Hospital Care History

Year
Total Treatments
Average Cost
Amount Covered

Hospital Care, Moderate Severity

2012
1
$175
$115

Hospital Care, Additional Day (Level 2)

2012
1
$160
$60

Hospital Care, Additional Day (Level 1)

2013
11
$118
$35
2012
17
$125
$35

Hospital Care, Additional Day (Level 3)

2012
2
$236
$85