Injection of chemical for paralysis of nerve muscles on trunk, 1-5 muscles
Medicare pricing data for 947 providers across 45 states
Prices vary significantly by location — from $55 in Mississippi to $145 in Connecticut. 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 trunk, 1-5 muscles (HCPCS code 64646) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $110.48, but hospitals typically charge $436.18 — 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 $110.48, your out-of-pocket cost would be approximately $22.10. 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 $85.51 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $145 | $616 | 16 | 104 | +31.4% |
| Wyoming | $145 | $521 | 2 | 20 | +31.3% |
| Kansas | $135 | $708 | 10 | 36 | +22.0% |
| New York | $134 | $802 | 70 | 312 | +21.5% |
| Washington | $132 | $421 | 23 | 41 | +19.1% |
| Massachusetts | $131 | $561 | 24 | 62 | +18.2% |
| Arizona | $129 | $254 | 25 | 992 | +17.1% |
| Pennsylvania | $128 | $405 | 60 | 346 | +15.8% |
| Michigan | $124 | $558 | 21 | 56 | +12.6% |
| Tennessee | $124 | $492 | 18 | 45 | +11.8% |
| New Mexico | $121 | $338 | 3 | 16 | +9.5% |
| Maryland | $121 | $326 | 14 | 94 | +9.4% |
| Maine | $118 | $376 | 5 | 17 | +6.8% |
| Missouri | $117 | $538 | 15 | 87 | +6.3% |
| Utah | $117 | $437 | 10 | 38 | +5.9% |
| South Carolina | $115 | $502 | 12 | 35 | +4.1% |
| Louisiana | $114 | $491 | 9 | 29 | +3.2% |
| Indiana | $114 | $364 | 15 | 50 | +3.1% |
| Georgia | $113 | $500 | 18 | 99 | +2.6% |
| North Carolina | $112 | $495 | 38 | 161 | +1.0% |
| Rhode Island | $111 | $558 | 4 | 78 | +0.1% |
| California | $110 | $424 | 79 | 519 | -0.2% |
| New Jersey | $110 | $664 | 21 | 115 | -0.3% |
| Oregon | $108 | $483 | 22 | 85 | -2.0% |
| Nebraska | $108 | $426 | 8 | 28 | -2.1% |
| District of Columbia | $108 | $465 | 13 | 294 | -2.3% |
| West Virginia | $106 | $371 | 5 | 53 | -3.9% |
| Illinois | $106 | $626 | 21 | 59 | -4.3% |
| Nevada | $106 | $603 | 7 | 25 | -4.5% |
| Wisconsin | $104 | $1,030 | 26 | 94 | -5.5% |
| Minnesota | $104 | $640 | 37 | 169 | -5.8% |
| Texas | $104 | $506 | 64 | 446 | -5.8% |
| Florida | $101 | $419 | 80 | 939 | -8.7% |
| Montana | $95 | $352 | 6 | 31 | -14.5% |
| Virginia | $94 | $325 | 19 | 158 | -14.6% |
| Delaware | $93 | $328 | 4 | 46 | -16.1% |
| Colorado | $92 | $348 | 32 | 291 | -17.1% |
| Iowa | $90 | $301 | 16 | 142 | -18.7% |
| Ohio | $89 | $376 | 35 | 307 | -19.3% |
| Oklahoma | $86 | $312 | 9 | 87 | -22.3% |
| Kentucky | $85 | $376 | 5 | 46 | -23.0% |
| Idaho | $81 | $317 | 6 | 52 | -26.4% |
| Arkansas | $80 | $411 | 10 | 31 | -27.5% |
| Alabama | $76 | $228 | 11 | 245 | -31.0% |
| Mississippi | $55 | $412 | 3 | 93 | -49.9% |
⚠️ 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