Emergency room doctors say that they're going to get shafted by new federal rules aimed at reining in out-of-pocket costs for patients.

The rules, part of the Patient Protection and Affordable Care Act, require insurers to pick up a "reasonable" portion of the cost of emergency medical services when their members receive treatment at an out-of-network hospital.

But Kaiser Health News reports that the American College of Emergency Physicians and the Emergency Department Practice Management Association insist that the definition of "reasonable" allows insurers far too much room to avoid paying hospitals what they deserve. And as a result, they argue, they are forced to push more costs onto the consumer.

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