Occipital nerve block cost in Rapid City, SD
In Rapid City, SD, 1 hospital lists a cash price for occipital nerve block (injection for headaches): from $691.24 to $691.24, with a median of $691.24. Across South Dakota, the median is $714.02 at 4 hospitals.
Cash prices at 1 facility for code 64405, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Rapid City, SD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Black Hills Surgical Hospital lowest Rapid City, SD · (605) 721-4700 INJECTION GREATER OCCIPITAL NERVE | $691.24 | $1,152.06 | $307.33–$1,036.85 | 40% | — source file |
| Black Hills Surgical Hospital one side Rapid City, SD · (605) 721-4700 INJ GREATER OCCIPITAL NERVE LT | $691.24 | $1,152.06 | $307.33–$1,036.85 | 40% | — source file |
| Black Hills Surgical Hospital one side Rapid City, SD · (605) 721-4700 INJ GREATER OCCIPITAL NERVE RT | $691.24 | $1,152.06 | $307.33–$1,036.85 | 40% | — source file |
| Black Hills Surgical Hospital lowest Rapid City, SD · (605) 721-4700 INJ GREATER OCCIPITAL NERVE BIL | $691.24 | $1,152.06 | $307.33–$1,036.85 | 40% | — source file |
Outpatient: lowest $691.24, median $691.24, highest $691.24.
As an inpatient, the same code is billed by 1 facility here, median $691.24. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.