Occipital nerve block cost in Virginia
In Virginia, 43 hospitals publish a cash price for occipital nerve block (injection for headaches): from $56.85 to $1,526.11, with a median of $549.60. The lowest price is at Johnston Memorial Hospital (Abingdon) and 3 other hospitals. The highest price is 26.8× the lowest.
- The median here, $549.60, is about the same as the US median of $540.00.
- That is 1.8× Medicare's 2026 national rate for the same service ($313.60).
- Virginia ranks 30th of 48 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
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 Oct 29, 2026. See them on a map
Lowest$56.85Johnston Memorial Hospital + 3 more
Median$549.60half of hospitals charge less
Highest$1,526.11in Virginia
Lowest saves$492.75vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Johnston Memorial Hospital one side lowest Abingdon · Kingsport-Bristol, TN-VA HC INJECT ANES/STEROID NERV BLCK GREAT OCCIPTL UNILAT | $56.85 | $379.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital one side lowest Big Stone Gap · Big Stone Gap, VA HC INJECT ANES/STEROID NERV BLCK GREAT OCCIPTL UNILAT | $56.85 | $379.00 | Mar 23, 2026 source file |
| Russell County Hospital one side lowest Lebanon · Lebanon, VA HC INJECT ANES/STEROID NERV BLCK GREAT OCCIPTL UNILAT | $56.85 | $379.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital one side lowest Marion · Marion, VA HC INJECT ANES/STEROID NERV BLCK GREAT OCCIPTL UNILAT | $56.85 | $379.00 | Mar 23, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA INJ NERVE BLK GTR OCCIPITAL | $227.30 | $324.71 | Mar 25, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Occipital Nerve Block Inj | $259.15 | $518.30 | Mar 11, 2026 source file |
| Carilion Giles Community Hospital one side Roanoke · Roanoke, VA HB INJ AA&/STRD GREATER OCCIPITAL NERVE RT | $406.00 | $1,160.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center one side Christiansburg · Blacksburg-Christiansburg-Radford, VA HB INJ AA&/STRD GREATER OCCIPITAL NERVE RT | $406.00 | $1,160.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital one side Roanoke · Roanoke, VA HB INJ AA&/STRD GREATER OCCIPITAL NERVE RT | $406.00 | $1,160.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital one side Roanoke · Roanoke, VA HB INJ AA&/STRD GREATER OCCIPITAL NERVE RT | $406.00 | $1,160.00 | Apr 17, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Inj Aa&/Strd Greater Occipital Nerve | $427.50 | $1,425.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BLOCK GREATER OCCIPITAL NERVE | $447.50 | $895.00 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Njx aa&/strd gr ocpl nrv | $490.00 | $980.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Njx aa&/strd gr ocpl nrv | $490.00 | $980.00 | Dec 30, 2024 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA 64405 Inject Anesth Agent Occi | $544.00 | $1,088.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Oth-Inj Greater Occipital Nrv | $544.00 | $1,088.00 | Apr 1, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA N Block Inj Occipital | $545.00 | $1,090.00 | Apr 1, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Inj Aa&/Strd Greater Occipital Nerve | $549.60 | $916.00 | Apr 1, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC 64405 Inject Anesth Agent Occi | $582.00 | $1,164.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC 64405 Inject Anesth Agent Occi | $582.00 | $1,164.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Oth-Inj Greater Occipital Nrv | $582.00 | $1,164.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Oth-Inj Greater Occipital Nrv | $582.00 | $1,164.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV 64405 Inject Anesth Agent Occi | $582.00 | $1,164.