Surgery and procedures CPT 64405 Outpatient

Occipital nerve block cost in Houston, TX

In Houston-Pasadena-The Woodlands, TX, 39 hospitals list a cash price for occipital nerve block (injection for headaches): from $129.60 to $3,542.51, with a median of $186.55. The lowest listed price is at Memorial Hermann Memorial City Medical Center and 9 other hospitals — $56.95 less than the median here. Across Texas, the median is $427.05 at 177 hospitals.

  • The median here, $186.55, is 65% below the US median of $540.00.
  • That is 0.6× Medicare's 2026 national rate for the same service ($313.60).
  • Houston, TX has the lowest median of 2 metro areas in Texas with at least 10 hospitals pricing this code.
  • Every hospital here lists a cash price below its full list price.

Cash prices at 39 facilities across 14 cities 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 Feb 28, 2026 and Sep 8, 2026.

Lowest$129.60Memorial Hermann Memorial City Medical Center + 9 more
Median$186.55half of hospitals charge less
Highest$3,542.51in this market
Difference27.3×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 Houston-Pasadena-The Woodlands, TX.

median
Lowest $129.60Highest $3,542.51

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Memorial Hermann Memorial City Medical Center lowest Houston, TX · (713) 242-3000 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Memorial Hermann The Woodlands Medical Center lowest The Woodlands, TX · (713) 448-6796 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Memorial Hermann Southwest Hospital lowest Houston, TX · (713) 448-6796 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Memorial Hermann Greater Heights Hospital lowest Houston, TX · (713) 448-6796 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Memorial Hermann Sugar Land Hospital lowest Sugar Land, TX · (281) 725-5000 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Memorial Hermann Southeast Hospital lowest Houston, TX · (713) 448-6796 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Memorial Hermann Northeast Hospital lowest Humble, TX · (281) 540-7700 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Memorial Hermann Pearland Hospital lowest Pearland, TX · (713) 448-6796 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Tirr Memorial Hermann lowest Houston, TX HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Memorial Hermann Katy Hospital lowest Katy, TX · (281) 392-1111 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $129.60 $405.00 — 68%
Memorial Hermann Imaging Center (Upper Kirby) Houston, TX · (713) 704-3700 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $162.32 $507.25 — 68%
Memorial Hermann Imaging Center (Cypress) Cypress, TX · (713) 704-3700 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $162.32 $507.25 — 68%
Memorial Hermann Cypress Hospital Cypress, TX · (713) 704-3700 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $162.32 $507.25 — 68%
Children's Memorial Hermann Hospital Houston, TX HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $162.32 $507.25 — 68%
Memorial Hermann-Texas Medical Center Houston, TX · (713) 704-3700 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $162.32 $507.25 — 68%
Memorial Hermann Rockets Orthopedic Hospital Bellaire, TX HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $162.32 $507.25 — 68%
Memorial Hermann Imaging Center (Bellaire) Bellaire, TX · (713) 704-3700 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $162.32 $507.25 — 68%
Memorial Hermann Imaging Center (Texas Medical Center) Houston, TX · (713) 704-3700 HC INJECT NERV BLCK,GREAT OCCIPTL File of Apr 1, 2026 · source file $162.32 $507.25 — 68%
CHI St. Luke's Health Springwood Village Spring, TX · (936) 266-4050 HC INJ AA&/STRD GR OCPL NRV File of Feb 28, 2026 · source file $186.55 $533.00 $24.90–$5,160.00 65%
CHI St. Luke's Health Baylor College of Medicine Medical Center Houston, TX · (832) 355-1000 HC INJ AA&/STRD GR OCPL NRV File of Feb 28, 2026 · source file $186.55 $533.00 $30.54–$5,160.00 65%
