Botox for migraine cost in Spearfish, SD
In Spearfish, SD, 2 hospitals list a cash price for Botox injections for chronic migraine: from $686.40 to $686.40, with a median of $686.40. The lowest listed price is at Monument Health Spearfish Hospital and 1 other hospital. Across South Dakota, the median is $686.40 at 7 hospitals.
Cash prices at 2 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 Sep 1, 2026 and Sep 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 Spearfish, SD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Monument Health Spearfish Hospital lowest Spearfish, SD · (605) 644-4000 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $686.40 | $858.00 | $252.25–$879.45 | 20% | Sep 1, 2026 source file |
| Monument Health Lead-Deadwood Hospital lowest Deadwood, SD · (605) 717-6000 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $686.40 | $858.00 | $248.82–$858.00 | 20% | Sep 1, 2026 source file |
Outpatient: lowest $686.40, median $686.40, highest $686.40.
Cash or insurance?
At 2 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 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.