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA 64405 Inject Anesth Agent Occi | $582.00 | $1,164.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Oth-Inj Greater Occipital Nrv | $582.00 | $1,164.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC 64405 Inject Anesth Agent Occi | $582.00 | $1,164.00 | Apr 1, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Inj Aa&/Strd Greater Occipital Nerve | $590.82 | $984.70 | Jul 1, 2026 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC Inj Aa&/Strd Greater Occipital Nerve | $594.00 | $1,980.00 | Apr 1, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC Inj Aa&/Strd Greater Occipital Nerve | $594.00 | $1,980.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Inj Aa&/Strd Greater Occipital Nerve | $855.60 | $1,426.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Inj Aa&/Strd Greater Occipital Nerve | $855.60 | $1,426.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Inj Aa&/Strd Greater Occipital Nerve | $855.60 | $1,426.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Oth-Inj Greater Occipital Nrv | $1,138.50 | $2,277.00 | Apr 1, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Inj Aa&/Strd Greater Occipital Nerve | $1,188.00 | $1,980.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Inj Aa&/Strd Greater Occipital Nerve | $1,188.00 | $1,980.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Inj Aa&/Strd Greater Occipital Nerve | $1,188.00 | $1,980.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Inj Aa&/Strd Greater Occipital Nerve | $1,188.00 | $1,980.00 | Apr 1, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve | $1,310.90 | $3,277.25 | Jul 10, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC INJ GRTR OCCIPITAL NERVE | $1,526.11 | $1,695.68 | Mar 17, 2026 source file |
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
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $259.15 | $582.00 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 8 | $447.50 | $447.50 |
| Richmond, VA | 5 | $594.00 | $1,188.00 |
| Roanoke, VA | 4 | $406.00 | $406.00 |
| Big Stone Gap, VA | 1 | $56.85 | $56.85 |
| Blacksburg-Christiansburg-Radford, VA | 1 | $406.00 | $406.00 |
| Charlottesville, VA | 1 | $544.00 | $544.00 |
| Emporia, VA | 1 | $594.00 | $594.00 |
| Galax, VA | 1 | $1,310.90 | $1,310.90 |
| Hot Springs, VA | 1 | $227.30 | $227.30 |
| Harrisonburg, VA | 1 | $544.00 | $544.00 |
| Kilmarnock, VA | 1 | $549.60 | $549.60 |
| Kingsport-Bristol, TN-VA | 1 | $56.85 | $56.85 |
| Lebanon, VA | 1 | $56.85 | $56.85 |
| Marion, VA | 1 | $56.85 | $56.85 |
| South Boston, VA | 1 | $1,138.50 | $1,138.50 |
| Suffolk, VA | 1 | $582.00 | $582.00 |
| Staunton-Stuarts Draft, VA | 1 | $545.00 | $545.00 |
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
- Alabama$475.75
- Alaska$820.50
- Arizona$367.76
- Arkansas$410.30
- California$878.80
- Colorado$706.16
- Connecticut$804.10
- Delaware$1,205.40, 4 hospitals
- District of Columbia$421.95, 3 hospitals
- Florida$904.61
- Georgia$868.80
- Hawaii$1,472.10
- Idaho$406.20
- Illinois$520.00
- Indiana$604.29
- Iowa$544.00
- Kansas$399.10
- Kentucky$441.99
- Louisiana$258.30
- Maine$299.85
- Maryland$559.09, 4 hospitals
- Massachusetts$892.00
- Michigan$517.00
- Minnesota$611.82
- Mississippi$273.48
- Missouri$380.10
- Montana$293.55
- Nebraska$424.00
- Nevada$342.60
- New Hampshire$381.98
- New Jersey$1,345.00
- New Mexico$400.50
- New York$473.55
- North Carolina$594.50
- North Dakota$359.78
- Ohio$787.15
- Oklahoma$381.38
- Oregon$371.71
- Pennsylvania$564.45
- Puerto Rico$1,050.00, 1 hospital
- Rhode Island$939.43
- South Carolina$729.00
- South Dakota$762.00
- Tennessee$288.45
- Texas$427.05
- Utah$538.58
- Vermont$511.49
- Washington$663.00
- West Virginia$366.75
- Wisconsin$462.15
- Wyoming$491.23
Median cash price across the state's hospitals.