St Luke's the Woodlands Hospital The Woodlands, TX · (936) 266-4050 HC INJ AA&/STRD GR OCPL NRV File of Feb 28, 2026 · source file $186.55 $533.00 $24.90–$5,160.00 65%
St Luke's Sugar Land Hospital Sugar Land, TX · (281) 637-7000 HC INJ AA&/STRD GR OCPL NRV File of Feb 28, 2026 · source file $186.55 $533.00 $24.90–$5,160.00 65%
St Luke's Lakeside Hospital The Woodlands, TX · (936) 266-4055 HC INJ AA&/STRD GR OCPL NRV File of Feb 28, 2026 · source file $186.55 $533.00 $24.90–$5,160.00 65%
St. Lukes Hospital at the Vintage Houston, TX · (832) 534-5000 HC INJ AA&/STRD GR OCPL NRV File of Feb 28, 2026 · source file $186.55 $533.00 $24.90–$5,160.00 65%
Harris Health Taub Loop Houston, TX · (713) 873-2000 ECHG PROC INJ ANESTH ; GREATER OCCIPITAL NERVE+1 more line at this price File of Mar 24, 2026 · source file $283.25 $630.00 $40.00–$504.00 55%
Harris Health Houston, TX · (713) 873-2000 ECHG PROC INJ ANESTH ; GREATER OCCIPITAL NERVE+1 more line at this price File of Mar 24, 2026 · source file $283.25 $630.00 $40.00–$504.00 55%
Harris Health Taub Loop Houston, TX · (713) 873-2000 ECHG EMG PROC INJ ANESTH ; GREATER OCCIPITAL NERVE File of Mar 24, 2026 · source file $297.99 $630.00 $315.00–$504.00 53%
Harris Health Houston, TX · (713) 873-2000 ECHG EMG PROC INJ ANESTH ; GREATER OCCIPITAL NERVE File of Mar 24, 2026 · source file $297.99 $630.00 $315.00–$504.00 53%
Sweeny Community Hospital Sweeny, TX · (979) 548-3311 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve File of Sep 8, 2026 · source file $313.32 $522.20 $156.66–$506.53 40%
Liberty Dayton Regional Medical Center Liberty, TX · (936) 336-7316 Inj Greater Occipital Nerve Techfee source file $858.00 $1,225.00 $735.00–$1,164.00 30%
Houston Methodist Continuing Care Hospital Katy, TX HC NERVE BLOCK INJ GREATER OCCIPITAL File of Apr 1, 2026 · source file $1,159.00 $2,318.00 — 50%
Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC NERVE BLOCK INJ GREATER OCCIPITAL File of Apr 1, 2026 · source file $1,159.00 $2,318.00 — 50%
Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC NERVE BLOCK INJ GREATER OCCIPITAL File of Apr 1, 2026 · source file $1,159.00 $2,318.00 — 50%
Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC NERVE BLOCK INJ GREATER OCCIPITAL File of Apr 1, 2026 · source file $1,159.00 $2,318.00 — 50%
Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC NERVE BLOCK INJ GREATER OCCIPITAL File of Apr 1, 2026 · source file $1,159.00 $2,318.00 — 50%
Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC NERVE BLOCK INJ GREATER OCCIPITAL File of Apr 1, 2026 · source file $1,159.00 $2,318.00 — 50%
Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC NERVE BLOCK INJ GREATER OCCIPITAL File of Apr 1, 2026 · source file $1,159.00 $2,318.00 — 50%
Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC NERVE BLOCK INJ GREATER OCCIPITAL File of Apr 1, 2026 · source file $1,159.00 $2,318.00 — 50%
Texas Children's Hospital Houston, TX · (832) 824-1000 TC INJ, ANES AGENT; GREATER OCCIPITAL NERVE+2 more lines at this price File of Mar 5, 2026 · source file $1,788.90 $2,670.00 $30.18–$2,536.50 33%
The Methodist Hospital Houston, TX · (713) 790-2221 HC NERVE BLOCK INJ GREATER OCCIPITAL File of Apr 1, 2026 · source file $2,056.00 $4,112.00 — 50%
Hsa St. Joseph Houston, TX · (713) 757-1000 NJX AA&/STRD GR OCPL NRV File of Sep 1, 2026 · source file $3,542.51 — $3,418.52–$5,058.96 —
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
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
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

Outpatient: lowest $129.60, median $186.55, highest $3,542.51 — a 27.3× difference within the same market.

As an inpatient, the same code is billed by 37 facilities here, median $186.55. 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 12 of 12 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 occipital nerve block is, what the price covers and why prices differ: Occipital nerve block explained.