Surgery and procedures CPT 64405 Outpatient

Occipital nerve block cost in Tulsa, OK

In Tulsa, OK, 13 hospitals list a cash price for occipital nerve block (injection for headaches): from $81.77 to $819.90, with a median of $381.38. The lowest listed price is at Ascension St. John Medical Center and 1 other hospital — $299.61 less than the median here. Across Oklahoma, the median is $381.38 at 39 hospitals.

  • The median here, $381.38, is 29% below the US median of $540.00.
  • That is 1.2× Medicare's 2026 national rate for the same service ($313.60).
  • Every hospital here lists a cash price below its full list price.

Cash prices at 13 facilities across 7 cities for code 64405, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Mar 4, 2025 and Apr 1, 2026.

Lowest$81.77Ascension St. John Medical Center + 1 more
Median$381.38half of hospitals charge less
Highest$819.90in this market
Difference10.0×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 Tulsa, OK.

median
Lowest $81.77Highest $819.90
one sideboth sides

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Ascension St. John Medical Center one side lowest Tulsa, OK · (918) 744-2296 ER OCCIPITAL NERVE BLCK LT 6611+1 more line at this price File of Jan 1, 2026 · source file $81.77 $221.00 $69.69–$117.00 63%
St. John Sapulpa one side lowest Sapulpa, OK · (918) 224-4280 ER OCCIPITAL NERVE BLCK RT 6612+1 more line at this price File of Jan 1, 2026 · source file $81.77 $221.00 $69.69–$117.00 63%
Muscogee (CREEK) Nation Medical Center Okmulgee, OK · (918) 756-4233 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve File of Jan 24, 2026 · source file $228.00 $380.00 $289.56–$1,592.49 40%
Cleveland Area Hospital Cleveland, OK · (918) 358-2501 64405 INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NERVE PRO File of Mar 4, 2025 · source file $232.80 $291.00 $89.08–$533.66 20%
Tulsa Spine & Specialty Hospital Tulsa, OK · (918) 388-5701 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve File of Feb 12, 2026 · source file $270.32 $1,081.30 $262.87–$2,438.00 75%
Bailey Medical Center Owasso, OK · (918) 376-8000 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve File of Mar 31, 2026 · source file $325.50 $1,085.00 $227.00–$2,438.00 70%
St John Owasso one side Owasso, OK · (918) 274-5100 ER OCCIPITAL NERVE BLCK LT 6611+1 more line at this price File of Jan 1, 2026 · source file $381.38 $1,030.75 $69.69–$135.72 63%
Ascension St. John Jenks one side Jenks, OK · (918) 994-8100 ER OCCIPITAL NERVE BLCK LT 6611+1 more line at this price File of Jan 1, 2026 · source file $381.38 $1,030.75 $69.69–$84.17 63%
Hillcrest Hospital Claremore Claremore, OK · (918) 341-2556 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve File of Mar 31, 2026 · source file $399.90 $1,333.00 $262.87–$2,438.00 70%
Hillcrest Hospital South Tulsa, OK · (918) 294-4499 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve File of Mar 31, 2026 · source file $420.30 $1,401.00 $262.87–$2,438.00 70%
Cleveland Area Hospital Cleveland, OK · (918) 358-2501 64405 INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV TECH File of Mar 4, 2025 · source file $578.40 $723.00 $221.33–$723.00 20%
Saint Francis Hospital Yale Tulsa, OK · (918) 494-8467 Hc Injection Anesthetic Agent Greater Occipital Nrv File of Apr 1, 2026 · source file $637.26 $1,593.15 — 60%
Saint Francis Hospital South Tulsa, OK · (918) 307-6010 Hc Injection Anesthetic Agent Greater Occipital Nrv File of Apr 1, 2026 · source file $637.26 $1,593.15 — 60%
Hillcrest Medical Center Tulsa, OK · (918) 579-1000 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve File of Mar 31, 2026 · source file $819.90 $2,733.00 $262.87–$2,733.00 70%
St. John Sapulpa both sides Sapulpa, OK · (918) 224-4280 OCCIPITAL NERVE BLK BILAT 64405 File of Jan 1, 2026 · source file $163.54 $442.00 $69.69–$117.00 63%
Ascension St. John Medical Center both sides Tulsa, OK · (918) 744-2296 OCCIPITAL NERVE BLK BILAT 64405 File of Jan 1, 2026 · source file $163.54 $442.00 $69.69–$117.00 63%
St John Owasso both sides Owasso, OK · (918) 274-5100 OCCIPITAL NERVE BLK BILAT 64405 File of Jan 1, 2026 · source file $762.76 $2,061.50 $69.69–$135.72 63%
Ascension St. John Jenks both sides Jenks, OK · (918) 994-8100 OCCIPITAL NERVE BLK BILAT 64405 File of Jan 1, 2026 · source file $762.76 $2,061.50 $69.69–$84.17 63%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Outpatient: lowest $81.77, median $381.38, highest $819.90 — a 10.0× difference within the same market.

Both sides : lowest $163.54, median $463.15, highest $762.76 — a 4.7× difference within the same market.

The two groups are not comparable and are not averaged together: a price for both sides of the body covers twice the work. Merging them is how a single published "median" ends up far above what one side actually costs.

As an inpatient, the same code is billed by 11 facilities here, median $381.38. 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 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.