Hospital Care History

Year
Total Treatments
Average Cost
Amount Covered

Observation, Moderate Severity

2014
2
$215
$119
2013
4
$215
$119
2012
2
$215
$119

Hospital Care, Moderate Severity

2013
1
$235
$147

Observation, High Severity

2014
3
$270
$167
2013
3
$270
$167
2012
3
$270
$167

Hospital Care, Additional Day (Level 3)

2013
2
$555
$55

Hospital Care, Additional Day (Level 2)

2013
2
$312
$193

Hospital Discharge Management

2013
1
$115
$77

Observation, Low Severity

2012
1
$190
$71