Occipital nerve block cost in Washington
In Washington, 43 hospitals publish a cash price for occipital nerve block (injection for headaches): from $82.57 to $1,715.20, with a median of $663.00. The lowest price is at Snoqualmie Valley Hospital (Snoqualmie). The highest price is 20.8× the lowest.
- The median here, $663.00, is 23% above the US median of $540.00.
- That is 2.1× Medicare's 2026 national rate for the same service ($313.60).
- Washington ranks 35th of 48 states by median, cheapest first.
- 3 of 43 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
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 11, 2026. See them on a map
Lowest$82.57Snoqualmie Valley Hospital
Median$663.00half of hospitals charge less
Highest$1,715.20in Washington
Lowest saves$580.43vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Snoqualmie Valley Hospital lowest Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC 64405 INJ ANES/STER GRTR OCCIPITAL NERVE | $82.57 | $142.36 | Apr 14, 2026 source file |
| PeaceHealth St John Medical Center one side Longview · Longview-Kelso, WA INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $88.40 | $136.00 | Mar 21, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC PR ED 64405 NERVE BLOCK INJ OCCIPITAL CDM | $93.80 | $134.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC PR ED 64405 NERVE BLOCK INJ OCCIPITAL CDM | $95.90 | $137.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC PR 64405 NERVE BLOCK INJ OCCIPITAL | $109.20 | $156.00 | Apr 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 64405 Injection greater occipital nerve | $116.35 | $179.00 | Apr 1, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA INJ ANES AGENT GTR OCC NERV | $116.47 | $137.02 | Sep 14, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $139.32 | $258.00 | Aug 31, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $195.50 | $230.00 | Oct 7, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA 64405 Injection greater occipital nerve | $199.50 | $350.00 | Apr 1, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Inj aa/strd grt ocpl nrv BL | $287.20 | $359.00 | May 15, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Inject Nerv Blck,Great Occiptl--Pbb | $328.50 | $365.00 | Aug 10, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Injection Aa&/Strd Greater Occipital Nerve | $416.67 | $595.25 | Mar 12, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $421.92 | $879.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $421.92 | $879.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $421.92 | $879.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC ED NERVE BLOCK INJ OCCIPITAL CDM | $451.00 | $820.00 | Jan 1, 2025 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED NERVE BLOCK INJ OCCIPITAL CDM | $586.60 | $838.00 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 64405 Inj Anes/Ster Grtr Occipital Nerve | $618.50 | $1,237.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA INJECTION GR OCCIP NERVE -FAC | $618.63 | $1,213.00 | Jan 1, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA NJX AA&/STRD GR OCPL NRV | $639.10 | $913.00 | Feb 24, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA NJX AA&/STRD GR OCPL NRV | $663.00 | $1,020.00 | Mar 20, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $676.80 | $846.00 | Aug 6, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $678.30 | $798.00 | Jun 9, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $683.28 | $1,314.00 | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC SELECT NERVE BLOCK GRT OCCIP NRV | $698.10 | $1,074.00 | Apr 1, 2026 source file |
| PeaceHealth St Joseph Medical Center one side Bellingham · Bellingham, WA INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $698.10 | $1,074.00 | Mar 21, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $700.70 | $1,078.00 | Mar 21, 2026 source file |
| East Adams Rural Healthcare Ritzville · Othello, WA HC INJECTION(S) ANESTHETIC AGENT(S) AND OR STEROID,GREATER OCCIPITAL NERVE | $706.75 | $942.34 | Jun 1, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $722.57 | $802.85 | Sep 14, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $727.35 | $1,119.00 | Mar 20, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Inj Anes > Occipital Nerve | $730.00 | $730.00 | Mar 31, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC ED NERVE BLOCK INJ OCCIPITAL CDM | $747.24 | $1,437.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED NERVE BLOCK INJ OCCIPITAL CDM | $747.24 | $1,437.00 | Apr 1, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $788.02 | $1,271.00 | May 18, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC INJ GRTR OCCIPITAL NERVE | $820.00 | $1,025.00 | Mar 26, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC OCCIPITAL NERVE INJECTION | $820.00 | $1,025.00 | Mar 26, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED NERVE BLOCK INJ OCCIPITAL CDM | $950.60 | $1,358.00 | Apr 1, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR 64405 Injection Anesthetic Agent Greater Occipital Nrv Rhc | $992.00 | $992.00 | Jan 4, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $1,015.43 | $1,015.43 | Sep 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC ED NERVE BLOCK INJ OCCIPITAL CDM | $1,079.25 | $1,439.00 | Oct 23, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ED NERVE BLOCK INJ OCCIPITAL CDM | $1,249.50 | $1,785.00 | Apr 1, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $1,715.20 | $2,144.00 | Oct 27, 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
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 area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 10 | $82.57 | $520.21 |
| Spokane-Spokane Valley, WA | 4 | $93.80 | $347.90 |
| Kennewick-Richland, WA | 3 | $199.50 | $451.00 |
| Wenatchee-East Wenatchee, WA | 3 | $287.20 | $328.50 |
| Centralia, WA | 2 | $747.24 | $767.63 |
| Mount Vernon-Anacortes, WA | 2 | $700.70 | $760.35 |
| Port Townsend, WA | 2 | $676.80 | $1,196.00 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $698.10 | $712.72 |
| Aberdeen, WA | 1 | $139.32 | $139.32 |
| Bellingham, WA | 1 | $698.10 | $698.10 |
| Davenport, WA | 1 | $722.57 | $722.57 |
| Ellensburg, WA | 1 | $195.50 | $195.50 |
| Friday Harbor, WA | 1 | $663.00 | $663.00 |
| Ilwaco, WA | 1 | $1,079.25 | $1,079.25 |
| Longview-Kelso, WA | 1 | $88.40 | $88.40 |
| Moses Lake, WA | 1 | $992.00 | $992.00 |
| Olympia-Lacey-Tumwater, WA | 1 | $747.24 | $747.24 |
| Othello, WA | 1 | $706.75 | $706.75 |
| Pullman, WA | 1 | $678.30 | $678.30 |
| Republic, WA | 1 | $116.47 | $116.47 |
| South Bend, WA | 1 | $639.10 | $639.10 |
| Walla Walla, WA | 1 | $95.90 | $95.90 |
| Yakima, WA | 1 | $116.35 | $116.35 |
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
- Virginia$549.60
- West Virginia$366.75
- Wisconsin$462.15
- Wyoming$491.23
Median cash price across the state's hospitals.