Surgery and procedures CPT 64405 Inpatient — admitted to hospital

Occipital nerve block cost in Urban Honolulu, HI — inpatient

In Urban Honolulu, HI, 2 hospitals list a cash price for occipital nerve block (injection for headaches) as an inpatient: from $63.00 to $454.80, with a median of $258.90. The lowest listed price is at Straub Clinic & Hospital — $195.90 less than the median here.

Cash prices at 2 facilities across 2 cities for code 64405, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between Feb 12, 2026 and Feb 12, 2026.

Lowest$63.00Straub Clinic & Hospital
Median$258.90half pay less
Highest$454.80in this market
Difference7.2×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 Urban Honolulu, HI.

median
Lowest $63.00Highest $454.80
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Straub Clinic & Hospital lowest Honolulu, HI · (808) 522-4000 INJ ANESTH AGENT/STEROID GREATR OCCIPTL NERVE $63.00 $105.00 $30.80–$89.25 40% Feb 12, 2026
source file
Pali Momi Medical Center Aiea, HI · (808) 486-6000 INJ ANESTH AGENT/STEROID OCCIPTL NERVE-TC $454.80 $758.00 $568.50–$644.30 40% Feb 12, 2026
source file
Straub Clinic & Hospital both sides Honolulu, HI · (808) 522-4000 INJ ANESTH AGENT/STEROID OCCIPTL NERVE BILAT $93.60 $156.00 $45.75–$132.60 40% Feb 12, 2026
source file

Inpatient: lowest $63.00, median $258.90, highest $454.80 — a 7.2× difference within the same market.

Both sides : lowest $93.60, median $93.60, highest $93.60.

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 outpatient, the same code is billed by 1 facility here, median $454.80 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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 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.