WHAT: Six New Jersey doctors are being sued by Aetna over medical bills it calls “unconscionable,” including $56,980 for a bedside consultation and $30,000 for a caesarean birth.
WHO: One Jersey City cardiologist billed $54,600 for a heart catheterization, up from $5,500 for the same procedure in 2007. His price for cardiac stress tests jumped tenfold to $15,850 between 2008 and 2010, Aetna’s suit claims.
WHY IT’S IMPORTANT: The lawsuits could help clarify pricing limits on “out of network” physicians who theoretically can bill insurers for anything they can get away with. Prior similar lawsuits have failed.