64616

Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box

Medicare pricing data for 5,068 providers across 52 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box (HCPCS code 64616) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $169.12, but hospitals typically charge $651.69 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$33.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $169.12, your out-of-pocket cost would be approximately $33.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$169.12
Average Hospital Charge
$651.69
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$651.69
Medicare Allowed$169.12
Medicare Payment$128.02

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $128.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$213$69627529+26.0%
New York$202$8683254,734+19.2%
Florida$193$6093636,762+14.2%
Illinois$191$8041752,297+13.0%
Connecticut$184$69571949+8.8%
Maryland$181$4881071,586+7.0%
Alaska$180$1,5371233+6.6%
Nevada$176$92831427+4.0%
Hawaii$175$61914133+3.5%
New Jersey$174$7391071,197+2.7%
Michigan$173$6281601,674+2.2%
California$173$5604587,654+2.0%
Massachusetts$172$7261662,540+1.5%
Pennsylvania$170$5922373,733+0.5%
Oklahoma$170$48940762+0.3%
Delaware$169$507184950.0%
Louisiana$169$747746880.0%
Virginia$169$5701171,849-0.1%
Georgia$168$6721201,675-0.6%
Missouri$168$7431151,692-0.8%
Washington$167$4751262,270-1.0%
Colorado$167$6221322,341-1.1%
Texas$166$5903565,150-1.6%
Arizona$165$5061032,092-2.3%
Ohio$164$6361903,156-3.0%
Minnesota$158$9021231,673-6.3%
Oregon$156$63566790-7.8%
Indiana$155$4821011,174-8.3%
Wyoming$154$53717135-8.8%
North Carolina$154$6091491,989-9.2%
New Hampshire$153$80627257-9.4%
New Mexico$153$47725253-9.5%
Alabama$153$504621,196-9.6%
Mississippi$152$55737846-10.2%
Rhode Island$152$56213145-10.3%
Maine$151$33623376-10.5%
South Dakota$151$45021477-10.5%
Kentucky$151$77060762-10.7%
South Carolina$151$571871,295-10.9%
Puerto Rico$148$151852-12.5%
North Dakota$146$43620289-13.6%
Kansas$146$75852804-13.9%
Montana$144$48224477-14.8%
Tennessee$142$6171241,559-16.1%
Utah$139$57557388-17.9%
Idaho$137$38536372-18.9%
Arkansas$137$58742560-19.1%
Wisconsin$137$1,9221061,489-19.1%
Nebraska$137$52148635-19.2%
West Virginia$136$44224212-19.6%
Vermont$134$216261-21.0%
Iowa$122$48961988-28.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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