Botox for migraine cost in Washington
In Washington, 22 hospitals publish a cash price for Botox injections for chronic migraine: from $117.65 to $1,942.20, with a median of $378.23. The lowest price is at PeaceHealth St Joseph Medical Center (Bellingham). The highest price is 16.5× the lowest.
- The median here, $378.23, is 27% below the US median of $518.00.
- That is 1.2× Medicare's 2026 national rate for the same service ($313.60).
- Washington ranks 14th of 41 states by median, cheapest first.
- 2 of 22 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
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 Nov 6, 2026. See them on a map
Lowest$117.65PeaceHealth St Joseph Medical Center
Median$378.23half of hospitals charge less
Highest$1,942.20in Washington
Lowest saves$260.58vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| PeaceHealth St Joseph Medical Center lowest Bellingham · Bellingham, WA INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $117.65 | $181.00 | Mar 21, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $146.88 | $306.00 | Apr 1, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $182.65 | $281.00 | Mar 21, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PR 64615 CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE RHC | $228.25 | $415.00 | Jan 1, 2025 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $246.50 | $290.00 | Oct 7, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC CHEMODENERV MUSC MIGRAINE | $264.80 | $331.00 | Mar 26, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 64615 Chemodenervation of muscle(s); migraine or h | $270.40 | $416.00 | Apr 1, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $310.10 | $443.00 | Feb 24, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Chemodenerv Musc Migraine--Pbb | $328.50 | $365.00 | Aug 10, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA 64615 Chemodenervation of muscle(s); migraine or h | $336.30 | $590.00 | Apr 1, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine Rhc | $371.00 | $371.00 | Jan 4, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC AN CHEMODENERAVATION MUSCLES | $385.45 | $593.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $450.72 | $939.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $450.72 | $939.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $450.72 | $939.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA ED - CHEMODENERV MUSC MIGRAINE | $457.47 | $897.00 | Jan 1, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Chemodervate Facial/Trigem/Cerv Musc Migraine | $464.10 | $663.00 | Mar 12, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $680.00 | $850.00 | Aug 6, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $871.65 | $1,341.00 | Mar 20, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $1,016.28 | $1,882.00 | Aug 31, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $1,066.05 | $1,184.50 | Sep 14, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Chemodenerv Musc Migraine | $1,942.20 | $1,942.20 | Mar 31, 2026 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
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 7 | $146.88 | $450.72 |
| Kennewick-Richland, WA | 2 | $228.25 | $282.28 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $385.45 | $628.55 |
| Aberdeen, WA | 1 | $1,016.28 | $1,016.28 |
| Bellingham, WA | 1 | $117.65 | $117.65 |
| Davenport, WA | 1 | $1,066.05 | $1,066.05 |
| Ellensburg, WA | 1 | $246.50 | $246.50 |
| Longview-Kelso, WA | 1 | $182.65 | $182.65 |
| Moses Lake, WA | 1 | $371.00 | $371.00 |
| Mount Vernon-Anacortes, WA | 1 | $264.80 | $264.80 |
| Port Townsend, WA | 1 | $680.00 | $680.00 |
| South Bend, WA | 1 | $310.10 | $310.10 |
| Wenatchee-East Wenatchee, WA | 1 | $328.50 | $328.50 |
| Yakima, WA | 1 | $270.40 | $270.40 |
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
- Virginia$489.00
- West Virginia$353.00
- Wisconsin$732.98
- Wyoming$119.70, 4 hospitals
Median cash price across the state's hospitals.