Aetna sues over $59K ultrasound bill

March 24, 2011
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AFFORDABLE TEXAS HEALTH INSURANCE PLANS

Hartford managed care provider Aetna Inc. is suing six New Jersey doctors over medical bills it calls “unconscionable,” including $56,980 for a bedside consultation and $59,490 for an ultrasound that typically costs $74, Bloomberg News reports.

The lawsuits could help determine what pricing limits insurers can impose on “out-of-network” physicians who don’t have contracts with health plans that spell out how much a service or procedure can cost, the online news service said.

One defendant billed $30,000 for a Caesarean birth, and another raised his fee for seeing a critically ill patient in a hospital to $9,000 in 2008 from $500 the year before, the insurer alleges in the suits. The Caesarean price was more than 10 times the in-network amount Aetna quotes on its website.

“If these charges are accurate, consumers and purchasers should be outraged,” said David Lansky, president of the San Francisco-based Pacific Business Group on Health, a coalition of health-insurance buyers that includes Chevron Corp., Walt Disney Co. and General Electric Co.

Lawyers for the doctors declined to comment on specific charges in the suits, and said their clients did nothing wrong, Bloomberg reports.

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4 Responses to Aetna sues over $59K ultrasound bill

  1. Admin on March 24, 2011 at 5:34 pm

    WHY would Aetna do that?

  2. Danielsen on April 12, 2012 at 4:11 am

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  3. Kanchan on April 23, 2012 at 12:43 pm

    Most places will give you a free quote, menanig no charge for it. if you want an accurate quote though, they will have to run your credit, which should still be of no charge to you. And they don’t just run a regular credit report, each company has their own matrix and a copy of your credit report will be of no use to them. anyplace that charges you is a place to stay away from!

  4. Wanzoo on April 25, 2012 at 4:14 am

    Howard L / There is no outstanding bill. Either his innusarce was canceled and he is driving illegally or he paid in advance for the coverage and only hasn’t paid the request for renewal bill. Insurance companies to not give you innusarce on credit.