Hospital Care History

Year
Total Treatments
Average Cost
Amount Covered

Hospital Care, Moderate Severity

2014
1
$200
$133
2012
1
$200
$147

Hospital Discharge Management

2014
1
$120
$84
2012
1
$120
$77

Observation, High Severity

2013
3
$240
$167

Hospital Care, Additional Day (Level 2)

2014
3
$110
$60