64617

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

Medicare pricing data for 292 providers across 41 states

🤖AI Overview

Prices vary significantly by location — from $103 in New Mexico to $268 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 voice box (HCPCS code 64617) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $221.26, but hospitals typically charge $994.90 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$44.25

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $221.26, your out-of-pocket cost would be approximately $44.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$221.26
Average Hospital Charge
$994.90
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$994.90
Medicare Allowed$221.26
Medicare Payment$163.23

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $163.23 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$268$8723147+21.3%
New Jersey$267$1,3399231+20.6%
Illinois$258$74310393+16.4%
New York$256$1,45424469+15.7%
Massachusetts$252$1,729254+14.1%
Maryland$243$8126110+9.7%
Minnesota$241$1,5546267+9.0%
Georgia$236$1,4229329+6.7%
Delaware$234$772259+5.9%
Arizona$230$1,4207300+3.8%
Colorado$225$9029104+1.7%
Washington$225$819984+1.6%
Missouri$223$8079147+0.9%
Texas$221$1,15421637-0.1%
Florida$219$70222807-0.8%
California$219$1,07433545-0.9%
Arkansas$216$314128-2.2%
Connecticut$216$927472-2.3%
North Carolina$216$7399238-2.5%
Mississippi$213$1,100157-3.7%
Indiana$211$7437147-4.4%
Kentucky$209$584448-5.7%
Kansas$202$7485152-8.6%
South Carolina$200$1,163591-9.5%
Pennsylvania$197$88211245-11.1%
Oklahoma$197$6754207-11.2%
Tennessee$195$659435-12.1%
Ohio$193$1,05015248-12.7%
Oregon$189$6255138-14.7%
Iowa$186$559125-16.0%
Nebraska$185$665333-16.3%
Virginia$185$69312204-16.4%
Michigan$175$7395116-20.7%
Vermont$155$234123-29.8%
Idaho$149$453221-32.8%
West Virginia$147$633321-33.3%
Louisiana$144$9215181-34.8%
Wisconsin$143$3,0906100-35.3%
Alabama$138$799160-37.5%
Utah$134$1,0442134-39.3%
New Mexico$103$607349-53.3%

⚠️ 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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