Botox for migraine cost in St. Louis, MO
In St. Louis, MO-IL, 5 hospitals list a cash price for Botox injections for chronic migraine: from $83.85 to $1,408.32, with a median of $83.85. The lowest listed price is at Mercy Hospital Lincoln and 2 other hospitals. Across Missouri, the median is $137.33 at 14 hospitals.
Cash prices at 5 facilities across 4 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 — 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 St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital Lincoln lowest Troy, MO · (636) 528-8551 Chemodenerv Musc(S) Innrv Fac Nrv Bil Mlp | $83.85 | $129.00 | $251.65–$387.54 | 35% | — source file |
| Mercy Hospital St Louis lowest Saint Louis, MO Chemodenerv Musc(S) Innrv Fac Nrv Bil Mlp | $83.85 | $129.00 | $301.61–$691.76 | 35% | — source file |
| Mercy Hospital Jefferson lowest Festus, MO Chemodenerv Musc(S) Innrv Fac Nrv Bil Mlp | $83.85 | $129.00 | $301.61–$691.76 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Chemodenerv Musc(S) Innrv Fac Nrv Bil Pf | $98.15 | $151.00 | $301.61–$691.76 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chemodenerv Musc(S) Innrv Fac Nrv Bil Pf | $98.15 | $151.00 | $301.61–$691.76 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Chemodenerv Musc(S) Innrv Fac Nrv Bil Pf | $98.15 | $151.00 | $9.82–$151.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Chemodenerv of Musc(S) Innrv Fac Nrv Bil | $266.50 | $410.00 | $2,087.00–$3,194.00 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Chemodenerv of Musc(S) Innrv Fac Nrv Bil | $572.00 | $880.00 | $3,153.00–$6,631.00 | 35% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC CHEMODENERVATION FACE/NECK/SPINE MUSCLES BIL | $1,408.32 | $1,956.00 | $326.90–$1,956.00 | 28% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chemodenerv of Musc(S) Innrv Fac Nrv Bil | $1,719.46 | $2,645.33 | $106.38–$1,351.60 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Chemodenerv of Musc(S) Innrv Fac Nrv Bil | $1,948.86 | $2,998.24 | $301.61–$691.76 | 35% | — source file |
Outpatient: lowest $83.85, median $83.85, highest $1,408.32 — a 16.8× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $1,408.32. 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 5 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 it is 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.