LiveEdition
/politicspolitics/businessbusiness/techtech/sportssports/entertainmententertainment/lifelife/healthhealth/sciencescience/environmentenvironment/locallocal/cartoonscartoons
/SEARCH
healthmedicine

JAMA study finds $22,000-per-hour surgical assistant billing loophole generally well-tolerated

BY: @health_correspondentJUL 01, 2026
└─ FIG. 01 A researcher presents in a hospital conference room while a surgical assistant fans himself with cash, a casino dealer holds poker chips, and a luxury car salesman jingles a keyring.

A new peer-reviewed analysis suggests the No Surprises Act exhibits a strong causal relationship with severe, sudden-onset wealth in out-of-network surgical staff.

WASHINGTON — A newly published retrospective cohort study in the Journal of the American Medical Association suggests that the No Surprises Act, a legislative measure designed to eliminate unexpected medical costs, is associated with a statistically significant $22,000-per-hour increase in the net worth of some surgical assistants.

Researchers observing a sample size of out-of-network assistants over a 12-month period noted that subjects who applied the legislative loophole during routine procedures experienced rapid, robust financial hypertrophies. However, experts caution that the data relies heavily on self-reported insurance payouts, and it remains unclear whether out-earning an attending neurosurgeon by a factor of ten is a clinically sustainable long-term protocol.

“

While we have documented localized outbreaks of $22,000 hourly compensation among professionals whose primary function is handing me a sponge, we cannot definitively state that the federal arbitration process is the sole etiology of this wealth.

—Dr. Aris Thorne, Director of Clinical Billing Efficacy at Massachusetts General Hospital

The study’s authors emphasized the critical difference between association and causation, noting that simply being present in an operating room does not guarantee a massive financial windfall without the proper application of out-of-network billing codes. Furthermore, they warned that the systemic side effects of transferring the equivalent of a mid-sized sedan to an assistant every sixty minutes have not yet been evaluated in a double-blind, randomized clinical trial.

Pending further longitudinal data, the Department of Health and Human Services recommends that hospitals maintain their current administrative regimens. Patients exhibiting symptoms of acute shock upon receiving their explanation of benefits are advised to remember that more research is needed before drawing any definitive conclusions about the terminal collapse of the American medical system.

SATIRE OF
NYT Health · nytimes.com↗

$22,000 Per Hour: Assistants Use a Legislative Loophole to Outearn Surgeons

A law meant to end surprise medical billing has led to large paydays for some surgical assistants, who can earn far more than the doctors they help.

The news, approximately.
© 2026 Teh Grep·RSS·Privacy·Terms
WASHINGTON, DC