Surgery and procedures CPT 64405 Iowa Outpatient

Occipital nerve block cost in Iowa

In Iowa, 61 hospitals publish a cash price for occipital nerve block (injection for headaches): from $65.60 to $2,079.95, with a median of $544.00. The lowest price is at Floyd County Memorial Hospital Commission (Charles City). The highest price is 31.7× the lowest.

  • The median here, $544.00, is about the same as the US median of $540.00.
  • That is 1.7× Medicare's 2026 national rate for the same service ($313.60).
  • Iowa ranks 29th of 48 states by median, cheapest first.
  • 8 of 61 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 64405. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map

Lowest$65.60Floyd County Memorial Hospital Commission
Median$544.00half of hospitals charge less
Highest$2,079.95in Iowa
Lowest saves$478.40vs the median

Hospitals in Iowa, cheapest first

HospitalCash priceList priceFile date
Floyd County Memorial Hospital Commission lowest Charles City · Charles City, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $65.60 $164.00 Sep 30, 2026
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Knoxville Hospital & Clinics Knoxville · Pella, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $122.40 $204.00 Jan 24, 2026
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Clarinda Regional Health Center Clarinda · Clarinda, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $145.50 $194.00 Oct 23, 2026
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Rawford County Memorial Hospital Denison · Denison, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $146.40 $183.00 Jul 27, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $168.00 $210.00 Oct 21, 2026
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Hancock County Health System Britt · Britt, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $177.00 $236.00 Oct 20, 2026
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St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $188.00 $188.00 Nov 3, 2026
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MercyOne North Iowa Medical Center one side Mason City · Mason City, IA HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt $196.95 $303.00 Mar 31, 2026
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Van Buren County Hospital Keosauqua · Keosauqua, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $212.10 $303.00 Jul 20, 2026
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Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $216.84 $417.00 Oct 19, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC OCCIPITAL BLOCK STERIOD $223.20 $496.00 Sep 30, 2026
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Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Njx Aa&/Strd Gr Ocpl Nrv $238.00 $238.00 Sep 1, 2026
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Kossuth Regional Health Center Algona · Algona, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $239.20 $299.00 Jul 16, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC OCCIPITAL BLOCK STERIOD $248.00 $496.00 Sep 30, 2026
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Adair County Memorial Hospital Greenfield · Greenfield, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $255.00 $340.00 Sep 2, 2026
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Hawarden Regional Healthcare Harwarden · Harwarden, IA INJ OCCIPITAL N $303.03 $356.50 Apr 24, 2026
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Hansen Family Hospital Iowa Falls · Iowa Falls, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $313.00 $313.00 Jul 10, 2026
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MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS HEADACHE INJ ANES AGENT $336.00 $560.00 Mar 31, 2026
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Shenandoah Medical Center Shenandoah · Shenandoah, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $341.90 $526.00 Sep 21, 2026
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Boone County Hospital Boone · Ames, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $342.40 $428.00 Jul 27, 2026
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MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS NC NERVE BLOCK OCCIPITAL/SUBOCCIPITAL $352.80 $588.00 Mar 31, 2026
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Audubon County Memorial Hospital Audubon · Audubon, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $355.00 $355.00 Sep 14, 2026
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Decatur County Hospital Leon · Leon, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $358.40 $448.00 Mar 4, 2026
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Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Inj Greater Occipital Nerve $366.90 $1,223.00 Feb 15, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA GHS NERVE BLOCK OCCIPITAL/SUBOCCIPITAL $388.20 $647.00 Mar 31, 2026
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Jefferson County Hospital Fairfield · Fairfield, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $390.00 $650.00 Aug 20, 2026
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Cherokee Regional Medical Center Cherokee · Cherokee, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $394.20 $438.00 Mar 31, 2026
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Belmond Community Hospital Belmond · Belmond, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $417.00 $695.00 Apr 22, 2026
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CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC OCCIPITAL BLOCK STERIOD $423.98 $986.00 Sep 30, 2026
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Loring Hospital Sac City · Sac City, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $457.60 $572.00 Aug 25, 2026
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Wayne County Hospital Corydon · Corydon, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $544.00 $544.00 Jun 10, 2026
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St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $573.60 $717.00 Nov 4, 2026
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WinnMed Decorah · Decorah, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $580.30 $829.00 Oct 13, 2026
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Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $616.50 $685.00 Mar 30, 2026
