Injection of chemical for paralysis of nerve muscles on side of voice box
Medicare pricing data for 292 providers across 41 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $268 | $872 | 3 | 147 | +21.3% |
| New Jersey | $267 | $1,339 | 9 | 231 | +20.6% |
| Illinois | $258 | $743 | 10 | 393 | +16.4% |
| New York | $256 | $1,454 | 24 | 469 | +15.7% |
| Massachusetts | $252 | $1,729 | 2 | 54 | +14.1% |
| Maryland | $243 | $812 | 6 | 110 | +9.7% |
| Minnesota | $241 | $1,554 | 6 | 267 | +9.0% |
| Georgia | $236 | $1,422 | 9 | 329 | +6.7% |
| Delaware | $234 | $772 | 2 | 59 | +5.9% |
| Arizona | $230 | $1,420 | 7 | 300 | +3.8% |
| Colorado | $225 | $902 | 9 | 104 | +1.7% |
| Washington | $225 | $819 | 9 | 84 | +1.6% |
| Missouri | $223 | $807 | 9 | 147 | +0.9% |
| Texas | $221 | $1,154 | 21 | 637 | -0.1% |
| Florida | $219 | $702 | 22 | 807 | -0.8% |
| California | $219 | $1,074 | 33 | 545 | -0.9% |
| Arkansas | $216 | $314 | 1 | 28 | -2.2% |
| Connecticut | $216 | $927 | 4 | 72 | -2.3% |
| North Carolina | $216 | $739 | 9 | 238 | -2.5% |
| Mississippi | $213 | $1,100 | 1 | 57 | -3.7% |
| Indiana | $211 | $743 | 7 | 147 | -4.4% |
| Kentucky | $209 | $584 | 4 | 48 | -5.7% |
| Kansas | $202 | $748 | 5 | 152 | -8.6% |
| South Carolina | $200 | $1,163 | 5 | 91 | -9.5% |
| Pennsylvania | $197 | $882 | 11 | 245 | -11.1% |
| Oklahoma | $197 | $675 | 4 | 207 | -11.2% |
| Tennessee | $195 | $659 | 4 | 35 | -12.1% |
| Ohio | $193 | $1,050 | 15 | 248 | -12.7% |
| Oregon | $189 | $625 | 5 | 138 | -14.7% |
| Iowa | $186 | $559 | 1 | 25 | -16.0% |
| Nebraska | $185 | $665 | 3 | 33 | -16.3% |
| Virginia | $185 | $693 | 12 | 204 | -16.4% |
| Michigan | $175 | $739 | 5 | 116 | -20.7% |
| Vermont | $155 | $234 | 1 | 23 | -29.8% |
| Idaho | $149 | $453 | 2 | 21 | -32.8% |
| West Virginia | $147 | $633 | 3 | 21 | -33.3% |
| Louisiana | $144 | $921 | 5 | 181 | -34.8% |
| Wisconsin | $143 | $3,090 | 6 | 100 | -35.3% |
| Alabama | $138 | $799 | 1 | 60 | -37.5% |
| Utah | $134 | $1,044 | 2 | 134 | -39.3% |
| New Mexico | $103 | $607 | 3 | 49 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber