Botox for migraine cost in Virginia
In Virginia, 31 hospitals publish a cash price for Botox injections for chronic migraine: from $56.85 to $649.25, with a median of $489.00. The lowest price is at Johnston Memorial Hospital (Abingdon) and 3 other hospitals. The highest price is 11.4× the lowest.
- The median here, $489.00, is 6% below the US median of $518.00.
- That is 1.6× Medicare's 2026 national rate for the same service ($313.60).
- Virginia ranks 22nd of 41 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Outpatient cash prices, one line per hospital — its lowest listed price for code 64615. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 24, 2026. See them on a map
Lowest$56.85Johnston Memorial Hospital + 3 more
Median$489.00half of hospitals charge less
Highest$649.25in Virginia
Lowest saves$432.15vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Johnston Memorial Hospital lowest Abingdon · Kingsport-Bristol, TN-VA HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $56.85 | $379.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital lowest Big Stone Gap · Big Stone Gap, VA HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $56.85 | $379.00 | Mar 23, 2026 source file |
| Russell County Hospital lowest Lebanon · Lebanon, VA HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $56.85 | $379.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital lowest Marion · Marion, VA HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $56.85 | $379.00 | Mar 23, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Chemdnr Nrv Muscle Facial Trig-Pbb | $186.00 | $310.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Chemodenerv Musc Migraine | $186.60 | $311.00 | Apr 1, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Chemodenerve Muscle Migraine Bil | $369.00 | $738.00 | Mar 11, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Chemodenerv Musc Migraine | $387.50 | $775.00 | Apr 1, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chg - Fc-Chemodenervatn Of Muscle(S | $489.00 | $978.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chg - Fc-Chemodenervatn Of Muscle(S | $489.00 | $978.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Chg - Fc-Chemodenervatn Of Muscle(S | $489.00 | $978.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chg - Fc-Chemodenervatn Of Muscle(S | $489.00 | $978.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chg - Fc-Chemodenervatn Of Muscle(S | $489.00 | $978.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chg - Fc-Chemodenervatn Of Muscle(S | $489.00 | $978.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA Chg - Fc-Chemodenervatn Of Muscle(S | $489.00 | $978.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chg - Fc-Chemodenervatn Of Muscle(S | $489.00 | $978.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chg - Fc-Chemodenervatn Of Muscle(S | $489.00 | $978.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CHEMODNRV MSCL FACIAL/TRIGEM/CERV MIGRN | $518.00 | $1,036.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CHEMODNRV MSCL FACIAL/TRIGEM/CERV MIGRN | $518.00 | $1,036.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CHEMODNRV MSCL FACIAL/TRIGEM/CERV MIGRN | $518.00 | $1,036.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CHEMODNRV MSCL FACIAL/TRIGEM/CERV MIGRN | $518.00 | $1,036.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CHEMODNRV MSCL FACIAL/TRIGEM/CERV MIGRN | $518.00 | $1,036.00 | Apr 1, 2026 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Chg - Fc-Chemodenervatn Of Muscle(S | $562.00 | $1,124.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Chg - Fc-Chemodenervatn Of Muscle(S | $562.00 | $1,124.00 | Apr 1, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB CHEMODENERV MUSC MIGRAINE | $649.25 | $1,855.00 | Dec 15, 2025 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 9 | $186.00 | $489.00 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 6 | $489.00 | $518.00 |
| Roanoke, VA | 4 | $649.25 | $649.25 |
| Big Stone Gap, VA | 1 | $56.85 | $56.85 |
| Blacksburg-Christiansburg-Radford, VA | 1 | $649.25 | $649.25 |
| Bluefield, WV-VA | 1 | $649.25 | $649.25 |
| Charlottesville, VA | 1 | $562.00 | $562.00 |
| Harrisonburg, VA | 1 | $562.00 | $562.00 |
| Kingsport-Bristol, TN-VA | 1 | $56.85 | $56.85 |
| Lebanon, VA | 1 | $56.85 | $56.85 |
| Lexington, VA | 1 | $649.25 | $649.25 |
| Marion, VA | 1 | $56.85 | $56.85 |
| South Boston, VA | 1 | $489.00 | $489.00 |
| Suffolk, VA | 1 | $489.00 | $489.00 |
| Staunton-Stuarts Draft, VA | 1 | $387.50 | $387.50 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What Botox for migraine is, what the price covers and why prices differ: Botox for migraine explained.
Botox injections for chronic migraine in other states
- Alabama$333.68
- Alaska$900.00, 2 hospitals
- Arizona$421.00
- Arkansas$505.96
- California$878.12
- Colorado$1,022.70
- Connecticut$739.22
- Delaware$890.40, 2 hospitals
- District of Columbia$591.83, 1 hospital
- Florida$586.80
- Georgia$869.92
- Hawaii$660.80
- Idaho$394.50
- Illinois$408.80
- Indiana$644.50
- Iowa$403.67
- Kansas$351.98
- Kentucky$550.48
- Louisiana$167.87
- Maine$174.00
- Maryland$918.21, 1 hospital
- Massachusetts$537.19
- Michigan$569.00
- Minnesota$606.61
- Mississippi$276.00
- Missouri$374.82
- Montana$239.46
- Nebraska$477.75
- Nevada$558.00, 1 hospital
- New Hampshire$355.32
- New Jersey$1,871.20
- New Mexico$215.72, 2 hospitals
- New York$436.00
- North Carolina$375.03
- North Dakota$382.25
- Ohio$554.33
- Oklahoma$252.70
- Oregon$346.85
- Pennsylvania$495.00
- Rhode Island$201.60, 3 hospitals
- South Carolina$731.30
- South Dakota$686.40
- Tennessee$191.00
- Texas$556.86
- Vermont$408.50, 4 hospitals
- Washington$378.23
- West Virginia$353.00
- Wisconsin$732.98
- Wyoming$119.70, 4 hospitals
Median cash price across the state's hospitals.