Botox for migraine cost in Omaha, NE
In Omaha, NE-IA, 3 hospitals list a cash price for Botox injections for chronic migraine: from $137.69 to $477.75, with a median of $477.75. The lowest listed price is at Alegent Health Community Memorial Hospital of Missouri Valley, Iowa — $340.06 less than the median here. Across Nebraska, the median is $268.09 at 5 hospitals.
Cash prices at 3 facilities across 3 cities for code 64615, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Aug 10, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Omaha, NE-IA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa lowest Missouri Valley, IA · (712) 642-2784 HC SP NEU CHEMODENERVATION MIGRAI | $137.69 | $281.00 | $98.35–$275.38 | 51% | Feb 28, 2026 source file |
| Bellevue Medical Center Bellevue, NE · (402) 763-3600 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $477.75 | $735.00 | $183.75–$2,166.29 | 35% | Aug 10, 2026 source file |
| Nebraska Medical Center Omaha, NE · (402) 559-4000 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $477.75 | $735.00 | $183.75–$2,166.29 | 35% | Aug 10, 2026 source file |
Outpatient: lowest $137.69, median $477.75, highest $477.75 — a 3.5× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $137.69. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This code covers injecting botulinum toxin into muscles of the head and neck to prevent chronic migraine, usually every 12 weeks.
What the price covers
The price usually covers the injection. The steroid or other medicine may be billed separately.