Hospital Care History

Year
Total Treatments
Average Cost
Amount Covered

Observation, High Severity

2013
1
$350
$182

Hospital Care, Moderate Severity

2014
2
$490
$149
2013
3
$490
$146

Hospital Care, High Severity

2014
1
$610
$220
2013
4
$610
$219

Hospital Care, Additional Day (Level 1)

2014
1
$200
$46
2013
3
$200
$46

Hospital Care, Additional Day (Level 2)

2014
10
$245
$80
2013
10
$245
$81

Hospital Care, Additional Day (Level 3)

2014
8
$360
$113
2013
14
$360
$112

Hospital Discharge Management

2013
1
$220
$78