HCR Update from Mark Sanna: A health insurance industry report to be released today highlights the exorbitant fees charged by some doctors to out-of-network patients. The report, by America’s Health Insurance Plans contrasts some of the highest bills charged by non-network providers in 30 states with Medicare rates for the same services. Some of the charges, the insurers assert, are 30, 40 or nearly 100 times greater than Medicare rates.