Hospital Care History
Year
Total Treatments
Average Cost
Amount Covered
Hospital Care, Moderate Severity
2014
4
$250
$64
2013
5
$250
$111
Hospital Care, Additional Day (Level 3)
2014
6
$123
$25
2013
3
$185
$64
Inpatient Care, Low Severity
2013
1
$200
$82
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