Botox for migraine Cost by Hospital

Botox for migraine is a hospital service. Prices are from 1489 US hospitals across 52 states, from their machine-readable files.

$499median cash price · 1489 hospitals, 52 statestypically $146–$1,292 depending on the hospital
≈ 3.2× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$832
Cash / self-pay
$499
Insurer-negotiated
$375
Medicare pays
$157
$146$1,292
Median cash $499  ·  Medicare $157  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $499 — about 3.2× the Medicare rate ($157). On the higher side. A fair cash price is usually within ~2× Medicare ($314).

💡 Asking for the cash price instead of the $832 list price could save about $333 (40%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Westfield Memorial Hospital, Inc Westfield, NY $76 $150 — 114 min 14.8%
Canonsburg General Hospital Canonsburg, PA $76 $150 ★ 3/5 155 min 15.6%
Forbes Hospital Monroeville, PA $76 $150 ★ 3/5 252 min 16.5%
Adventist Health Tulare Tulare, CA $77 $109 ★ 3/5 195 min 15.0%
Grove City Medical Center Grove City, PA $79 $150 ★ 4/5 147 min 14.1%
Mercy Hospital Oklahoma City, Inc Oklahoma City, OK $81 $237 ★ 4/5 152 min 14.2%
Allegheny Valley Hospital Natrona, PA $83 $150 ★ 4/5 201 min 15.7%
Allegheny General Hospital Pittsburgh, PA $83 $150 ★ 3/5 274 min 14.7%
Mercy Specialty Hospital Southeast Kansas Galena, KS $84 $277 — — 14.3%
Mercy Hospital St Louis Saint Louis, MO $84 $274 ★ 4/5 217 min 15.1%
Mercy Hospital Southeast Cape Girardeau, MO $84 $277 ★ 2/5 160 min 15.1%
Nacogdoches Memorial Hospital Nacogdoches, TX $85 $227 ★ 2/5 178 min 15.4%
North Texas Medical Center Gainesville, TX $87 $282 ★ 4/5 121 min 14.9%
Ahn Wexford Hospital Wexford, PA $90 $164 ★ 5/5 186 min 15.3%
West Penn Hospital Pittsburgh, PA $93 $167 ★ 3/5 203 min 16.3%
Mercy Hospital Ardmore, Inc Ardmore, OK $94 $295 ★ 4/5 140 min 14.6%
Exceptional Community Hospital Ardmore Ardmore, OK $94 $295 — — —
Bassett Healthcare Cooperstown, NY $98 $112 ★ 2/5 199 min 15.6%
Washington County Hosp Inc Plymouth, NC $98 — — — 16.0%
Mercy Hospital Jefferson Crystal City, MO $98 $274 ★ 4/5 199 min 14.9%
Cox Medical Centers Springfield, MO $99 $306 ★ 3/5 223 min 14.2%
Mercy Hospital Joplin Joplin, MO $99 $144 ★ 1/5 228 min 15.3%
Mercy Hospital Springfield Springfield, MO $99 $252 ★ 3/5 293 min 14.3%
University of Michigan Health-Sparrow Clinton Saint Johns, MI $100 $149 ★ 4/5 183 min 15.0%
Baptist Memorial Hospital Jonesboro, Inc. Jonesboro, AR $103 $408 ★ 3/5 128 min 15.3%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Botox for migraine

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $499; Medicare pays $157.

