Updated
Updated · The New York Times · Jun 29
Surgical Assistants Win Up to 25 Times Surgeons' Pay Through Surprise-Billing Arbitration
Updated
Updated · The New York Times · Jun 29

Surgical Assistants Win Up to 25 Times Surgeons' Pay Through Surprise-Billing Arbitration

1 articles · Updated · The New York Times · Jun 29

Summary

  • $50,456 went to a surgical assistant for a March prostate removal in Dallas, while the surgeon who accepted the patient's insurance was paid $1,843.
  • The gap stems from a surprise-billing law that lets out-of-network assistants seek arbitration and argue for payments far above standard insurer rates.
  • Most insurers typically pay assistants about 16% of a surgeon's fee, but New York Times-reviewed data showed some assistants collecting far more—including $196,566 for a scoliosis surgery in New York.
  • The payouts highlight how a patient-protection measure has created a lucrative loophole for some bedside assistants, who handle tasks such as positioning robotic arms, suctioning fluids and changing instruments.

Insights

How did a law protecting patients lead to assistants earning 25 times more than the surgeons they assist?
With firms now 'weaponizing' arbitration, can new rules stop the exploitation of this patient protection law?