Botox for migraine cost in Virginia

Prices at 24 hospitals in Virginia, from their machine-readable files. Here the median cash price is $418 — 15% below the US median ($492), roughly 2.7× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Bon Secours Maryview Medical Center Portsmouth, VA $186 — ★ 3/5 164 min —
Bon Secours Harbour View Medical Center Suffolk, VA $187 — — — —
Carilion Medical Center Roanoke, VA $649 $1,020 ★ 3/5 272 min —
Carilion New River Valley Medical Center Christiansburg, VA $649 $1,020 ★ 4/5 211 min —
Carilion Franklin Memorial Hospital Rocky Mount, VA $649 $1,020 ★ 4/5 191 min —
Carilion Tazewell Community Hospital Tazewell, VA $649 $1,020 — 139 min —
Carilion Giles Community Hospital Pearisburg, VA $649 $1,020 ★ 4/5 138 min —
Carilion Stonewall Jackson Hospital Lexington, VA $649 $1,020 ★ 3/5 198 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.

Price comparison (median)

Chargemaster (list price)
$1,117
Cash / self-pay
$418
Insurer-negotiated
$1,020
Medicare pays
$157
$57$649
Median cash $418  ·  Medicare $157  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $418 — about 2.7× 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 $1,117 list price could save about $699 (63%).

Estimate what you’ll pay
Quick fill:

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

Botox for migraine cost in other states

All Botox for migraine prices (national) → · All hospitals in Virginia →