InsurerHospitalsNegotiated median
Amerigroup 129
$62
$62 – $324
Medicaid 181
$69
$40 – $368
Univera 11
$100
$10 – $141
Medicare 311
$145
$51 – $349
Independent Health 16
$158
$69 – $349
Highmark 70
$192
$84 – $601
Priority Health 37
$198
$109 – $833
Geisinger 40
$218
$134 – $1,281
Workers' Comp / No-Fault 59
$241
$241 – $848
AmeriHealth 128
$259
$101 – $3,251
Tricare / VA 210
$272
$104 – $458
Molina Healthcare 430
$291
$65 – $2,702
Devoted Health 126
$296
$195 – $357
UCare 50
$299
$95 – $607
Blue Cross Blue Shield 823
$314
$86 – $1,889
UPMC Health Plan 57
$316
$119 – $1,222
Humana 676
$321
$109 – $3,350
Harvard Pilgrim 33
$336
$177 – $758
Kaiser Permanente 151
$341
$83 – $871
MVP Health Care 46
$349
$98 – $962
Centene / Ambetter 544
$350
$67 – $1,423
HealthPartners 130
$368
$116 – $825
Sanford Health Plan 43
$370
$123 – $891
Medica 116
$374
$115 – $1,273
UnitedHealthcare 974
$425
$104 – $2,788
Health Net 138
$489
$122 – $2,590
Anthem 386
$500
$83 – $4,764
Security Health Plan 36
$502
$281 – $1,142
SelectHealth 35
$545
$218 – $5,307
Coventry 67
$546
$166 – $1,326
AvMed 43
$567
$303 – $11,304
MultiPlan / PHCS network 389
$613
$145 – $2,018
EmblemHealth 44
$662
$221 – $17,559
Aetna 888
$768
$128 – $3,701
Bright Health 43
$827
$607 – $2,644
Cigna 689
$1,004
$167 – $8,253
Healthcare Highways 30
$2,152
$2,069 – $14,612
Oscar Health 160
$2,455
$474 – $3,549

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Tennessee$103
Mississippi$163
Arkansas$196
Vermont$209
Michigan$212
Utah$230

Prices by city

Chicago, ILAustin, TXHouston, TXNew York, NYPhiladelphia, PAFort Worth, TXBrooklyn, NYCharlotte, NCCleveland, OHDallas, TXKansas City, MOLos Angeles, CASan Antonio, TXArlington, TXBronx, NYCincinnati, OHMilwaukee, WINashville, TNSacramento, CASan Francisco, CAAurora, COBaltimore, MDBirmingham, ALBoston, MA

Prices by state

TexasCaliforniaOhioFloridaWisconsinNew YorkMinnesotaIllinoisMichiganNorth CarolinaPennsylvaniaTennesseeColoradoGeorgiaLouisianaMissouriIowaWashingtonKansasNebraskaIndianaMassachusettsVirginiaMaineArkansasSouth CarolinaOklahomaMississippiAlabamaWest VirginiaIdahoKentuckyNew JerseyArizonaUtahNew HampshireOregonConnecticutNorth DakotaMarylandSouth DakotaWyomingNevadaMontanaVermontNew MexicoHawaii

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Violetta Mailyan, D.O.Family PracticeGlendale, CA9,161
Sheila Manhas, M.D.NeurologySun Valley, CA2,670
Lusine Apikyan, N.P.Nurse PractitionerLos Angeles, CA1,134
Steven Herzog, M.D.NeurologyDallas, TX1,038
Stuart Hetrick, D.O.NeurologyPhoenix, AZ942
Jack Schim, M.DNeurologyCarlsbad, CA609
Eugeniu Muntean, MDNeurologyFargo, ND508
Jane Davidson, P.A.-C.Physician AssistantLa Jolla, CA458
Christopher O'carroll, M.D.NeurologyNewport Beach, CA449
Jaclyn Duvall, MDNeurologyTulsa, OK417
Michael Novak, MDNeurologyNaples, FL362
Jenine Rahman, NP, APRNNurse PractitionerSherman Oaks, CA358

Browse doctors by specialty & city →

Does Medicare cover Botox for migraine?

Yes — Medicare generally covers Botox for migraine. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $157. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $31 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1489 US hospitals across 52 states, the typical (median) cash price is $499, versus a chargemaster (list) price around $832, a median insurer-negotiated rate of $375, a Medicare rate of about $157. Most cash prices fall between $146 and $1,292 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Botox for migraine cost without insurance?
The median cash (self-pay) price across 1489 US hospitals is $499. Most hospitals fall between $146 and $1,292. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Botox for migraine?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $157). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Botox for migraine?
Medicare pays about $157. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Botox for migraine prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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