Botox for migraine cost in North Carolina

Prices at 53 hospitals in North Carolina, from their machine-readable files. Here the median cash price is $560 — 14% above the US median ($493), roughly 3.6× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Washington County Hosp Inc Plymouth, NC $98 16.0%
Alamance Regional Medical Center Burlington, NC $116 $63 ★ 3/5 218 min 13.7%
Moses H. Cone Memorial Hospital, The Greensboro, NC $116 $63 ★ 3/5 222 min 13.9%
North Carolina Baptist Hospital Winston-salem, NC $257 $170 ★ 4/5 187 min 15.1%
High Point Regional Health System High Point, NC $257 $215 ★ 2/5 238 min 15.5%
Hugh Chatham Memorial Hospital Elkin, NC $271 $168 ★ 3/5 171 min 15.1%
Duke Health Lake Norman Hospital Mooresville, NC $288 $100 ★ 1/5 180 min 15.3%
Pardee Hospital Henderson County Hendersonville, NC $324 $276 ★ 5/5 171 min 13.7%
ECU Health North Hospital Roanoke Rapids, NC $339 $360 ★ 2/5 202 min 14.6%
Betsy Johnson Regional Hospital Dunn, NC $371 $310 ★ 3/5 216 min 14.3%
Cape Fear Valley-Bladen County Hospital Elizabethtown, NC $371 191 min 15.0%
Caldwell Memorial Hospital Lenoir, NC $407 $277 ★ 3/5 189 min 14.3%
ECU Health Medical Center Greenville, NC $489 $553 ★ 2/5 280 min 15.9%
Vidant Chowan Hospital Edenton, NC $489 $553 ★ 3/5 159 min 14.5%
Columbus Regional Healthcare System Whiteville, NC $517 $438 ★ 1/5 184 min 14.5%
Cape Fear Valley Medical Center Fayetteville, NC $557 $310 ★ 2/5 219 min 15.4%
Cape Fear Valley Hoke Hospital Raeford, NC $557 $310 ★ 4/5 208 min 15.3%
Duke University Hospital Durham, NC $563 $471 ★ 5/5 296 min 14.9%
Duke Regional Hospital Durham, NC $563 $471 ★ 5/5 244 min 14.1%
Dlp Swain County Hospital Llc Bryson City, NC $600 82 min
Harris Regional Hospital Sylva, NC $650 $772 ★ 3/5 174 min 13.9%
Haywood Regional Medical Center Clyde, NC $650 $776 ★ 3/5 192 min 15.1%
Novant Health Forsyth Medical Center Winston-salem, NC $801 $847 ★ 4/5 197 min 14.2%
Vidant Roanoke Chowan Hospital Ahoskie, NC $1,314 $1,452 ★ 2/5 139 min 16.2%
Carolinas Medical Center-Northeast Concord, NC $1,402 $1,227 ★ 4/5 187 min 14.6%

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 June 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.

Price comparison (median)

Chargemaster (list price)
$1,131
Cash / self-pay
$560
Insurer-negotiated
$399
Medicare pays
$157
$257$1,402
Median cash $560  ·  Medicare $157  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $560 — about 3.6× the Medicare rate ($157). High vs Medicare. A fair cash price is usually within ~2× Medicare ($314).

💡 Asking for the cash price instead of the $1,131 list price could save about $572 (51%).

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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.

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Botox for migraine cost in other states

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