Occipital nerve block cost in Seattle, WA
In Seattle-Tacoma-Bellevue, WA, 10 hospitals list a cash price for occipital nerve block (injection for headaches): from $82.57 to $820.00, with a median of $520.21. The lowest listed price is at Snoqualmie Valley Hospital — $437.64 less than the median here. Across Washington, the median is $663.00 at 43 hospitals.
- The median here, $520.21, is 4% below the US median of $540.00.
- That is 1.7× Medicare's 2026 national rate for the same service ($313.60).
- 1 of 10 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 10 facilities across 7 cities for code 64405, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 6, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Apr 14, 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 Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Snoqualmie Valley Hospital lowest Snoqualmie, WA · (425) 831-2300 Facility Fee HC 64405 INJ ANES/STER GRTR OCCIPITAL NERVE File of Apr 14, 2026 · source file | $82.57 | $142.36 | $59.99–$142.36 | 42% |
| Valley Medical Center Renton, WA · (425) 228-3450 Injection Aa&/Strd Greater Occipital Nerve File of Mar 12, 2026 · source file | $416.67 | $595.25 | — | 30% |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE File of Apr 1, 2026 · source file | $421.92 | $879.00 | — | 52% |
| Swedish Medical Center Seattle, WA · (206) 386-6000 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE File of Apr 1, 2026 · source file | $421.92 | $879.00 | — | 52% |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE File of Apr 1, 2026 · source file | $421.92 | $879.00 | — | 52% |
| Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc 64405 Inj Anes/Ster Grtr Occipital Nerve File of Apr 1, 2026 · source file | $618.50 | $1,237.00 | — | 50% |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 ED - INJECTN GR OCCIP NERVE+1 more line at this price File of Jan 1, 2026 · source file | $618.63 | $1,213.00 | $727.80–$970.40 | 49% |
| Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE+1 more line at this price File of Apr 1, 2026 · source file | $683.28 | $1,314.00 | — | 48% |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 Inj Anes > Occipital Nerve File of Mar 31, 2026 · source file | $730.00 | $730.00 | $183.96–$1,008.00 | — |
| Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC INJ GRTR OCCIPITAL NERVE File of Mar 26, 2026 · source file | $820.00 | $1,025.00 | $82.00–$1,123.87 | 20% |
| Swedish Medical Center Seattle, WA · (206) 386-6000 HC ED NERVE BLOCK INJ OCCIPITAL CDM File of Apr 1, 2026 · source file | $825.60 | $1,720.00 | — | 52% |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ED NERVE BLOCK INJ OCCIPITAL CDM File of Apr 1, 2026 · source file | $825.60 | $1,720.00 | — | 52% |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ED NERVE BLOCK INJ OCCIPITAL CDM File of Apr 1, 2026 · source file | $825.60 | $1,720.00 | — | 52% |
| Valley Medical Center Renton, WA · (425) 228-3450 Injection Aa&/Strd Greater Occipital Nerve File of Mar 12, 2026 · source file | $1,288.00 | $1,840.00 | — | 30% |
Outpatient: lowest $82.57, median $520.21, highest $820.00 — a 9.9× difference within the same market.
As an inpatient, the same code is billed by 9 facilities here, median $730.00. 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 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 1 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.