Surgery and procedures CPT 64405 Outpatient

Occipital nerve block cost in Wheeling, WV

In Wheeling, WV-OH, 3 hospitals list a cash price for occipital nerve block (injection for headaches): from $56.50 to $524.00, with a median of $353.00. The lowest listed price is at Barnesville Hospital Association — $296.50 less than the median here. Across West Virginia, the median is $366.13 at 18 hospitals.

Cash prices at 3 facilities across 3 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 Jul 9, 2026 and Jul 9, 2026.

Lowest$56.50Barnesville Hospital Association
Median$353.00half pay less
Highest$524.00in this market
Difference9.3×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 Wheeling, WV-OH.

median
Lowest $56.50Highest $716.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Barnesville Hospital Association lowest Barnesville, OH · (740) 425-3941 NJX AA&/STRD GR OCPL NRV $56.50 $113.00 $4,748.00 50% —
source file
Wheeling Hospital Wheeling, WV · (304) 243-3000 NJX AA&/STRD GR OCPL NRV $353.00 $706.00 $35.00–$1,251.72 50% Jul 9, 2026
source file
Reynolds Memorial Hospital Glen Dale, WV · (304) 843-3230 NJX AA&/STRD GR OCPL NRV $524.00 $1,048.00 $25.00–$512.77 50% —
source file
Wheeling Hospital Wheeling, WV · (304) 243-3000 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE $716.00 $1,432.00 $35.00–$1,251.72 50% Jul 9, 2026
source file

Outpatient: lowest $56.50, median $353.00, highest $524.00 — a 9.3× difference within the same market.

Cash or insurance?

At 2 of 3 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.