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Procedure price report · Other non-OR or closed therapeutic nervous system procedures

Nerve block injection at the back of the head

CPT 64405the billing code this page is about

Injection of numbing medicine and/or steroid around the greater occipital nerve at the back of the skull.

Hospitals typically charge $447 cash for this outpatient procedure — the median across 2,434 hospitals that filed a usable cash price; the average of the middle 60% is $492. Most fall between $186 and $961 (20th–80th percentile).

Hospitals
2,434
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,434 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$115$225$447$856$1,309

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($115 vs $1,309).

How the prices are spread

$79 – $107: 102 hospitals$79$107 – $145: 134 hospitals$145 – $197: 173 hospitals$145$197 – $267: 192 hospitals$267 – $361: 259 hospitals$267$361 – $489: 328 hospitals$489 – $663: 308 hospitals$489$663 – $897: 268 hospitals$897 – $1,216: 263 hospitals$897$1,216 – $1,646: 165 hospitals$1,216median $447price bands are equal on a log scale
Hospitals per price band (2,192 of 2,434 — the bands cover the 5th to 95th percentile)
FromToHospitals
$79$107102
$107$145134
$145$197173
$197$267192
$267$361259
$361$489328
$489$663308
$663$897268
$897$1,216263
$1,216$1,646165

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$447
Cash as a multiple of Medicare1.42×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $447.

Alaska: median $678 across 16 hospitalsAK$678Maine: median $254 across 22 hospitalsME$254Vermont: median $224 across 11 hospitalsVT$224New Hampshire: median $202 across 19 hospitalsNH$202Washington: median $451 across 62 hospitalsWA$451Idaho: median $385 across 22 hospitalsID$385Montana: median $186 across 26 hospitalsMT$186North Dakota: median $254 across 14 hospitalsND$254Minnesota: median $585 across 84 hospitalsMN$585Illinois: median $453 across 96 hospitalsIL$453Wisconsin: median $447 across 95 hospitalsWI$447Michigan: median $408 across 82 hospitalsMI$408New York: median $349 across 84 hospitalsNY$349Massachusetts: median $718 across 46 hospitalsMA$718Oregon: median $209 across 48 hospitalsOR$209Nevada: median $423 across 13 hospitalsNV$423Wyoming: median $348 across 12 hospitalsWY$348South Dakota: median $546 across 17 hospitalsSD$546Iowa: median $353 across 77 hospitalsIA$353Indiana: median $344 across 56 hospitalsIN$344Ohio: median $693 across 126 hospitalsOH$693Pennsylvania: median $453 across 105 hospitalsPA$453New Jersey: median $397 across 52 hospitalsNJ$397Connecticut: median $306 across 19 hospitalsCT$306Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $879 across 153 hospitalsCA$879Utah: median $515 across 26 hospitalsUT$515Colorado: median $479 across 62 hospitalsCO$479Nebraska: median $395 across 52 hospitalsNE$395Missouri: median $372 across 66 hospitalsMO$372Kentucky: median $483 across 41 hospitalsKY$483West Virginia: median $340 across 32 hospitalsWV$340Virginia: median $582 across 51 hospitalsVA$582Maryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $143 across 24 hospitalsAZ$143New Mexico: median $393 across 17 hospitalsNM$393Kansas: median $289 across 65 hospitalsKS$289Arkansas: median $270 across 20 hospitalsAR$270Tennessee: median $335 across 44 hospitalsTN$335North Carolina: median $448 across 56 hospitalsNC$448South Carolina: median $831 across 40 hospitalsSC$831Oklahoma: median $270 across 53 hospitalsOK$270Louisiana: median $309 across 37 hospitalsLA$309Mississippi: median $209 across 43 hospitalsMS$209Alabama: median $424 across 25 hospitalsAL$424Georgia: median $869 across 66 hospitalsGA$869Hawaii: median $880 across 13 hospitalsHI$880Texas: median $531 across 147 hospitalsTX$531Florida: median $758 across 76 hospitalsFL$758
Cash price by state, most expensive first. National median $447. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Hawaii HI13$880+97%$86 – $1,119
California CA153$879+97%$297 – $1,081
Georgia GA66$869+95%$400 – $1,282
South Carolina SC40$831+86%$463 – $933
Florida FL76$758+70%$304 – $1,279
Massachusetts MA46$718+61%$317 – $1,169
Ohio OH126$693+55%$339 – $1,218
Alaska AK16$678+52%$328 – $1,824
Minnesota MN84$585+31%$178 – $823
Virginia VA51$582+30%$406 – $721
South Dakota SD17$546+22%$266 – $737
Texas TX147$531+19%$187 – $1,027
Utah UT26$515+15%$515 – $606
Kentucky KY41$483+8%$177 – $1,507
Colorado CO62$479+7%$312 – $926
Pennsylvania PA105$453+1%$228 – $1,141
Illinois IL96$453+1%$200 – $1,026
Washington WA62$451+1%$140 – $969
North Carolina NC56$4480%$213 – $718
Wisconsin WI95$4470%$171 – $526
Alabama AL25$424−5%$223 – $2,414
Nevada NV13$423−5%$271 – $1,210
Michigan MI82$408−9%$98 – $1,084
New Jersey NJ52$397−11%$327 – $4,350
Nebraska NE52$395−12%$168 – $527
New Mexico NM17$393−12%$84 – $883
Idaho ID22$385−14%$204 – $818
Missouri MO66$372−17%$149 – $713
Iowa IA77$353−21%$146 – $826
New York NY84$349−22%$164 – $1,008
Wyoming WY12$348−22%$185 – $1,007
Indiana IN56$344−23%$178 – $715
West Virginia WV32$340−24%$212 – $567
Tennessee TN44$335−25%$135 – $531
Louisiana LA37$309−31%$104 – $546
Connecticut CT19$306−32%$204 – $806
Kansas KS65$289−35%$113 – $523
Oklahoma OK53$270−39%$88 – $656
Arkansas AR20$270−40%$158 – $470
Maine ME22$254−43%$164 – $380
North Dakota ND14$254−43%$87 – $665
Vermont VT11$224−50%$130 – $523
Mississippi MS43$209−53%$160 – $303
Oregon OR48$209−53%$120 – $486
New Hampshire NH19$202−55%$51 – $390
Montana MT26$186−58%$78 – $436
Arizona AZ24$143−68%$85 – $847
Maryland MD9not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $447.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,737$505$223 – $1,081
Children’s37$784$276 – $1,348
Critical access652$297$130 – $655
Ownership
For-profit216$537$277 – $1,218
Government467$349$150 – $771
Non-profit1,743$455$189 – $961
System affiliation
Part of a system1,960$468$201 – $1,002
Independent474$350$140 – $701

Cash price vs list price

Median list price (chargemaster)$801
Median cash price$447
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,781 hospitals filed a usable inpatient cash price for this code. The median is $517 and the average of the middle 60% is $561; most fall between $216 and $1,019.

Cash price percentiles, inpatient, across 1,781 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$133$269$517$923$1,295

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($133 vs $1,295).

Of the 1,913 hospitals that filed this code inpatient, 1,781 gave a usable cash price; 46 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 86 a list price only.

How complete is this

2,434 of the 3,956 hospitals with a price file in our corpus (62%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,617 hospitals that filed this code at all gave us
Usable cash price — counted2,434
Cash price carrying a plausibility flag — shown on the compare tool, excluded here82
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded96
Hospitals that filed this code2,617

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR or closed therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Injection Aa&/Strd Greater Occipital Nerve.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Nerve block injection at the back of the head (CPT 64405) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64405-nerve-block-injection-at-the-back-of-the-head