Surgery and procedures CPT 64405 Inpatient — admitted to hospital

Occipital nerve block cost in Des Moines, IA — inpatient

In Des Moines-West Des Moines, IA, 3 hospitals list a cash price for occipital nerve block (injection for headaches) as an inpatient: from $180.80 to $909.35, with a median of $200.00. The lowest listed price is at UnityPoint Health - Des Moines Iowa Methodist Medical — $19.20 less than the median here. Across Iowa, the median is $219.00 at 26 hospitals.

Cash prices at 3 facilities across 2 cities for code 64405, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Mar 31, 2026.

Lowest$180.80UnityPoint Health - Des Moines Iowa Methodist Medical
Median$200.00half pay less
Highest$909.35in this market
Difference5.0×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 Des Moines-West Des Moines, IA.

median
Lowest $180.80Highest $1,364.35

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $180.80 $226.00 $46.36–$171.56 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $180.80 $226.00 $46.36–$171.56 20% Jan 28, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 PR Injection Anesthetic Agent and/or Steroid Greater Occipital Nerve $200.00 $200.00 $14.70–$400.00 — Mar 31, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $631.51 $789.38 $341.80 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $631.51 $789.38 $341.80 20% Jan 28, 2026
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MercyOne Des Moines Medical Center one side Des Moines, IA · (515) 247-4436 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt $679.90 $1,046.00 $210.25–$1,046.00 35% Mar 31, 2026
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MercyOne Des Moines Medical Center one side Des Moines, IA · (515) 247-4436 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Lt $679.90 $1,046.00 $210.25–$1,046.00 35% Mar 31, 2026
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Mercy Medical Center - Newton one side Newton, IA · (641) 792-1273 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Lt $909.35 $1,399.00 $290.55–$1,399.00 35% Mar 31, 2026
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Mercy Medical Center - Newton one side Newton, IA · (641) 792-1273 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt $909.35 $1,399.00 $290.55–$1,399.00 35% Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Bl $1,019.85 $1,569.00 $289.73–$1,569.00 35% Mar 31, 2026
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Mercy Medical Center - Newton Newton, IA · (641) 792-1273 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Bl $1,364.35 $2,099.00 $290.55–$2,099.00 35% Mar 31, 2026
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Inpatient: lowest $180.80, median $200.00, highest $909.35 — a 5.0× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $200.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 3 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

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.