Occipital nerve block cost in St. Louis, MO — inpatient
In St. Louis, MO-IL, 4 hospitals list a cash price for occipital nerve block (injection for headaches) as an inpatient: from $142.50 to $782.64, with a median of $230.73. The lowest listed price is at Mercy Hospital Lincoln and 1 other hospital — $88.23 less than the median here. Across Missouri, the median is $305.00 at 27 hospitals.
Cash prices at 4 facilities across 4 cities for code 64405, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jun 12, 2026 and Jun 12, 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 | File date |
|---|---|---|---|---|---|
| Mercy Hospital Lincoln lowest Elsberry, MO Injection Aa&/Strd Greater Occipital Nerve | $142.50 | $190.00 | $76.00–$171.00 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Injection Aa&/Strd Greater Occipital Nerve | $142.50 | $190.00 | $76.00–$171.00 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Injection Aa&/Strd Greater Occipital Nerve | $142.50 | $190.00 | $76.00–$171.00 | 25% | Jun 12, 2026 source file |
| Mercy Hospitals East Communities lowest Washington, MO Injection Aa&/Strd Greater Occipital Nerve | $142.50 | $190.00 | $76.00–$161.50 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Injection Aa&/Strd Greater Occipital Nerve | $142.50 | $190.00 | $76.00–$171.00 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Injection Aa&/Strd Greater Occipital Nerve | $142.50 | $190.00 | $76.00–$171.00 | 25% | Jun 12, 2026 source file |
| 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 | $318.96 | $443.00 | $88.60–$843.02 | 28% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC NERVE BLOCK; OCCIPITAL | $782.64 | $1,087.00 | $304.36–$1,087.00 | 28% | — source file |
Inpatient: lowest $142.50, median $230.73, highest $782.64 — a 5.5× difference within the same market.
As an outpatient, the same code is billed by 9 facilities here, median $266.50 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 4 of 4 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.