Surgery and procedures CPT 64405 Outpatient

Occipital nerve block cost in Blacksburg, VA

In Blacksburg-Christiansburg-Radford, VA, 1 hospital lists a cash price for occipital nerve block (injection for headaches) (one side of the body): from $406.00 to $406.00, with a median of $406.00. Across Virginia, the median is $582.00 at 37 hospitals.

Cash prices at 1 facility for code 64405, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$406.00Carilion New River Valley Medical Center
Median$406.00half pay less
Highest$406.00in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Blacksburg-Christiansburg-Radford, VA.

median
Lowest $406.00Highest $812.00
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Carilion New River Valley Medical Center one side lowest Christiansburg, VA HB INJ AA&/STRD GREATER OCCIPITAL NERVE RT $406.00 $1,160.00 $67.74–$2,204.00 65% —
source file
Carilion New River Valley Medical Center one side Christiansburg, VA HB INJ AA&/STRD GREATER OCCIPITAL NERVE LT $436.45 $1,247.00 $67.74–$2,204.00 65% —
source file
Carilion New River Valley Medical Center both sides Christiansburg, VA HB INJ AA&/STRD GREATER OCCIPITAL NERVE BILAT $812.00 $2,320.00 $67.74–$2,204.00 65% —
source file

One side of the body : lowest $406.00, median $406.00, highest $406.00.

Both sides : lowest $812.00, median $812.00, highest $812.00.

The two groups are not comparable and are not averaged together: a price for both sides of the body covers twice the work. Merging them is how a single published "median" ends up far above what one side actually costs.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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

An occipital nerve block injects numbing medicine, often with a steroid, near the nerves at the back of the head to treat some headaches and migraines.

What the price covers

The price usually covers the injection. The steroid or other medicine may be billed separately.