Botox for migraine Cost by Hospital

Botox for migraine is a hospital service. Prices are from 1506 US hospitals across 52 states, from their machine-readable files.

$492median cash price · 1506 hospitals, 52 statestypically $147–$1,289 depending on the hospital
≈ 3.1× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$832
Cash / self-pay
$492
Insurer-negotiated
$375
Medicare pays
$157
$147$1,289
Median cash $492  ·  Medicare $157  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $492 — about 3.1× 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 $340 (41%).

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
Banner Desert Medical Center Mesa, AZ $75 $315 ★ 2/5 269 min —
Westfield Memorial Hospital, Inc Westfield, NY $76 $150 — 120 min —
Canonsburg General Hospital Canonsburg, PA $76 $150 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $76 $150 ★ 3/5 261 min —
Adventist Health Tulare Tulare, CA $77 $109 ★ 3/5 198 min —
Grove City Medical Center Grove City, PA $79 $150 ★ 4/5 150 min —
Mercy Hospital Oklahoma City, Inc Oklahoma City, OK $81 $237 ★ 4/5 151 min —
Allegheny Valley Hospital Natrona, PA $83 $150 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $83 $150 ★ 3/5 274 min —
Mercy Specialty Hospital Southeast Kansas Galena, KS $84 $277 — — —
Mercy Hospital St Louis Saint Louis, MO $84 $274 ★ 4/5 220 min —
Mercy Hospital Southeast Cape Girardeau, MO $84 $277 ★ 2/5 169 min —
Nacogdoches Memorial Hospital Nacogdoches, TX $85 $227 ★ 2/5 174 min —
North Texas Medical Center Gainesville, TX $87 $295 ★ 4/5 117 min —
St Mary's Regional Medical Center Lewiston, ME $89 $671 ★ 4/5 135 min —
Ahn Wexford Hospital Wexford, PA $90 $164 ★ 5/5 184 min —
West Penn Hospital Pittsburgh, PA $93 $167 ★ 3/5 208 min —
Mercy Hospital Ardmore, Inc Ardmore, OK $94 $295 ★ 4/5 134 min —
Exceptional Community Hospital Ardmore Ardmore, OK $94 $295 — — —
Bassett Healthcare Cooperstown, NY $98 $112 ★ 2/5 199 min —
Washington County Hosp Inc Plymouth, NC $98 — — — —
Mercy Hospital Jefferson Crystal City, MO $98 $274 ★ 4/5 202 min —
Cox Medical Centers Springfield, MO $99 $306 ★ 3/5 219 min —
Mercy Hospital Joplin Joplin, MO $99 $144 ★ 1/5 226 min —
Mercy Hospital Springfield Springfield, MO $99 $252 ★ 3/5 299 min —

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 October 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: $492; Medicare pays $157.

InsurerHospitalsNegotiated median
Amerigroup 130
$62
$62 – $324
Medicaid 183
$69
$40 – $368
Univera 11
$100
$10 – $141
Medicare 314
$145
$51 – $349
Independent Health 16
$158
$69 – $349
Highmark 76
$173
$84 – $601
Priority Health 36
$198
$109 – $833
Geisinger 40
$218
$134 – $1,281
Workers' Comp / No-Fault 59
$241
$241 – $848
AmeriHealth 129
$260
$101 – $3,251
Tricare / VA 213
$273
$104 – $439
Molina Healthcare 433
$290
$65 – $2,702
Devoted Health 128
$297
$263 – $355
UCare 50
$299
$95 – $607
UPMC Health Plan 58
$306
$113 – $1,222
Blue Cross Blue Shield 831
$314
$89 – $1,875
Humana 685
$317
$109 – $3,350
Harvard Pilgrim 33
$336
$177 – $758
Kaiser Permanente 151
$341
$83 – $871
Centene / Ambetter 558
$347
$70 – $1,423
MVP Health Care 47
$349
$98 – $974
HealthPartners 131
$367
$116 – $825
Sanford Health Plan 43
$370
$123 – $891
Medica 117
$374
$115 – $1,273
Coventry 69
$401
$187 – $1,227
UnitedHealthcare 998
$431
$104 – $2,751
AvMed 45
$479
$303 – $9,160
Anthem 401
$482
$84 – $4,764
Security Health Plan 36
$502
$281 – $1,142
Health Net 140
$517
$131 – $2,525
SelectHealth 35
$545
$218 – $5,307
MultiPlan / PHCS network 405
$619
$146 – $2,013
EmblemHealth 57
$662
$221 – $12,590
Aetna 909
$721
$128 – $3,701
Bright Health 43
$827
$607 – $2,644
Cigna 709
$1,004
$167 – $8,253
Healthcare Highways 30
$2,152
$2,069 – $14,612
Oscar Health 173
$2,455
$463 – $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$133
Arkansas$196
Vermont$209
Michigan$212
Utah$230

Prices by city

Prices by state

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.

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 1506 US hospitals across 52 states, the typical (median) cash price is $492, 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 $147 and $1,289 — 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 1506 US hospitals is $492. Most hospitals fall between $147 and $1,289. 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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