Surgery and procedures CPT 64405 Outpatient

Occipital nerve block cost in Durham, NC

In Durham-Chapel Hill, NC, 1 hospital lists a cash price for occipital nerve block (injection for headaches): from $181.50 to $181.50, with a median of $181.50. Across North Carolina, the median is $672.99 at 34 hospitals.

Cash prices at 1 facility for code 64405, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$181.50Duke Regional Hospital
Median$181.50half pay less
Highest$181.50in 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 Durham-Chapel Hill, NC.

median
Lowest $181.50Highest $497.75

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Duke Regional Hospital lowest Durham, NC · (919) 470-4000 Injection Aa&/Strd Greater Occipital Nerve $181.50 $363.00 $24.56–$49.29 50% —
source file
Duke Regional Hospital lowest Durham, NC · (919) 470-4000 Injection Aa&/Strd Greater Occipital Nerve $181.50 $363.00 $35.19–$279.27 50% —
source file
Duke Regional Hospital Durham, NC · (919) 470-4000 Inj Aa Steroid Grt Occipital Nrv $331.83 $1,229.00 $197.75–$1,390.00 73% —
source file
Duke Regional Hospital Durham, NC · (919) 470-4000 Inj Aa Steroid Grt Occipital Nrv $497.75 $1,843.50 $219.75–$1,843.50 73% —
source file

Outpatient: lowest $181.50, median $181.50, highest $181.50.

As an inpatient, the same code is billed by 1 facility here, median $181.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not 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.