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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $213 | $696 | 27 | 529 | +26.0% |
| New York | $202 | $868 | 325 | 4,734 | +19.2% |
| Florida | $193 | $609 | 363 | 6,762 | +14.2% |
| Illinois | $191 | $804 | 175 | 2,297 | +13.0% |
| Connecticut | $184 | $695 | 71 | 949 | +8.8% |
| Maryland | $181 | $488 | 107 | 1,586 | +7.0% |
| Alaska | $180 | $1,537 | 12 | 33 | +6.6% |
| Nevada | $176 | $928 | 31 | 427 | +4.0% |
| Hawaii | $175 | $619 | 14 | 133 | +3.5% |
| New Jersey | $174 | $739 | 107 | 1,197 | +2.7% |
| Michigan | $173 | $628 | 160 | 1,674 | +2.2% |
| California | $173 | $560 | 458 | 7,654 | +2.0% |
| Massachusetts | $172 | $726 | 166 | 2,540 | +1.5% |
| Pennsylvania | $170 | $592 | 237 | 3,733 | +0.5% |
| Oklahoma | $170 | $489 | 40 | 762 | +0.3% |
| Delaware | $169 | $507 | 18 | 495 | 0.0% |
| Louisiana | $169 | $747 | 74 | 688 | 0.0% |
| Virginia | $169 | $570 | 117 | 1,849 | -0.1% |
| Georgia | $168 | $672 | 120 | 1,675 | -0.6% |
| Missouri | $168 | $743 | 115 | 1,692 | -0.8% |
| Washington | $167 | $475 | 126 | 2,270 | -1.0% |
| Colorado | $167 | $622 | 132 | 2,341 | -1.1% |
| Texas | $166 | $590 | 356 | 5,150 | -1.6% |
| Arizona | $165 | $506 | 103 | 2,092 | -2.3% |
| Ohio | $164 | $636 | 190 | 3,156 | -3.0% |
| Minnesota | $158 | $902 | 123 | 1,673 | -6.3% |
| Oregon | $156 | $635 | 66 | 790 | -7.8% |
| Indiana | $155 | $482 | 101 | 1,174 | -8.3% |
| Wyoming | $154 | $537 | 17 | 135 | -8.8% |
| North Carolina | $154 | $609 | 149 | 1,989 | -9.2% |
| New Hampshire | $153 | $806 | 27 | 257 | -9.4% |
| New Mexico | $153 | $477 | 25 | 253 | -9.5% |
| Alabama | $153 | $504 | 62 | 1,196 | -9.6% |
| Mississippi | $152 | $557 | 37 | 846 | -10.2% |
| Rhode Island | $152 | $562 | 13 | 145 | -10.3% |
| Maine | $151 | $336 | 23 | 376 | -10.5% |
| South Dakota | $151 | $450 | 21 | 477 | -10.5% |
| Kentucky | $151 | $770 | 60 | 762 | -10.7% |
| South Carolina | $151 | $571 | 87 | 1,295 | -10.9% |
| Puerto Rico | $148 | $151 | 8 | 52 | -12.5% |
| North Dakota | $146 | $436 | 20 | 289 | -13.6% |
| Kansas | $146 | $758 | 52 | 804 | -13.9% |
| Montana | $144 | $482 | 24 | 477 | -14.8% |
| Tennessee | $142 | $617 | 124 | 1,559 | -16.1% |
| Utah | $139 | $575 | 57 | 388 | -17.9% |
| Idaho | $137 | $385 | 36 | 372 | -18.9% |
| Arkansas | $137 | $587 | 42 | 560 | -19.1% |
| Wisconsin | $137 | $1,922 | 106 | 1,489 | -19.1% |
| Nebraska | $137 | $521 | 48 | 635 | -19.2% |
| West Virginia | $136 | $442 | 24 | 212 | -19.6% |
| Vermont | $134 | $216 | 2 | 61 | -21.0% |
| Iowa | $122 | $489 | 61 | 988 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber