Surgery and procedures CPT 64405 North Carolina Outpatient

Occipital nerve block cost in North Carolina

In North Carolina, 45 hospitals publish a cash price for occipital nerve block (injection for headaches): from $171.36 to $1,788.50, with a median of $595.00. The lowest price is at East Carolina Health (Ahoskie). The highest price is 10.4× the lowest.

  • The median here, $595.00, is 10% above the US median of $540.00.
  • That is 1.9× Medicare's 2026 national rate for the same service ($313.60).
  • North Carolina ranks 32nd of 48 states by median, cheapest first.
  • 5 of 45 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 12, 2026. See them on a map

Lowest$171.36East Carolina Health
Median$595.00half of hospitals charge less
Highest$1,788.50in North Carolina
Lowest saves$423.64vs the median

Hospitals in North Carolina, cheapest first

HospitalCash priceList priceFile date
East Carolina Health one side lowest Ahoskie · Ahoskie, NC Inj Greater Occipital Nerve Block-Rt $171.36 $306.00 Apr 1, 2026
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ECU Health Beaufort Hospital one side Washington · Washington, NC Inj Greater Occipital Nerve Block-Lt $184.97 $349.00 Apr 1, 2026
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ECU Health Medical Center one side Greenville · Greenville, NC Inj Greater Occipital Nerve Block-Lt $184.97 $349.00 Apr 1, 2026
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ECU Health Bertie Hospital one side Windsor · Windsor, NC Inj Greater Occipital Nerve Block-Lt $226.24 $404.00 Apr 1, 2026
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WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Nerve Block Inj Occipital $233.32 $614.00 Feb 11, 2026
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WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Nerve Block Inj Occipital $233.32 $614.00 Feb 11, 2026
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ECU Health Chowan Hospital one side Edenton · Edenton, NC Inj Greater Occipital Nerve Block-Rt $255.36 $456.00 Apr 1, 2026
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Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC INJECT NERVE BLOCK GREATER OCCIPITAL $263.00 $526.00 Oct 28, 2026
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Duke Regional Hospital Durham · Durham-Chapel Hill, NC Inj Aa Steroid Grt Occipital Nrv $331.83 $1,229.00 Apr 1, 2026
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The Outer Banks Hospital one side Nags Head · Kill Devil Hills, NC Inj Greater Occipital Nerve Block-Rt $384.72 $687.00 Apr 1, 2026
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Duke University Hospital Durham · Durham, NC Inj Aa Steroid Grt Occipital Nrv $395.82 $1,466.00 Apr 1, 2026
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Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Inj Aa Steroid Grt Occipital Nrv $395.82 $1,466.00 Apr 1, 2026
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Betsy Johnson Hospital Dunn · Anderson Creek, NC NJX AA&/STRD GR OCPL NRV $411.00 $685.00 Apr 7, 2026
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Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC NJX AA&/STRD GR OCPL NRV $411.00 $685.00 Mar 21, 2026
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Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE $411.00 $685.00 Mar 30, 2026
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Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC NJX AA&/STRD GR OCPL NRV $411.00 $685.00 Mar 21, 2026
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Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC NJX AA&/STRD GR OCPL NRV $411.00 $685.00 Mar 22, 2026
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ECU Health Edgecombe Hospital one side Tarboro · Rocky Mount, NC Inj Greater Occipital Nerve Block-Rt $453.04 $809.00 Apr 1, 2026
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Columbus Regional Healthcare System Whiteville · Whiteville, NC 64405 NERV BLK GRTR OCCIPITAL NERV CHARGE $516.59 $737.98 Sep 1, 2025
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North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $554.50 $1,109.00 Oct 8, 2025
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North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC INJECT NERVE BLOCK GREATER OCCIPITAL $585.00 $1,170.00 Oct 30, 2026
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Lexington Medical Center Lexington · Winston-Salem, NC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $594.50 $1,189.00 Oct 30, 2026
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High Point Regional Health High Point · Greensboro-High Point, NC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $595.00 $1,190.00 Oct 30, 2026
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Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve $603.20 $1,508.00 Jul 10, 2026
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Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $604.50 $1,209.00 Oct 30, 2026
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Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $604.50 $1,209.00 Nov 2, 2026
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Sentara Albemarle Regional Medical Center Elizabeth City · Elizabeth City, NC Oth-Inj Greater Occipital Nrv $627.50 $1,255.00 Apr 1, 2026
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Frye Regional Medical Center Hickory · Hickory-Lenoir-Morganton, NC NJX AA&/STRD GR OCPL NRV $646.01 $1,615.02 Jul 8, 2026
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Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Oct 28, 2026
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Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Oct 28, 2026
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Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Oct 29, 2026
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Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Oct 29, 2026
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Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Oct 29, 2026
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Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Oct 29, 2026
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Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Oct 29, 2026
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Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Oct 29, 2026
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Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Nov 4, 2026
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Stanly Regional Medical Center Albermarle · Albemarle, NC HC ER INJECT NERVE BLOCK GREATER OCCIPITAL $748.50 $1,497.00 Oct 29, 2026
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Harris Regional Hospital one side Sylva · Sylva, NC Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve $782.24 $1,955.61 Jul 10, 2026
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AdventHealth Polk Columbus · Columbus, NC HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE $1,023.02 $1,023.02 Apr 1, 2026
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AdventHealth Hendersonville Hendersonville · Asheville, NC HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE $1,492.00 $1,492.00 Apr 1, 2026
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CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC HCHG INJ ANES/STEROID GTR OCCIPITAL NERVE $1,607.00 $1,607.00 May 11, 2026
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Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC HCHG ER INJ ANES/STEROID GREATER OCC NRV UNIL $1,607.00 $1,607.00 May 11, 2026
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Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC HCHG INJ ANES/STEROID GTR OCCIPITAL NERVE $1,607.00 $1,607.00 May 11, 2026
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Erlanger Murphy Medical Center Murphy · Murphy, NC HC Inj Anes Grtr Occ Nerv $1,788.50 $2,555.00 Jan 25, 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
Charlotte-Concord-Gastonia, NC-SC 11 $748.50 $748.50
Fayetteville, NC 3 $411.00 $411.00
Raleigh-Cary, NC 3 $233.32 $233.32
Winston-Salem, NC 3 $554.50 $585.00
Durham-Chapel Hill, NC 2 $331.83 $467.52
Ahoskie, NC 1 $171.36 $171.36
Albemarle, NC 1 $748.50 $748.50
Anderson Creek, NC 1 $411.00 $411.00
Asheville, NC 1 $1,492.00 $1,492.00
Columbus, NC 1 $1,023.02 $1,023.02
Durham, NC 1 $395.82 $395.82
Edenton, NC 1 $255.36 $255.36
Elizabethtown, NC 1 $411.00 $411.00
Elizabeth City, NC 1 $627.50 $627.50
Greensboro-High Point, NC 1 $595.00 $595.00
Greenville, NC 1 $184.97 $184.97
Hickory-Lenoir-Morganton, NC 1 $646.01 $646.01
Kill Devil Hills, NC 1 $384.72 $384.72
Laurinburg, NC 1 $263.00 $263.00
Murphy, NC 1 $1,788.50 $1,788.50
Mount Airy, NC 1 $604.50 $604.50
North Wilkesboro, NC 1 $604.50 $604.50
Rocky Mount, NC 1 $453.04 $453.04
Sylva, NC 1 $782.24 $782.24
Shelby-Kings Mountain, NC 1 $748.50 $748.50
Whiteville, NC 1 $516.59 $516.59
Windsor, NC 1 $226.24 $226.24
Washington, NC 1 $184.97 $184.97
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.