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Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $620.00 $775.00 Jun 18, 2026
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Virginia Gay Hospital Vinton · Cedar Rapids, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $620.80 $776.00 Aug 13, 2026
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Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $628.71 $1,103.00 Oct 8, 2026
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Jackson County Regional Health Center Maquoketa · Maquoketa, IA NERVE BLOCK OCCIPITAL SUBOCCIPITAL $634.00 $634.00 Aug 11, 2026
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MercyOne Waterloo Medical Center one side Waterloo · Waterloo-Cedar Falls, IA HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt $647.40 $996.00 Mar 31, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $650.45 $813.06 Nov 4, 2026
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MercyOne Des Moines Medical Center one side Des Moines · Des Moines-West Des Moines, IA HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Lt $679.90 $1,046.00 Mar 31, 2026
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The Finley Hospital Dubuque · Dubuque, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $728.11 $910.13 Nov 4, 2026
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Cass County Memorial Hospital Atlantic · Atlantic, IA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $758.80 $1,084.00 Jun 1, 2026
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Grinnell Regional Medical Center Grinnell · Grinnell, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $774.11 $967.63 Nov 4, 2026
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Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $826.40 $1,033.00 Jun 29, 2026
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Lakes Regional Hospital one side Spirit Lake · Spirit Lake, IA $826.50 $870.00 Apr 1, 2026
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA HCHG 64405 INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GRE $877.93 $1,478.00 Jun 27, 2026
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Greene County Medical Center Jefferson · Jefferson, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $896.56 $1,601.00 Mar 26, 2026
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Pocahontas Community Hospital Pocahontas · Pocahontas, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $902.00 $902.00 Mar 29, 2026
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MercyOne Newton Medical Center one side Newton · Des Moines-West Des Moines, IA HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt $909.35 $1,399.00 Mar 31, 2026
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Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $959.02 $1,198.77 Nov 4, 2026
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Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $968.80 $1,211.00 Mar 31, 2026
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Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $1,092.60 $1,365.75 Nov 4, 2026
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UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $1,092.60 $1,365.75 Nov 4, 2026
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University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB INJECTION, ANESTHETIC AGENT, GREATER OCCIPITAL NERVE $1,171.10 $1,673.00 Mar 11, 2026
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University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB INJECTION, ANESTHETIC AGENT, GREATER OCCIPITAL NERVE $1,171.10 $1,673.00 Mar 11, 2026
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Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $1,194.47 $1,493.08 Nov 4, 2026
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Unity Healthcare Muscatine · Muscatine, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $1,194.47 $1,493.08 Nov 4, 2026
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MercyOne Centerville Medical Center one side Centerville · Centerville, IA HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Lt $1,399.00 $1,399.00 Mar 31, 2026
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St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $1,548.95 $1,936.18 Jan 28, 2026
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UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC INJ ANESTH/STER GREATER OCCIPITAL NERVE $2,079.95 $2,599.93 Jan 28, 2026
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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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Des Moines-West Des Moines, IA 5 $168.00 $650.45
Waterloo-Cedar Falls, IA 5 $216.84 $647.40
Davenport-Moline-Rock Island, IA-IL 3 $336.00 $352.80
Omaha, NE-IA 3 $248.00 $366.90
Cedar Rapids, IA 2 $620.80 $1,350.38
Iowa City, IA 2 $1,171.10 $1,171.10
Algona, IA 1 $239.20 $239.20
Atlantic, IA 1 $758.80 $758.80
Audubon, IA 1 $355.00 $355.00
Ames, IA 1 $342.40 $342.40
Belmond, IA 1 $417.00 $417.00
Britt, IA 1 $177.00 $177.00
Cedar Rapids, IA 1 $1,548.95 $1,548.95
Centerville, IA 1 $1,399.00 $1,399.00
Charles City, IA 1 $65.60 $65.60
Cherokee, IA 1 $394.20 $394.20
Clarinda, IA 1 $145.50 $145.50
Corning, IA 1 $223.20 $223.20
Corydon, IA 1 $544.00 $544.00
Carroll, IA 1 $188.00 $188.00
Clinton, IA 1 $388.20 $388.20
Decorah, IA 1 $580.30 $580.30
Denison, IA 1 $146.40 $146.40
Dubuque, IA 1 $728.11 $728.11
Fairfield, IA 1 $390.00 $390.00
Fort Dodge, IA 1 $959.02 $959.02
Greenfield, IA 1 $255.00 $255.00
Grinnell, IA 1 $774.11 $774.11
Guttenberg, IA 1 $968.80 $968.80
Harwarden, IA 1 $303.03 $303.03
Humboldt, IA 1 $616.50 $616.50
Iowa Falls, IA 1 $313.00 $313.00
Jefferson, IA 1 $896.56 $896.56
Keosauqua, IA 1 $212.10 $212.10
Leon, IA 1 $358.40 $358.40
Maquoketa, IA 1 $634.00 $634.00
Marshalltown, IA 1 $1,092.60 $1,092.60
Mason City, IA 1 $196.95 $196.95
Muscatine, IA 1 $1,194.47 $1,194.47
Pocahontas, IA 1 $902.00 $902.00
Pella, IA 1 $122.40 $122.40
Sac City, IA 1 $457.60 $457.60
Shenandoah, IA 1 $341.90 $341.90
Sioux City, IA-NE-SD 1 $573.60 $573.60
Spirit Lake, IA 1 $826.50 $826.50
Waukon, IA 1 $628.71 $628.71
West Union, IA 1 $877.93 $877.93
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What occipital nerve block is, what the price covers and why prices differ: Occipital nerve block explained.

Occipital nerve block (injection for headaches) in other states

Median cash price across the state's hospitals.