Surgery and procedures CPT 64405 Outpatient

Occipital nerve block cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 34 hospitals list a cash price for occipital nerve block (injection for headaches): from $63.05 to $4,204.50, with a median of $447.61. The lowest listed price is at St. Barnabas Hospital — $384.56 less than the median here. Across New York, the median is $359.01 at 54 hospitals.

Cash prices at 34 facilities across 23 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 28, 2025 and Sep 5, 2026.

Lowest$63.05St. Barnabas Hospital
Median$447.61half pay less
Highest$4,204.50in this market
Difference66.7×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $63.05Highest $4,204.50
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Barnabas Hospital lowest Bronx, NY · (212) 960-9000 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $63.05 $236.88 $43.87–$141.01 73% Feb 27, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 INJECTION FOR NERVE BLOCK.. $160.00 $160.00 — — Apr 1, 2026
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NYU Langone Mineola, NY HC NJX AA&/STRD GR OCPL NRV $218.01 $1,147.43 $50.47–$25,798.00 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 HC NJX AA&/STRD GR OCPL NRV $218.01 $1,147.43 $50.47–$25,798.00 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 HC NJX AA&/STRD GR OCPL NRV $218.01 $1,147.43 $50.47–$25,798.00 81% Jan 1, 2026
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NYU Langone Brooklyn, NY HC NJX AA&/STRD GR OCPL NRV $218.01 $1,147.43 $50.47–$25,798.00 81% Jan 1, 2026
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NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC NJX AA&/STRD GR OCPL NRV $218.01 $1,147.43 $50.47–$25,798.00 81% Jan 1, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $313.60 $139.00 $40.90–$118.18 -126% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $313.60 $139.00 $40.90–$118.18 -126% Sep 5, 2026
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New York City Health and Hospitals Jamaica, NY PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $313.60 $131.00 $40.90–$118.18 -139% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $313.60 $134.00 $40.90–$118.18 -134% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $1,059.12 $62.67–$496.03 67% Sep 5, 2026
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New York City Health and Hospitals Jamaica, NY HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $1,059.12 $59.41–$496.03 67% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $1,059.12 $60.38–$496.03 67% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $869.78 $318.03–$4,677.00 60% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $1,059.12 $62.67–$496.03 67% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $869.78 $62.67–$496.03 60% Sep 5, 2026
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Metropolitan Hospital Center New York, NY · (212) 423-6262 HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $869.78 $318.03–$4,677.00 60% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $1,059.12 $318.03–$4,677.00 67% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $1,059.12 $318.03–$4,677.00 67% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $869.78 $318.03–$4,677.00 60% Sep 5, 2026
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New York City Health and Hospitals Broadway Elmhurst, NY HC INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $349.32 $869.78 $318.03–$4,677.00 60% Sep 5, 2026
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Saint Marys Hospital Passaic, NJ · (973) 365-4300 Njx aa&strd gr ocpl nrv $362.00 $9,116.00 $290.30–$7,292.80 96% Sep 1, 2026
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Inj Anes/Steroid Nerve Occipital $393.89 $2,391.00 — 84% —
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Overlook Medical Center Summit, NJ · (908) 522-2000 Inj Anes/Steroid Nerve Occipital $393.89 $2,239.00 — 82% —
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Inj Anes/Steroid Nerve Occipital $393.89 $1,221.00 — 68% —
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University Hospital Newark, NJ · (973) 972-4300 INJECTION AA&/STRD GREATER OCCIPITAL NERVE $411.38 $1,267.21 $125.51–$1,892.00 68% Aug 13, 2026
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Newton Medical Center Newton, NJ · (973) 383-2121 Inj Anes/Steroid Nerve Occipital $483.83 $7,381.63 — 93% —
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Inj Anes/Steroid Nerve Occipital $556.41 $7,381.63 — 92% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Inj Anes/Steroid Nerve Occipital $556.41 $7,378.06 — 92% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Inj Anes/Steroid Nerve Occipital $556.41 $7,381.63 — 92% —
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Memorial Hospital for Cancer and Allied Diseases West Harrison, NY Injection Aa&/Strd Greater Occipital Nerve $560.00 $560.00 $34.08–$504.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases New York, NY Injection Aa&/Strd Greater Occipital Nerve $560.00 $560.00 $34.08–$504.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ Injection Aa&/Strd Greater Occipital Nerve $560.00 $560.00 $60.38–$504.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ Injection Aa&/Strd Greater Occipital Nerve $560.00 $560.00 $60.38–$504.00 — Dec 1, 2025
