64615

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face

Medicare pricing data for 9,170 providers across 52 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face (HCPCS code 64615) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $142.15, but hospitals typically charge $508.75 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$28.43

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $142.15, your out-of-pocket cost would be approximately $28.43. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$142.15
Average Hospital Charge
$508.75
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$508.75
Medicare Allowed$142.15
Medicare Payment$108.05

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $108.05 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$174$46122509+22.7%
Alaska$173$1,36528208+21.4%
New York$173$73163012,273+21.4%
New Jersey$162$6172393,921+13.7%
Florida$159$51461712,092+11.8%
California$155$40894932,026+9.0%
Illinois$154$6293034,550+8.5%
Maryland$153$4591592,521+7.8%
Connecticut$151$6041111,539+6.3%
Puerto Rico$148$3681066+4.2%
Hawaii$147$57626331+3.6%
Massachusetts$144$5932585,076+1.6%
Rhode Island$142$47325313-0.4%
Nevada$141$6431081,488-1.0%
Colorado$141$5182505,253-1.0%
Texas$140$5075548,738-1.8%
Wyoming$138$61921236-2.8%
Michigan$137$4022923,568-3.4%
Georgia$137$5052263,909-3.4%
New Mexico$135$339531,211-4.7%
Oregon$135$4511212,235-4.9%
South Carolina$135$4521313,184-4.9%
Oklahoma$135$3541152,136-5.1%
Louisiana$133$4571352,126-6.3%
Washington$133$3792254,283-6.5%
Pennsylvania$133$4524026,776-6.7%
Delaware$132$36333663-6.9%
Minnesota$132$6411903,846-7.4%
Virginia$131$3821873,692-7.5%
North Carolina$130$4972534,163-8.2%
Alabama$130$328831,871-8.8%
Missouri$130$4162154,051-8.9%
Arizona$128$5742054,749-10.1%
Indiana$127$3811812,348-10.7%
New Hampshire$127$546591,159-10.9%
Kentucky$127$4271401,650-11.0%
Utah$126$4381511,899-11.5%
Ohio$125$9713144,207-12.1%
Kansas$124$3721152,048-13.1%
Arkansas$122$350801,023-14.0%
Tennessee$122$4402113,201-14.0%
Montana$122$30951937-14.4%
Mississippi$121$495611,430-14.7%
Nebraska$121$519691,153-14.7%
South Dakota$116$30740981-18.1%
Vermont$116$26814324-18.7%
West Virginia$115$39034565-18.8%
Wisconsin$112$1,0702003,432-21.2%
North Dakota$112$221331,128-21.5%
Maine$110$26449666-22.4%
Iowa$110$3991011,300-22.8%
Idaho$105$40174992-25.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber

🏥 See Medicare hospital data on OpenMedicare