Sutter Health, a non-profit health system operating in Northern California, has agreed to settle a class action lawsuit for $11 million. The allegations involved fraudulent billing for anesthesia services that were either not provided, double-billed, or described dishonestly. The lawsuit benefits self-funded payers, including California citizens and state and local government entities, who paid Sutter Health for anesthesia services between January 1, 2003, and December 31, 2013. The lawsuit claimed that Sutter Health's deceptive billing practices resulted in these payers overpaying for anesthesia services. This lawsuit comes after a string of legal troubles for Sutter Health. In March 2021, the health system agreed to pay $575 million in an antitrust settlement over allegations of anticompetitive contracting practices with major health insurance companies. In February 2022, another antitrust class action was filed, accusing the company of unfair practices in rural areas of Northern California. While Sutter Health has not admitted any wrongdoing, these cases highlight a trend of questionable business practices within the healthcare industry. The anesthesia billing settlement allows affected parties to receive a cash payment based on the number of active participants in their plan from 2003 through 2013 that they list on their claim form.