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Overlook Medical Center Summit, NJ · (908) 522-2000 Inj Anes/Steroid Nerve Occipital $590.84 $7,381.63 — 92% —
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Inj Anes/Steroid Nerve Occipital $590.84 $7,381.63 — 92% —
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Njx Aa&/Strd Gr Ocpl Nrv $616.70 $881.00 $331.85–$3,498.00 30% Oct 28, 2025
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Stony Brook Southampton Hospital Southampton, NY NJX AA&/STRD GR OCPL NRV $655.81 $655.81 $165.00–$6,564.00 — —
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The Valley Hospital Paramus, NJ · (201) 447-8000 GREATER OCCIP NERVE BLOCK $756.00 $1,260.00 $281.99–$3,000.00 40% —
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Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 NJX AA&/STRD GR OCPL NRV $999.83 $999.83 $305.02–$1,570.00 — —
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 OCCIPITAL NERVE BLOCK $1,077.00 $1,077.00 — — Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 INJ GREATER OCC NERVE $1,077.00 $1,077.00 — — Apr 1, 2026
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Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE $1,614.00 $1,614.00 $165.00–$6,468.00 — —
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Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 NJX AA&/STRD GR OCPL NRV $1,727.00 $1,727.00 $165.00–$6,468.00 — —
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Memorial Hospital for Cancer and Allied Diseases West Harrison, NY HC N Block Inj, Occipital $1,916.00 $1,916.00 $548.83–$6,539.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ HC N Block Inj, Occipital $1,916.00 $1,916.00 $710.00–$6,489.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases New York, NY HC N Block Inj, Occipital $1,916.00 $1,916.00 $548.83–$9,784.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HC N Block Inj, Occipital $1,916.00 $1,916.00 $710.00–$9,784.00 — Dec 1, 2025
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Mount Sinai Brooklyn Brooklyn, NY Njx Anes Grter Occipital Nrv - 64405 $2,520.00 $2,800.00 — 10% Apr 1, 2026
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Mount Sinai Behavioral Health Center New York, NY Njx Anes Grter Occipital Nrv - 64405 $2,520.00 $2,800.00 — 10% Apr 1, 2026
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Mount Sinai Behavioral Health Center New York, NY HC Inj Anesth Occipital Nerve $2,520.00 $2,800.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Inj Anesth Occipital Nerve $2,520.00 $2,800.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 Njx Anes Grter Occipital Nrv - 64405 $2,520.00 $2,800.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY Njx Anes Grter Occipital Nrv - 64405 $2,520.00 $2,800.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY HC Inj Anesth Occipital Nerve $2,520.00 $2,800.00 — 10% Apr 1, 2026
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Mount Sinai Queens Long Island, NY HC Inj Anesth Occipital Nerve $2,520.00 $2,800.00 — 10% Apr 1, 2026
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Mount Sinai Queens Long Island, NY Njx Anes Grter Occipital Nrv - 64405 $2,520.00 $2,800.00 — 10% Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Inj Anesth Occipital Nerve $2,520.00 $2,800.00 — 10% Apr 1, 2026
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Hudson Regional Hospital Secaucus, NJ · (201) 392-3200 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $4,204.50 $4,204.50 $1,169.00–$7,933.89 — Jan 19, 2026
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Memorial Hospital for Cancer and Allied Diseases both sides Middletown, NJ Injection Aa&/Strd Greater Occipital Nerve|BILATERAL PROCEDURE $840.00 $840.00 $60.38–$756.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases both sides Basking Ridge, NJ Injection Aa&/Strd Greater Occipital Nerve|BILATERAL PROCEDURE $840.00 $840.00 $60.38–$756.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases both sides West Harrison, NY Injection Aa&/Strd Greater Occipital Nerve|BILATERAL PROCEDURE $840.00 $840.00 $34.08–$756.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases both sides New York, NY Injection Aa&/Strd Greater Occipital Nerve|BILATERAL PROCEDURE $840.00 $840.00 $34.08–$756.00 — Dec 1, 2025
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Outpatient: lowest $63.05, median $447.61, highest $4,204.50 — a 66.7× difference within the same market.

Both sides : lowest $840.00, median $840.00, highest $840.00.

The two groups are not comparable and are not averaged together: a price for both sides of the body covers twice the work. Merging them is how a single published "median" ends up far above what one side actually costs.

As an inpatient, the same code is billed by 20 facilities here, median $560.00. 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 16 of 23 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.