Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity
Medicare pricing data for 4,162 providers across 50 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 arm or leg, 1-4 muscles, first extremity (HCPCS code 64642) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $123.94, but hospitals typically charge $494.08 — a 4.0x 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 $123.94, your out-of-pocket cost would be approximately $24.79. 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 4.0x more than what Medicare allows for this procedure. Medicare actually pays $93.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $152 | $869 | 274 | 3,119 | +22.5% |
| Connecticut | $149 | $525 | 60 | 1,039 | +20.3% |
| New Jersey | $140 | $657 | 107 | 741 | +13.1% |
| Hawaii | $140 | $367 | 8 | 48 | +13.1% |
| District of Columbia | $135 | $411 | 30 | 363 | +8.7% |
| Rhode Island | $134 | $501 | 7 | 164 | +7.9% |
| Illinois | $133 | $521 | 181 | 1,479 | +7.5% |
| Maryland | $133 | $362 | 90 | 782 | +7.5% |
| Wyoming | $133 | $565 | 11 | 72 | +7.5% |
| Florida | $133 | $425 | 248 | 2,390 | +7.3% |
| California | $131 | $544 | 344 | 3,856 | +6.0% |
| Delaware | $131 | $278 | 17 | 560 | +6.0% |
| Massachusetts | $130 | $521 | 142 | 1,846 | +4.5% |
| Colorado | $126 | $439 | 99 | 830 | +2.0% |
| Georgia | $125 | $500 | 94 | 709 | +0.9% |
| South Carolina | $125 | $365 | 61 | 709 | +0.8% |
| Oregon | $124 | $431 | 56 | 378 | +0.2% |
| Texas | $124 | $485 | 252 | 2,391 | +0.2% |
| Indiana | $124 | $400 | 102 | 774 | +0.0% |
| Nevada | $124 | $500 | 25 | 293 | -0.3% |
| Michigan | $123 | $402 | 151 | 1,023 | -0.9% |
| North Carolina | $122 | $433 | 140 | 1,317 | -1.6% |
| Missouri | $122 | $414 | 105 | 989 | -1.8% |
| Pennsylvania | $122 | $364 | 203 | 2,721 | -2.0% |
| Washington | $121 | $341 | 109 | 1,049 | -2.1% |
| Arizona | $121 | $392 | 65 | 734 | -2.3% |
| Louisiana | $120 | $380 | 56 | 408 | -3.2% |
| Alabama | $119 | $425 | 37 | 306 | -3.9% |
| Kansas | $118 | $564 | 34 | 271 | -4.5% |
| Montana | $117 | $294 | 24 | 269 | -5.9% |
| Virginia | $116 | $384 | 109 | 936 | -6.3% |
| Tennessee | $111 | $437 | 79 | 562 | -10.1% |
| New Hampshire | $111 | $526 | 27 | 342 | -10.1% |
| New Mexico | $111 | $354 | 28 | 124 | -10.2% |
| Minnesota | $111 | $571 | 119 | 1,508 | -10.8% |
| Utah | $110 | $413 | 31 | 328 | -11.5% |
| South Dakota | $109 | $268 | 18 | 224 | -12.4% |
| Iowa | $108 | $410 | 40 | 581 | -12.6% |
| Ohio | $106 | $431 | 171 | 1,815 | -14.4% |
| Kentucky | $106 | $349 | 61 | 504 | -14.6% |
| West Virginia | $102 | $373 | 21 | 161 | -17.5% |
| Oklahoma | $102 | $289 | 28 | 609 | -17.9% |
| Wisconsin | $100 | $1,100 | 105 | 1,297 | -18.9% |
| Maine | $100 | $322 | 23 | 274 | -19.1% |
| Nebraska | $99 | $422 | 32 | 374 | -20.0% |
| Idaho | $98 | $255 | 29 | 213 | -21.0% |
| Vermont | $97 | $205 | 10 | 129 | -21.5% |
| Arkansas | $95 | $375 | 30 | 337 | -23.4% |
| North Dakota | $94 | $207 | 21 | 235 | -24.1% |
| Mississippi | $92 | $454 | 24 | 335 | -25.4% |
⚠️ 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