Hospital Care History

Year
Total Treatments
Average Cost
Amount Covered

Hospital Care, Additional Day (Level 1)

2014
16
$75
$39
2013
9
$75
$36

Hospital Care, Additional Day (Level 2)

2014
8
$137
$71
2013
10
$137
$64

Inpatient Care, Moderate Severity

2013
1
$323
$189

Hospital Care, Low Severity

2014
11
$192
$93
2013
3
$192
$97

Hospital Care, Moderate Severity

2014
10
$260
$135
2013
1
$260
$132

Hospital Care, Additional Day (Level 3)

2014
4
$197
$102
2013
2
$197
$99

Hospital Care, High Severity

2013
1
$335
$194