Occipital nerve block cost in St. Louis, MO
In St. Louis, MO-IL, 11 hospitals list a cash price for occipital nerve block (injection for headaches): from $258.00 to $1,889.72, with a median of $343.79. The lowest listed price is at Jersey Community Hospital — $85.79 less than the median here. Across Missouri, the median is $380.10 at 51 hospitals.
- The median here, $343.79, is 36% below the US median of $540.00.
- That is 1.1× Medicare's 2026 national rate for the same service ($313.60).
- St. Louis, MO ranks 2nd of 2 metro areas in Missouri by median, cheapest first.
- 1 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 11 facilities across 10 cities for code 64405, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 6, 2026 and Jun 10, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Jersey Community Hospital lowest Jerseyville, IL · (618) 498-6402 64405 Injection, anesthetic agent; greater occiptal nerve File of Mar 10, 2026 · source file | $258.00 | $258.00 | $60.00–$219.30 | — |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Occipital Nerve Block File of Jun 4, 2026 · source file | $266.50 | $410.00 | $1,632.00–$3,185.00 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Occipital Nerve Block File of Jun 10, 2026 · source file | $266.50 | $410.00 | $26.65–$410.00 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Occipital Nerve Block File of Jun 10, 2026 · source file | $266.50 | $410.00 | $1,368.00–$3,631.00 | 35% |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 NJX AA&/STRD GR OCPL NRV File of Mar 24, 2026 · source file | $318.96 | $443.00 | $88.60–$843.02 | 28% |
| Touchette Regional Hospital Cahokia Heights, IL · (618) 332-3060 Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve File of Apr 13, 2026 · source file | $343.79 | $554.50 | $307.71–$2,421.00 | 38% |
| Anderson Hospital Maryville, IL · (618) 288-5711 INJ AA&/STRD GREATER OCPTL NRV File of Feb 6, 2026 · source file | $438.10 | $876.20 | $319.07–$1,300.00 | 50% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Inj Anes Gtr Occiptal Nerve File of Jun 4, 2026 · source file | $595.09 | $915.53 | $301.61–$691.76 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Inj Anes Gtr Occiptal Nerve File of Jun 10, 2026 · source file | $638.30 | $982.00 | $63.83–$982.00 | 35% |
| St Josephs Hospital Hospital Sisters Third Order of St Francis one side Breese, IL · (618) 526-4511 HC INJ ANES NERVE GREAT OCCIPITAL-RT+1 more line at this price File of Mar 24, 2026 · source file | $663.12 | $921.00 | $257.88–$921.00 | 28% |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL · (618) 234-2120 HC NERVE BLOCK; OCCIPITAL File of Mar 24, 2026 · source file | $782.64 | $1,087.00 | $304.36–$1,087.00 | 28% |
| Jersey Community Hospital Jerseyville, IL · (618) 498-6402 IR Inject Anesth Greater Occipital Nerve File of Mar 10, 2026 · source file | $1,119.00 | $1,119.00 | $723.99–$951.15 | — |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Inj Anes Gtr Occiptal Nerve File of Jun 10, 2026 · source file | $1,391.00 | $2,140.00 | $3,199.00–$7,801.00 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Inj Anes Gtr Occiptal Nerve File of Jun 10, 2026 · source file | $1,889.72 | $2,907.26 | $301.61–$691.76 | 35% |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis one side O'Fallon, IL · (618) 234-2120 HC INJ ANES NERVE GREAT OCCIPITAL-LT+1 more line at this price File of Mar 24, 2026 · source file | $2,215.44 | $3,077.00 | $326.90–$3,077.00 | 28% |
| Mercy Hospital Lincoln both sides Troy, MO · (636) 528-8551 Bilat Inj Anes Gtr Occiptal Nerve File of Jun 10, 2026 · source file | $638.30 | $982.00 | $2,087.00–$3,194.00 | 35% |
| Mercy Hospital South both sides Saint Louis, MO · (314) 525-1000 Bilat Inj Anes Gtr Occiptal Nerve File of Jun 10, 2026 · source file | $1,704.30 | $2,622.00 | $3,153.00–$6,631.00 | 35% |
| Mercy Hospital Washington both sides Washington, MO · (636) 239-8000 Bilat Inj Anes Gtr Occiptal Nerve File of Jun 10, 2026 · source file | $2,085.85 | $3,209.00 | $3,199.00–$7,801.00 | 35% |
Outpatient: lowest $258.00, median $343.79, highest $1,889.72 — a 7.3× difference within the same market.
Both sides : lowest $638.30, median $1,704.30, highest $2,085.85 — a 3.3× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $438.10. 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 9 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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 occipital nerve block is, what the price covers and why prices differ: Occipital nerve block explained.