Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity
Medicare pricing data for 3,558 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, 5 or more muscles, first extremity (HCPCS code 64644) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $150.35, but hospitals typically charge $551.62 — a 3.7x 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 $150.35, your out-of-pocket cost would be approximately $30.07. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $113.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $180 | $642 | 46 | 1,064 | +19.9% |
| Hawaii | $175 | $507 | 9 | 52 | +16.7% |
| New York | $175 | $865 | 239 | 2,318 | +16.1% |
| Rhode Island | $172 | $578 | 8 | 112 | +14.5% |
| Nevada | $171 | $496 | 26 | 178 | +13.9% |
| California | $171 | $474 | 281 | 3,013 | +13.5% |
| District of Columbia | $166 | $446 | 24 | 275 | +10.3% |
| Florida | $165 | $500 | 238 | 1,978 | +9.5% |
| New Jersey | $164 | $614 | 104 | 1,146 | +9.3% |
| Maryland | $160 | $384 | 61 | 469 | +6.7% |
| Wyoming | $160 | $572 | 7 | 42 | +6.2% |
| Oregon | $160 | $525 | 40 | 229 | +6.2% |
| Colorado | $158 | $486 | 75 | 692 | +5.3% |
| Arizona | $158 | $389 | 58 | 523 | +4.9% |
| Illinois | $155 | $630 | 145 | 1,682 | +3.4% |
| South Carolina | $155 | $441 | 59 | 632 | +3.0% |
| Massachusetts | $152 | $571 | 108 | 1,496 | +1.2% |
| Alabama | $151 | $384 | 29 | 330 | +0.3% |
| Virginia | $149 | $441 | 82 | 784 | -0.6% |
| Delaware | $149 | $340 | 11 | 192 | -0.9% |
| Louisiana | $148 | $448 | 59 | 517 | -1.5% |
| Pennsylvania | $148 | $408 | 166 | 1,564 | -1.6% |
| Tennessee | $148 | $492 | 71 | 611 | -1.7% |
| Indiana | $146 | $407 | 88 | 893 | -2.6% |
| Texas | $145 | $507 | 224 | 2,120 | -3.4% |
| Ohio | $144 | $440 | 146 | 1,500 | -4.0% |
| Georgia | $144 | $514 | 92 | 661 | -4.4% |
| North Carolina | $143 | $480 | 117 | 1,052 | -4.6% |
| Kansas | $143 | $671 | 38 | 650 | -4.7% |
| Washington | $142 | $433 | 99 | 919 | -5.3% |
| Utah | $142 | $466 | 22 | 220 | -5.4% |
| Missouri | $142 | $564 | 95 | 1,654 | -5.4% |
| Oklahoma | $142 | $356 | 23 | 221 | -5.5% |
| New Mexico | $142 | $311 | 13 | 54 | -5.8% |
| Minnesota | $140 | $706 | 99 | 1,219 | -6.8% |
| Michigan | $138 | $445 | 135 | 785 | -8.0% |
| Montana | $138 | $297 | 18 | 165 | -8.2% |
| South Dakota | $134 | $337 | 17 | 218 | -11.0% |
| Arkansas | $133 | $425 | 23 | 176 | -11.6% |
| Iowa | $130 | $478 | 40 | 673 | -13.4% |
| New Hampshire | $130 | $658 | 25 | 219 | -13.8% |
| Nebraska | $128 | $460 | 26 | 564 | -14.8% |
| West Virginia | $121 | $447 | 14 | 95 | -19.3% |
| Mississippi | $121 | $532 | 28 | 613 | -19.4% |
| Kentucky | $121 | $374 | 49 | 377 | -19.6% |
| Wisconsin | $121 | $1,279 | 79 | 1,400 | -19.7% |
| North Dakota | $116 | $291 | 18 | 194 | -23.2% |
| Idaho | $111 | $307 | 28 | 234 | -26.0% |
| Maine | $111 | $360 | 20 | 165 | -26.1% |
| Vermont | $105 | $344 | 10 | 94 | -30.0% |
⚠️ 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