Hospital Care History

Year
Total Treatments
Average Cost
Amount Covered

Observation, Discharge Management

2013
2
$100
$100
2011
1
$100
$93

Observation, Moderate Severity

2014
1
$160
$160
2013
2
$160
$160

Observation, High Severity

2013
1
$221
$221

Hospital Care, Additional Day (Level 3)

2014
1
$130
$130

Hospital Care, Moderate Severity

2011
1
$200
$167

Hospital Care, Additional Day (Level 2)

2011
2
$85
$85

Hospital Discharge Management

2011
1
$100
$93