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
SCREW BONE LEVEL ONE MAXDRIVE L8 MM L6 MM OD2 MM CRANIOMAXILLOFACIAL STERILE
Jacksonville, TX
See all hospitals reporting HCPCS C1713 →Price type
Jacksonville Hospital, LLC’s median price of $232 is 70% below the median hospital's median price ($773), higher than 9% of the 1,737 hospitals reporting HCPCS C1713. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 18 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 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $157.50 | $404.43 | $0.75 – $22,500 |
| 2 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $157.50 | $404.43 | $0.75 – $22,500 |
| 3 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $157.50 | $404.43 | $0.75 – $22,500 |
| 4 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $163.17 | $418.99 | $0.78 – $23,310 |
| 5 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $163.17 | $418.99 | $0.78 – $23,310 |
| 6 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $163.17 | $418.99 | $0.78 – $23,310 |
| 7 | Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges | $212.94 | $546.79 | $1.01 – $30,420 |
| 8 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $311.85 | $800.77 | $1.49 – $44,550 |
| 9 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $311.85 | $800.77 | $1.49 – $44,550 |
| 10 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $351.54 | $902.68 | $1.67 – $50,220 |
| 11 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $403.20 | $1,035 | $1.92 – $57,600 |
| 12 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $403.20 | $1,035 | $1.92 – $57,600 |
| 13 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $403.20 | $1,035 | $1.92 – $57,600 |
| 14 | Blue Cross Blue Shield blue cross hmo of texas [115504] facility · percent of total billed charges · bothfrom % of charges | $2,096 | $2,427 | $1,559 – $26,370 |
| 15 | Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges | $2,218 | $2,506 | $1,553 – $27,900 |
| 16 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $2,218 | $2,506 | $1,553 – $27,900 |
| 17 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $2,862 | $3,314 | $2,128 – $36,000 |
| 18 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $2,862 | $3,314 | $2,128 – $36,000 |
Last updated: Feb 12, 2026
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