Surgery and procedures CPT 64405 Outpatient

Occipital nerve block cost in Huntington, WV

In Huntington-Ashland, WV-KY-OH, 3 hospitals list a cash price for occipital nerve block (injection for headaches): from $319.05 to $407.76, with a median of $366.75. The lowest listed price is at St. Mary's Medical Center — $47.70 less than the median here. Across West Virginia, the median is $366.13 at 18 hospitals.

Cash prices at 3 facilities across 2 cities 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 Oct 14, 2025 and Oct 14, 2025.

Lowest$319.05St. Mary's Medical Center
Median$366.75half pay less
Highest$407.76in this market
Difference1.3×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 Huntington-Ashland, WV-KY-OH.

median
Lowest $319.05Highest $963.83

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Mary's Medical Center lowest Huntington, WV · (304) 526-1234 64405 Inj greater occipital nerve $319.05 $319.05 $267.43–$319.05 — —
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Cabell Huntington Hospital Huntington, WV · (304) 526-2000 64405 Inj greater occipital nerve $366.75 $366.75 $307.41–$366.75 — —
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Cabell Huntington Hospital Huntington, WV · (304) 526-2000 64405 Injection, anesthetic agent, greater occipital nerve $366.75 $366.75 $307.41–$366.75 — —
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King's Daughters' Medical Center Ashland, KY · (606) 408-4401 HCHG NN BLOCK OCCIPITAL $407.76 $1,019.39 $204.40–$917.45 60% Oct 14, 2025
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Cabell Huntington Hospital Huntington, WV · (304) 526-2000 64405 Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve $643.25 $643.25 $539.17–$643.25 — —
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St. Mary's Medical Center Huntington, WV · (304) 526-1234 64405 Injection(s), anesthetic agent(s) and/or ster $929.07 $929.07 $778.75–$929.07 — —
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Cabell Huntington Hospital Huntington, WV · (304) 526-2000 N BLOCK INJ OCCIPITAL $963.83 $963.83 $807.88–$963.83 — —
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Outpatient: lowest $319.05, median $366.75, highest $407.76 — a 1.3× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $366.75. 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 1 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.