Botox for migraine cost in Seattle, WA
In Seattle-Tacoma-Bellevue, WA, 5 hospitals list a cash price for Botox injections for chronic migraine: from $146.88 to $1,942.20, with a median of $450.72. The lowest listed price is at Swedish Edmonds — $303.84 less than the median here. Across Washington, the median is $389.61 at 12 hospitals.
Cash prices at 5 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 Apr 1, 2026 and Apr 1, 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 Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Swedish Edmonds lowest Edmonds, WA · (425) 640-4000 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $146.88 | $306.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $450.72 | $939.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $450.72 | $939.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $450.72 | $939.00 | — | 52% | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 CHEMODENERV MUSC MIGRAINE - FAC | $457.47 | $897.00 | $538.20–$717.60 | 49% | — source file |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 ED - CHEMODENERV MUSC MIGRAINE | $457.47 | $897.00 | $538.20–$717.60 | 49% | — source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $825.60 | $1,720.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $825.60 | $1,720.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $825.60 | $1,720.00 | — | 52% | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 Chemodenerv Musc Migraine | $1,942.20 | $1,942.20 | $489.43–$1,864.51 | — | — source file |
Outpatient: lowest $146.88, median $450.72, highest $1,942.20 — a 13.2× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $825.60. 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 1 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.