In 2012, Aetna sued Humble Surgical Hospital for charging 10-times market rates on out-of-network procedures. The insurance company contended Humble Surgical Hospital offered discounts to out-of-network patients so their fees were similar to in-network patients, but billed Aetna higher rates as an out-of-network provider.
The hospital’s lawyer said Humble Surgical plans to file an appeal. Humble Surgical Hospital was involved in similar cases with Cigna, in which the court ruled in Humble Surgical’s favor.
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