CPT 64646 · 1,126 hospitals reporting

Botox inj. trunk muscles 1-5

The same procedure costs $56.25 at one hospital and $17,398 at another — a 309× spread for what's billed under the same code. Median: $765.

Cheapest published

$56.25

1 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,126 hospitals

$765

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$17,398

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

377 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	IL	$1,530	$765	—	—	5 insurers
M HEALTH FAIRVIEW RIDGES HOSPITAL	MN	$1,799	$765	—	—	5 insurers
UPHS MARQUETTE DLP HOSPITAL	MI	$1,280	$768	—	—	0 insurers
ST FRANCIS HOSPITAL & MEDICAL CENTER	CT	$1,550	$775	—	—	5 insurers
BROWARD HEALTH MEDICAL CENTER	FL	$1,550	$775	—	—	5 insurers
WEST BOCA MEDICAL CENTER	FL	$1,550	$775	—	—	5 insurers
FLOYD COUNTY MEDICAL CENTER	IA	$1,550	$775	—	—	5 insurers
UNIVERSITY OF MISSOURI HEALTH CARE	MO	$1,550	$775	—	—	5 insurers
MOUNT PLEASANT HOSPITAL	SC	$1,550	$775	—	—	5 insurers
AURORA MEDICAL CENTER SHEBOYGAN COUNTY	WI	$1,550	$775	—	—	5 insurers
AURORA MEDICAL CTR WASHINGTON COUNTY	WI	$1,550	$775	—	—	2 insurers
AURORA ST LUKES MEDICAL CENTER	WI	$1,550	$775	—	—	5 insurers
WEST ALLIS MEMORIAL HOSPITAL	WI	$1,550	$775	—	—	5 insurers
AURORA MEDICAL CENTER KENOSHA	WI	$1,550	$775	—	—	5 insurers
AURORA BAYCARE MEDICAL CTR	WI	$1,550	$775	—	—	5 insurers
AURORA MEDICAL CENTER - SUMMIT	WI	$1,550	$775	—	—	5 insurers
AURORA MEDICAL CENTER	WI	$1,550	$775	—	—	5 insurers
ST JOSEPH MEDICAL CENTER	WA	$1,318	$752	$117	$1,318	5 insurers
PRINCETON BAPTIST MEDICAL CENTER	AL	$1,558	$779	—	—	5 insurers
University of Arkansas Medical Sciences	AR	$1,250	$750	—	—	5 insurers
CAPITAL HEALTH REGIONAL MEDICAL CENTER	NJ	$1,870	$748	—	—	1 insurers
THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON	MA	$746	$746	—	—	5 insurers
BATON ROUGE GENERAL MEDICAL CENTER	LA	$1,121	$784	—	—	5 insurers
THE GENERAL	LA	$1,121	$784	—	—	5 insurers
UCHEALTH GREELEY HOSPITAL	CO	$1,227	$736	—	—	5 insurers
FAIRVIEW LAKES HEALTH SERVICES	MN	$1,799	$721	—	—	5 insurers
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL	MN	$1,799	$721	—	—	5 insurers
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER	MN	$1,799	$721	—	—	5 insurers
FAIRVIEW NORTHLAND REGIONAL HOSPITAL	MN	$1,799	$721	—	—	5 insurers
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL	MN	$1,799	$721	—	—	5 insurers
M HEALTH FAIRVIEW WOODWINDS HOSPITAL	MN	$1,799	$721	—	—	5 insurers
UNITED MEDICAL CENTER	DC	$1,623	$812	—	—	5 insurers
CAMDEN CLARK MEDICAL CENTER	WV	$1,623	$812	—	—	5 insurers
JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL	PA	—	$812	—	—	5 insurers
JEFFERSON EINSTEIN MONTGOMERY HOSPITAL	PA	—	$812	—	—	5 insurers
CAPE FEAR VALLEY MEDICAL CENTER	NC	$1,183	$710	—	—	5 insurers
BETSY JOHNSON REGIONAL HOSPITAL	NC	$1,183	$710	—	—	5 insurers
ATRIUM HEALTH FLOYD MEDICAL CENTER	GA	$1,646	$823	—	—	2 insurers
CHILDREN'S HOSPITAL COLORADO	CO	$1,086	$706	—	—	5 insurers
CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS	CO	$1,086	$706	—	—	5 insurers