Occipital nerve block cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 14 hospitals list a cash price for occipital nerve block (injection for headaches): from $137.80 to $1,372.50, with a median of $219.35. The lowest listed price is at Legacy Emanuel Medical Center and 4 other hospitals — $81.55 less than the median here. Across Oregon, the median is $245.60 at 32 hospitals.
Cash prices at 14 facilities across 9 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 Mar 23, 2026 and Apr 1, 2026.
Lowest$137.80Legacy Emanuel Medical Center + 4 more
Median$219.35half pay less
Highest$1,372.50in this market
Difference10.0×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 Portland-Vancouver-Hillsboro, OR-WA.
median
Lowest $137.80Highest $1,372.50
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $137.80 | $212.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $137.80 | $212.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $137.80 | $212.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $137.80 | $212.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $137.80 | $212.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $137.80 | $212.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $137.80 | $212.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $137.80 | $212.00 | — | 35% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC PR ED 64405 NERVE BLOCK INJ OCCIPITAL CDM | $199.50 | $266.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC PR 64405 NERVE BLOCK INJ OCCIPITAL | $199.50 | $266.00 | — | 25% | Apr 1, 2026 source file |
| Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC PR ED 64405 NERVE BLOCK INJ OCCIPITAL CDM | $199.50 | $266.00 | — | 25% | Apr 1, 2026 source file |
| Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC PR 64405 NERVE BLOCK INJ OCCIPITAL | $199.50 | $266.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC PR ED 64405 NERVE BLOCK INJ OCCIPITAL CDM | $199.50 | $266.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC PR 64405 NERVE BLOCK INJ OCCIPITAL | $199.50 | $266.00 | — | 25% | Apr 1, 2026 source file |
| Tuality Healthcare Hillsboro, OR · (503) 681-1111 HB Snr Block-G Occipital Nerve | $239.20 | $368.00 | $235.52–$402.60 | 35% | — source file |
| Oregon Health & Science University Portland, OR · (503) 494-9000 HB Snr Block-G Occipital Nerve | $239.20 | $368.00 | $70.66–$861.71 | 35% | Mar 23, 2026 source file |
| Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC PR ED 64405 NERVE BLOCK INJ OCCIPITAL CDM | $285.00 | $380.00 | — | 25% | Apr 1, 2026 source file |
| Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC PR 64405 NERVE BLOCK INJ OCCIPITAL | $285.00 | $380.00 | — | 25% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC SELECT NERVE BLOCK GRT OCCIP NRV | $629.20 | $968.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC SELECT NERVE BLOCK GRT OCCIP NRV | $629.20 | $968.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC SELECT NERVE BLOCK GRT OCCIP NRV | $629.20 | $968.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC SELECT NERVE BLOCK GRT OCCIP NRV | $629.20 | $968.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC SELECT NERVE BLOCK GRT OCCIP NRV | $629.20 | $968.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC SELECT NERVE BLOCK GRT OCCIP NRV | $629.20 | $968.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC SELECT NERVE BLOCK GRT OCCIP NRV | $629.20 | $968.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC SELECT NERVE BLOCK GRT OCCIP NRV | $698.10 | $1,074.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC INJ ANES AGENT GREATER OCCIPITAL NRV | $704.60 | $1,084.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC INJ ANES AGENT GREATER OCCIPITAL NRV | $704.60 | $1,084.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC INJ ANES AGENT GREATER OCCIPITAL NRV | $704.60 | $1,084.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC INJ ANES AGENT GREATER OCCIPITAL NRV | $704.60 | $1,084.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC INJ ANES AGENT GREATER OCCIPITAL NRV | $704.60 | $1,084.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC INJ ANES AGENT GREATER OCCIPITAL NRV | $704.60 | $1,084.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC INJ ANES AGENT GREATER OCCIPITAL NRV | $704.60 | $1,084.00 | — | 35% | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $727.35 | $1,119.00 | $136.15–$4,569.31 | 35% | — source file |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC INJ ANES AGENT GREATER OCCIPITAL NRV | $774.80 | $1,192.00 | — | 35% | Apr 1, 2026 source file |
| Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $828.75 | $975.00 | $234.00–$756.00 | 15% | — source file |
| Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $828.75 | $975.00 | $234.00–$756.00 | 15% | — source file |
| Tuality Healthcare Hillsboro, OR · (503) 681-1111 ED Snr Blk-G Occipital Nerv | $984.75 | $1,515.00 | $266.12–$1,515.00 | 35% | — source file |
| Oregon Health & Science University Portland, OR · (503) 494-9000 ED Snr Blk-G Occipital Nerv | $1,084.85 | $1,669.00 | $275.75–$1,669.00 | 35% | Mar 23, 2026 source file |
| Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC ED NERVE BLOCK INJ OCCIPITAL CDM | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC ED NERVE BLOCK INJ OCCIPITAL CDM | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC ED NERVE BLOCK INJ OCCIPITAL CDM | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
| Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
| Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC ED NERVE BLOCK INJ OCCIPITAL CDM | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
| Providence Willamette Falls Medical Center Oregon City, OR · (503) 656-1631 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
| Providence Willamette Falls Medical Center Oregon City, OR · (503) 656-1631 HC ED NERVE BLOCK INJ OCCIPITAL CDM | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
| Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $1,372.50 | $1,830.00 | — | 25% | Apr 1, 2026 source file |
Outpatient: lowest $137.80, median $219.35, highest $1,372.50 — a 10.0× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $828.75. 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 3 of 5 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.