Surgery and procedures CPT 64405 Inpatient — admitted to hospital

Occipital nerve block cost in Nashville, TN — inpatient

In Nashville-Davidson--Murfreesboro--Franklin, TN, 2 hospitals list a cash price for occipital nerve block (injection for headaches) as an inpatient: from $134.85 to $251.10, with a median of $192.98. The lowest listed price is at Vanderbilt Wilson County Hospital — $58.13 less than the median here. Across Tennessee, the median is $145.83 at 28 hospitals.

Cash prices at 2 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 Oct 1, 2025 and Oct 1, 2025.

Lowest$134.85Vanderbilt Wilson County Hospital
Median$192.98half pay less
Highest$251.10in this market
Difference1.9×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $134.85Highest $974.70

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 INJECTION AA&/STRD GREATER OCCIPITAL NERVE $134.85 $465.00 $32.97–$465.00 71% Oct 1, 2025
source file
Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 INJECTION AA&/STRD GREATER OCCIPITAL NERVE $251.10 $465.00 $32.97–$465.00 46% Oct 1, 2025
source file
Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC INJ ANES NRV GREAT OCCIPITAL $523.45 $1,805.00 $143.68–$1,805.00 71% Oct 1, 2025
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Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC INJ ANES NRV GREAT OCCIPITAL $974.70 $1,805.00 $274.22–$1,805.00 46% Oct 1, 2025
source file

Inpatient: lowest $134.85, median $192.98, highest $251.10 — a 1.9× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $251.10 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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.