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Procedure price report · Other extraocular muscle and orbit therapeutic procedures

Muscle-relaxing injection into an eye muscle

CPT 67345the billing code this page is about

Injection of a nerve-blocking drug, such as botulinum toxin, into one or more of the muscles that move the eye to weaken them and change eye alignment.

Hospitals typically charge $529 cash for this outpatient procedure — the median across 382 hospitals that filed a usable cash price; the average of the middle 60% is $579. Most fall between $297 and $1,410 (20th–80th percentile).

Hospitals
382
States
45
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 382 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
$216$346$529$941$1,938

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($216 vs $1,938).

How the prices are spread

$177 – $241: 26 hospitals$177$241 – $329: 41 hospitals$329 – $448: 80 hospitals$329$448 – $611: 49 hospitals$611 – $833: 54 hospitals$611$833 – $1,135: 32 hospitals$1,135 – $1,547: 16 hospitals$1,135$1,547 – $2,109: 29 hospitals$2,109 – $2,875: 7 hospitals$2,109$2,875 – $3,920: 14 hospitals$2,875median $529price bands are equal on a log scale
Hospitals per price band (348 of 382 — the bands cover the 5th to 95th percentile)
FromToHospitals
$177$24126
$241$32941
$329$44880
$448$61149
$611$83354
$833$1,13532
$1,135$1,54716
$1,547$2,10929
$2,109$2,8757
$2,875$3,92014

Against Medicare

Medicare pays (OPPS 2026, national rate)$324
Median cash price$529
Cash as a multiple of Medicare1.63×

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 $529.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 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: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $668 across 12 hospitalsMN$668Illinois: median $376 across 20 hospitalsIL$376Wisconsin: median $659 across 33 hospitalsWI$659Michigan: median $245 across 22 hospitalsMI$245New York: median $354 across 25 hospitalsNY$354Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $598 across 14 hospitalsIA$598Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $753 across 10 hospitalsOH$753Pennsylvania: median $346 across 22 hospitalsPA$346New Jersey: median $3,030 across 24 hospitalsNJ$3,030Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,742 across 32 hospitalsCA$1,742Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $365 across 11 hospitalsMO$365Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $346 across 13 hospitalsWV$346Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $351 across 12 hospitalsOK$351Louisiana: median $291 across 11 hospitalsLA$291Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $639 across 23 hospitalsTX$639Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $529. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ24$3,030+473%$331 – $5,419
California CA32$1,742+229%$656 – $1,742
Ohio OH10$753+42%$366 – $3,016
Minnesota MN12$668+26%$569 – $668
Wisconsin WI33$659+25%$423 – $941
Texas TX23$639+21%$529 – $717
Iowa IA14$598+13%$580 – $598
Illinois IL20$376−29%$182 – $978
Missouri MO11$365−31%$241 – $374
New York NY25$354−33%$354 – $517
Oklahoma OK12$351−34%$351 – $351
Pennsylvania PA22$346−35%$139 – $1,938
West Virginia WV13$346−35%$216 – $679
Louisiana LA11$291−45%$149 – $387
Michigan MI22$245−54%$245 – $436
Kentucky KY8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
Rhode Island RI1not 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 $529.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care316$517$293 – $1,457
Children’s11fewer than 20 hospitals
Critical access55$496$245 – $828
Ownership
For-profit26$602$263 – $920
Government47$421$351 – $669
Non-profit309$598$291 – $1,424
System affiliation
Part of a system325$598$291 – $1,424
Independent57$458$329 – $753

Cash price vs list price

Median list price (chargemaster)$784
Median cash price$529
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

235 hospitals filed a usable inpatient cash price for this code. The median is $611 and the average of the middle 60% is $634; most fall between $329 and $1,457.

Cash price percentiles, inpatient, across 235 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
$255$351$611$941$1,902

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($255 vs $1,902).

Of the 249 hospitals that filed this code inpatient, 235 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

382 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 413 hospitals that filed this code at all gave us
Usable cash price — counted382
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
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 — excluded7
Hospitals that filed this code413

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 extraocular muscle and orbit therapeutic procedures family.

Hospitals file this code under descriptions such as Chemodenervation Extraocular Muscle.

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, “Muscle-relaxing injection into an eye muscle (CPT 67345) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-67345-muscle-relaxing-injection-into-an-eye-muscle