Botox for migraine cost in Washington

Prices at 31 hospitals in Washington, from their machine-readable files. Here the median cash price is $473 — 4% below the US median ($492), roughly 3.0× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
St Joseph Hospital Bellingham, WA $118 $383 ★ 4/5 210 min —
Peacehealth St John Medical Center Longview, WA $183 $383 ★ 4/5 214 min —
East Adams Rural Hospital Ritzville, WA $197 $246 — — —
Prosser Memorial Hospital Prosser, WA $228 $155 ★ 3/5 112 min —
Astria Toppenish Hospital Toppenish, WA $270 $324 — 150 min —
Willapa Harbor Hospital South Bend, WA $310 — — 130 min —
Confluence Health Hospital Wenatchee, WA $329 $329 ★ 3/5 143 min —
Legacy Salmon Creek Medical Center Vancouver, WA $385 — ★ 4/5 260 min —
Harrison Medical Center Silverdale, WA $439 $287 ★ 4/5 205 min —
Astria Sunnyside Hospital Sunnyside, WA $456 $248 ★ 2/5 122 min —
Virginia Mason Medical Center Seattle, WA $457 $348 ★ 5/5 206 min —
Island Hospital Anacortes, WA $465 $385 ★ 4/5 204 min —
Olympic Medical Center Port Angeles, WA $480 $432 ★ 3/5 251 min —
Deaconess Medical Center Spokane, WA $565 $565 ★ 3/5 180 min —
Multicare Valley Hospital Spokane Valley, WA $565 $593 ★ 5/5 190 min —
Multicare Auburn Medical Center Auburn, WA $661 $927 ★ 2/5 217 min —
Multicare Good Samaritan Hospital Puyallup, WA $661 $927 ★ 2/5 133 min —
Tacoma General Allenmore Hospital Tacoma, WA $661 $882 ★ 2/5 208 min —
Capital Medical Center Olympia, WA $661 $772 ★ 3/5 140 min —
Multicare Covington Medical Center Covington, WA $661 $927 ★ 3/5 177 min —
Mary Bridge Children's Hospital Tacoma, WA $661 $1,174 — — —
Peacehealth Southwest Medical Center Vancouver, WA $898 $374 ★ 3/5 275 min —
Columbia Basin Hospital Ephrata, WA $1,109 $208 — 132 min —
Valley Medical Center Renton, WA $1,743 $356 ★ 2/5 199 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)
$849
Cash / self-pay
$473
Insurer-negotiated
$477
Medicare pays
$157
$207$827
Median cash $473  ·  Medicare $157  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $473 — about 3.0× 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 $849 list price could save about $376 (44%).

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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

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