04507241 — Botox 200 Unit Vial
Cite this view
HANK Price Transparency. (n.d.). BOTOX 200 UNIT VIAL (CDM 04507241) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/04507241?code_type=CDM
“BOTOX 200 UNIT VIAL (CDM 04507241) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/04507241?code_type=CDM. Accessed .
“BOTOX 200 UNIT VIAL (CDM 04507241) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/04507241?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,880–$5,706 (25th–75th percentile) across 1 hospital · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 04507241 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $2,000.00 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | UHC VA | UHC VA | $3,880.08 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTH ALLIANCE MCR ADV | HEALTH ALLIANCE MCR ADV | $3,880.08 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $3,880.08 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $3,880.08 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | WELLCARE MCR ADV-ALL PLANS | WELLCARE MCR ADV-ALL PLANS | $3,880.08 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $3,918.88 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $3,957.68 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTH ALLIANCE-ALL OTHER PLANS | HEALTH ALLIANCE-ALL OTHER PLANS | $4,656.10 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | AMBETTER - ALL PLANS | AMBETTER - ALL PLANS | $5,044.10 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5,424.50 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | BCBS BLUE CHOICE | BCBS BLUE CHOICE | $5,553.84 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | BCBS HMO | BCBS HMO | $5,553.84 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $5,706.00 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $5,706.00 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTHLINK HMO | HEALTHLINK HMO | $5,782.08 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTHLINK IL ONLY | HEALTHLINK IL ONLY | $5,782.08 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HEALTHLINK PPO-ALL OTHER PLANS | HEALTHLINK PPO-ALL OTHER PLANS | $6,542.88 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |
| THOMAS H BOYD MEMORIAL HOSPITAL Outpatient | HFN ZELIS-ALL PLANS | HFN ZELIS-ALL PLANS | $6,923.28 | $7,608.00 | $6,086.40 | 2026-04-24 | MRF ↗ |