Hospital Care History
Year
Total Treatments
Average Cost
Amount Covered
Hospital Care, Moderate Severity
2014
3
$240
$134
2013
3
$240
$132
2012
1
$240
$240
Hospital Care, Additional Day (Level 2)
2014
6
$135
$70
2013
5
$135
$54
Hospital Care, High Severity
2013
12
$335
$111
Hospital Care, Low Severity
2014
1
$190
$99
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