Hospital Care History

Year
Total Treatments
Average Cost
Amount Covered

Hospital Care, Additional Day (Level 1)

2013
2
$138
$87

Hospital Care, Additional Day (Level 2)

2013
2
$188
$127

Hospital Care, Additional Day (Level 3)

2013
2
$274
$48

Inpatient Care, Moderate Severity

2013
3
$144
$144