
Critical access139$645$337 – $1,466
Ownership
For-profit71$657$282 – $1,379
Government140$723$393 – $1,439
Non-profit819$915$439 – $1,828
System affiliation
Part of a system892$915$475 – $1,828
Independent143$623$251 – $1,280

Cash price vs list price

Median list price (chargemaster)$1,544
Median cash price$881
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

759 hospitals filed a usable inpatient cash price for this code. The median is $930 and the average of the middle 60% is $1,000; most fall between $455 and $1,780.

Cash price percentiles, inpatient, across 759 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
$281$551$930$1,597$2,343

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($281 vs $2,343).

Of the 791 hospitals that filed this code inpatient, 759 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 16 a list price only.

How complete is this

1,035 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,095 hospitals that filed this code at all gave us
Usable cash price — counted1,035
Cash price carrying a plausibility flag — shown on the compare tool, excluded here37
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 — excluded22
Hospitals that filed this code1,095

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 of Trunk 6 or More Muscles.

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 6 or more trunk muscles (CPT 64647) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64647-botulinum-injection-into-6-or-more-trunk-muscles