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/reline occlusal guard
Saint Louis, MO
See all hospitals reporting HCPCS D9942 →Price type
SSM-SLUH, Inc.’s median price of $129 is 22% below the median hospital's median price ($164), higher than 38% of the 230 hospitals reporting HCPCS D9942. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield anthem pathway exchange fee schedule · outpatient | $126 | $142 | $53 | 37% | — | $76 – $238 |
| 2 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $129 | $146 | $54 | 37% | — | $78 – $243 |
| 3 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $129 | $150 | $56 | 37% | — | $78 – $243 |
| 4 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $185 | $179 | $69 | 39% | — | $84 – $262 |
Last updated: Apr 1, 2026
See Occlusal guard repair or relining pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.