Surgery and procedures CPT 64405 Outpatient

Occipital nerve block cost in Salem, OR

In Salem, OR, 2 hospitals list a cash price for occipital nerve block (injection for headaches): from $137.80 to $1,218.55, with a median of $678.18. The lowest listed price is at Legacy Silverton Medical Center — $540.38 less than the median here. Across Oregon, the median is $245.60 at 32 hospitals.

Cash prices at 2 facilities across 2 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 Apr 1, 2026 and Aug 6, 2026.

Lowest$137.80Legacy Silverton Medical Center
Median$678.18half pay less
Highest$1,218.55in this market
Difference8.8×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 Salem, OR.

median
Lowest $137.80Highest $1,218.55

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Silverton Medical Center lowest Silverton, OR · (503) 873-1500 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $137.80 $212.00 — 35% Apr 1, 2026
source file
Legacy Silverton Medical Center Silverton, OR · (503) 873-1500 HC INJ ANES AGENT GREATER OCCIPITAL NRV $357.50 $550.00 — 35% Apr 1, 2026
source file
Santiam Memorial Hospital Stayton, OR · (503) 769-2175 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $1,218.55 $1,218.55 $344.68–$1,157.62 — Aug 6, 2026
source file

Outpatient: lowest $137.80, median $678.18, highest $1,218.55 — a 8.8× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $678.18. 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 not 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.