Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REPAIR AND/OR RELINE OF OCCLUSAL GUARD
Low
$55
Average
$161
Median
$190
High
$196
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 7 hospitals; the 90th percentile is 2.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH | $56 | $55 | $2 | 5% | — | $49 – $56 |
| 2 | MVHS, Inc. Utica, NY | $185 | $179 | $22 | 12% | — | $109 – $204 |
| 3 | The Union Hospital Association Dover, OH | $210 | $192 | $48 | 25% | — | $76 – $300 |
| 4 | The Cleveland Clinic Foundation Cleveland, OH | $195 | $190 | $49 | 26% | — | $76 – $300 |
| 5 | Akron General Medical Center Akron, OH | $210 | $196 | $49 | 25% | — | $76 – $300 |
| 6 | Cleveland Clinic Mercy Hospital Canton, OH | $210 | $196 | $53 | 27% | — | $76 – $300 |
| 7 | Chambers Health Anahuac, TX | $128 | $122 | $24 | 19% | — | $88 – $144 |
Ask Claude or any MCP client for HCPCS D9942 pricing at a specific hospital — see how to connect.