Hospital Care History

Year
Total Treatments
Average Cost
Amount Covered

Hospital Care, Moderate Severity

2014
1
$315
$156
2013
4
$315
$154
2012
1
$315
$151

Hospital Discharge Management

2013
6
$235
$68
2012
1
$235
$80

Hospital Care, Additional Day (Level 1)

2013
69
$210
$46
2012
16
$210
$44

Observation, Discharge Management

2013
1
$200
$49

Observation, High Severity

2013
1
$335
$179

Observation, Moderate Severity

2013
1
$365
$128

Hospital Care, High Severity

2013
5
$252
$136

Hospital Care, Additional Day (Level 2)

2014
1
$260
$83
2013
5
$260
$82

Hospital Care, Additional Day (Level 3)

2013
3
$105
$40

Observation, Low Severity

2014
1
$260
$66