Occipital nerve block cost in Washington, DC — inpatient
In Washington-Arlington-Alexandria, DC-VA-MD-WV, 6 hospitals list a cash price for occipital nerve block (injection for headaches) as an inpatient: from $447.50 to $582.00, with a median of $447.50. The lowest listed price is at Inova Fair Oaks Hospital and 4 other hospitals.
Cash prices at 6 facilities across 5 cities for code 64405, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Inova Fair Oaks Hospital lowest Fairfax, VA · (703) 391-4170 HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | $295.19–$2,678.00 | 50% | — source file |
| Inova Alexandria Hospital lowest Alexandria, VA · (703) 504-3167 HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | $295.19–$2,678.00 | 50% | — source file |
| Inova Mount Vernon Hospital lowest Alexandria, VA · (703) 664-7105 HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | $295.19–$2,678.00 | 50% | — source file |
| Inova Fairfax Hospital lowest Falls Church, VA · (703) 698-1110 HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | $295.19–$2,678.00 | 50% | — source file |
| Inova Loudoun Hospital lowest Leesburg, VA · (703) 858-6600 HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | $295.19–$2,678.00 | 50% | — source file |
| Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 64405 Inject Anesth Agent Occi | $582.00 | $1,164.00 | — | 50% | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Oth-Inj Greater Occipital Nrv | $582.00 | $1,164.00 | — | 50% | Apr 1, 2026 source file |
Inpatient: lowest $447.50, median $447.50, highest $582.00 — a 1.3× difference within the same market.
As an outpatient, the same code is billed by 6 facilities here, median $447.50 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 5 of 5 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.