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Procedure price report · Injections and aspirations of muscles, tendons, bursa, joints and soft tissue

Injection to reduce underarm sweating, both armpits

CPT 64650the billing code this page is about

Injection of a nerve-blocking drug into the sweat glands of both underarms to reduce excessive sweating; the single charge covers both sides.

Hospitals typically charge $298 cash for this outpatient procedure — the median across 721 hospitals that filed a usable cash price; the average of the middle 60% is $323. Most fall between $119 and $606 (20th–80th percentile).

Hospitals
721
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 721 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
$79$137$298$556$1,378

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($79 vs $1,378).

How the prices are spread

$50 – $71: 29 hospitals$50$71 – $101: 57 hospitals$101 – $144: 73 hospitals$101$144 – $204: 64 hospitals$204 – $289: 84 hospitals$204$289 – $409: 111 hospitals$409 – $581: 109 hospitals$409$581 – $823: 40 hospitals$823 – $1,167: 16 hospitals$823$1,167 – $1,655: 66 hospitals$1,167median $298price bands are equal on a log scale
Hospitals per price band (649 of 721 — the bands cover the 5th to 95th percentile)
FromToHospitals
$50$7129
$71$10157
$101$14473
$144$20464
$204$28984
$289$409111
$409$581109
$581$82340
$823$1,16716
$1,167$1,65566

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$298
Cash as a multiple of Medicare0.95×

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 $298.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 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 $457 across 16 hospitalsWA$457Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 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 $215 across 31 hospitalsMN$215Illinois: median $193 across 26 hospitalsIL$193Wisconsin: median $298 across 48 hospitalsWI$298Michigan: median $96 across 27 hospitalsMI$96New York: median $349 across 35 hospitalsNY$349Massachusetts: median $573 across 16 hospitalsMA$573Oregon: median $277 across 13 hospitalsOR$277Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $198 across 25 hospitalsIA$198Indiana: median $122 across 19 hospitalsIN$122Ohio: median $686 across 31 hospitalsOH$686Pennsylvania: median $363 across 36 hospitalsPA$363New Jersey: median $3,786 across 34 hospitalsNJ$3,786Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $656 across 52 hospitalsCA$656Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $227 across 11 hospitalsCO$227Nebraska: median $143 across 10 hospitalsNE$143Missouri: median $215 across 21 hospitalsMO$215Kentucky: median $384 across 15 hospitalsKY$384West Virginia: median $119 across 23 hospitalsWV$119Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: median $191 across 10 hospitalsTN$191North Carolina: median $1,176 across 15 hospitalsNC$1,176South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $68 across 12 hospitalsOK$68Louisiana: median $138 across 15 hospitalsLA$138Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $522 across 21 hospitalsGA$522Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $358 across 35 hospitalsTX$358Florida: median $485 across 24 hospitalsFL$485
Cash price by state, most expensive first. National median $298. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ34$3,786+1169%$327 – $5,432
North Carolina NC15$1,176+294%$300 – $1,176
Ohio OH31$686+130%$154 – $1,324
California CA52$656+120%$413 – $1,378
Massachusetts MA16$573+92%$280 – $1,251
Georgia GA21$522+75%$522 – $4,862
Florida FL24$485+63%$428 – $606
Washington WA16$457+53%$197 – $1,555
Kentucky KY15$384+29%$122 – $1,406
Pennsylvania PA36$363+22%$30 – $556
Texas TX35$358+20%$140 – $579
New York NY35$349+17%$127 – $418
Wisconsin WI48$2980%$218 – $404
Oregon OR13$277−7%$85 – $297
Colorado CO11$227−24%$126 – $430
Missouri MO21$215−28%$90 – $584
Minnesota MN31$215−28%$125 – $282
Iowa IA25$198−34%$114 – $198
Illinois IL26$193−35%$122 – $441
Tennessee TN10$191−36%$111 – $278
Nebraska NE10$143−52%$93 – $207
Louisiana LA15$138−54%$99 – $275
Indiana IN19$122−59%$121 – $191
West Virginia WV23$119−60%$43 – $353
Michigan MI27$96−68%$96 – $422
Oklahoma OK12$68−77%$68 – $68
Idaho ID9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not 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 $298.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care544$353$131 – $935
Children’s27$354$126 – $866
Critical access149$172$92 – $298
Ownership
For-profit44$300$121 – $537
Government118$278$140 – $522
Non-profit558$298$109 – $668
System affiliation
Part of a system601$319$122 – $645
Independent120$247$90 – $517

Cash price vs list price

Median list price (chargemaster)$436
Median cash price$298
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

464 hospitals filed a usable inpatient cash price for this code. The median is $309 and the average of the middle 60% is $355; most fall between $136 and $691.

Cash price percentiles, inpatient, across 464 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
$96$162$309$579$1,324

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($96 vs $1,324).

Of the 493 hospitals that filed this code inpatient, 464 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 13 a list price only.

How complete is this

721 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 780 hospitals that filed this code at all gave us
Usable cash price — counted721
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded23
Hospitals that filed this code780

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 Injections and aspirations of muscles, tendons, bursa, joints and soft tissue family.

Hospitals file this code under descriptions such as PR Chemodenerv Eccrine Glands Both Axillae.

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, “Injection to reduce underarm sweating, both armpits (CPT 64650) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64650-injection-to-reduce-underarm-sweating-both-armpits