Botox for migraine cost in Roanoke, VA
In Roanoke, VA, 4 hospitals list a cash price for Botox injections for chronic migraine: from $649.25 to $649.25, with a median of $649.25. The lowest listed price is at Carilion Franklin Memorial Hospital and 3 other hospitals. Across Virginia, the median is $489.00 at 29 hospitals.
Cash prices at 4 facilities across 2 cities for code 64615, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Roanoke, VA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Carilion Franklin Memorial Hospital lowest Rocky Mt, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | $138.45–$1,762.25 | 65% | — source file |
| Carilion Medical Center doing business as Carilion Roanoke Community Hospital lowest Roanoke, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | $138.45–$1,762.25 | 65% | — source file |
| Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital lowest Roanoke, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | $138.45–$1,762.25 | 65% | — source file |
| Carilion Giles Community Hospital lowest Roanoke, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | $138.45–$1,762.25 | 65% | — source file |
Outpatient: lowest $649.25, median $649.25, highest $649.25.
Cash or insurance?
At 4 of 4 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.