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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $174 | $461 | 22 | 509 | +22.7% |
| Alaska | $173 | $1,365 | 28 | 208 | +21.4% |
| New York | $173 | $731 | 630 | 12,273 | +21.4% |
| New Jersey | $162 | $617 | 239 | 3,921 | +13.7% |
| Florida | $159 | $514 | 617 | 12,092 | +11.8% |
| California | $155 | $408 | 949 | 32,026 | +9.0% |
| Illinois | $154 | $629 | 303 | 4,550 | +8.5% |
| Maryland | $153 | $459 | 159 | 2,521 | +7.8% |
| Connecticut | $151 | $604 | 111 | 1,539 | +6.3% |
| Puerto Rico | $148 | $368 | 10 | 66 | +4.2% |
| Hawaii | $147 | $576 | 26 | 331 | +3.6% |
| Massachusetts | $144 | $593 | 258 | 5,076 | +1.6% |
| Rhode Island | $142 | $473 | 25 | 313 | -0.4% |
| Nevada | $141 | $643 | 108 | 1,488 | -1.0% |
| Colorado | $141 | $518 | 250 | 5,253 | -1.0% |
| Texas | $140 | $507 | 554 | 8,738 | -1.8% |
| Wyoming | $138 | $619 | 21 | 236 | -2.8% |
| Michigan | $137 | $402 | 292 | 3,568 | -3.4% |
| Georgia | $137 | $505 | 226 | 3,909 | -3.4% |
| New Mexico | $135 | $339 | 53 | 1,211 | -4.7% |
| Oregon | $135 | $451 | 121 | 2,235 | -4.9% |
| South Carolina | $135 | $452 | 131 | 3,184 | -4.9% |
| Oklahoma | $135 | $354 | 115 | 2,136 | -5.1% |
| Louisiana | $133 | $457 | 135 | 2,126 | -6.3% |
| Washington | $133 | $379 | 225 | 4,283 | -6.5% |
| Pennsylvania | $133 | $452 | 402 | 6,776 | -6.7% |
| Delaware | $132 | $363 | 33 | 663 | -6.9% |
| Minnesota | $132 | $641 | 190 | 3,846 | -7.4% |
| Virginia | $131 | $382 | 187 | 3,692 | -7.5% |
| North Carolina | $130 | $497 | 253 | 4,163 | -8.2% |
| Alabama | $130 | $328 | 83 | 1,871 | -8.8% |
| Missouri | $130 | $416 | 215 | 4,051 | -8.9% |
| Arizona | $128 | $574 | 205 | 4,749 | -10.1% |
| Indiana | $127 | $381 | 181 | 2,348 | -10.7% |
| New Hampshire | $127 | $546 | 59 | 1,159 | -10.9% |
| Kentucky | $127 | $427 | 140 | 1,650 | -11.0% |
| Utah | $126 | $438 | 151 | 1,899 | -11.5% |
| Ohio | $125 | $971 | 314 | 4,207 | -12.1% |
| Kansas | $124 | $372 | 115 | 2,048 | -13.1% |
| Arkansas | $122 | $350 | 80 | 1,023 | -14.0% |
| Tennessee | $122 | $440 | 211 | 3,201 | -14.0% |
| Montana | $122 | $309 | 51 | 937 | -14.4% |
| Mississippi | $121 | $495 | 61 | 1,430 | -14.7% |
| Nebraska | $121 | $519 | 69 | 1,153 | -14.7% |
| South Dakota | $116 | $307 | 40 | 981 | -18.1% |
| Vermont | $116 | $268 | 14 | 324 | -18.7% |
| West Virginia | $115 | $390 | 34 | 565 | -18.8% |
| Wisconsin | $112 | $1,070 | 200 | 3,432 | -21.2% |
| North Dakota | $112 | $221 | 33 | 1,128 | -21.5% |
| Maine | $110 | $264 | 49 | 666 | -22.4% |
| Iowa | $110 | $399 | 101 | 1,300 | -22.8% |
| Idaho | $105 | $401 | 74 | 992 | -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.
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