Payment for Services - UPP Pathology

Consults with IHC's

For 2014 oour consults range in price from $150.00 to $650.00 based on the complexity of the case and includes IHC's performed. Final consultation charge is determined by the consulting pathologist. We have two methods of billing as follows:

Client Invoicing to Referring Institution

For consultation services to be paid by your institution, you will receive one bill for both the professional and technical services from the University of Pittsburgh Physicians Pathology Department (UPP). Invoices are issued by our finance department every two weeks and payment is due within 30 days of receipt. When an institution is invoiced directly, we do not provide corresponding CPT codes for the services. We will provide a copy of the completed pathology report for your coding staff to review and assign appropriate CPT codes. Our payment address is:

    UPP Pathology
    University of Pittsburgh Physicians
    P.O. Box 7406
    Pittsburgh, PA 15213
    Fax: 412-648-9691

    University of Pittsburgh Physicians
    Department of Pathology Tax ID is: 23-2919472

IIn addition to checks, we will accept all major credit cards. Please contact Pathology Finance at 412-648-2306 when paying by credit card. For credit card payments, please be prepared to provide the following: type of card (Visa, Mastercard, etc.), expiration date, credit card number, card holder's name, CVD number, and the address/fax number where the receipt is to be sent. Please be sure to provide identifying case information so the appropriate account is credited.

Third Party Billing

When requested, and when complete patient demographic and insurance information has been sent along with the specimen, UPP Pathology will attempt to bill the patient's insurance and collect payment. However, we must also be a participating provider with the insurance. UPP Pathology participates with Medicare, Highmark Blue Cross/Blue Shield, and most major insurers. If the patient's insurance is an HMO, please provide an authorization number with the insurance information. The NPI number of the referring physician is also required. We regret, but, at this time, we can accept only Pennsylvania, West Virginia, and Ohio State Medical Assistance. If payment is denied by the patient's insurance, your institution will be invoiced for the services and will be considered responsible for payment. Please ensure you or your institution inform the patient that they will be responsible for any co-pay, coinsurance, or deductible that their insurance may require.

Fresh Tissue Specimens and Specialized Testing

We will attempt to bill fresh tissue specimens to the patient's insurance when we have received sufficient patient information and we are participating with the insurance. In the event that the service is denied, you will be responsible for payment of two invoices: one from the hospital where your specimen was submitted for testing for the technical component and one from UPP Pathology for the professional component.

All specialized testing is billed directly to the submitting institution. For these services, please include with your paperwork your billing contact (person approving payment) along with their telephone number and billing address. In addition to checks, we accept all major credit cards. For credit card payments send the following: type of card (Visa, Mastercard, etc.), expiration date, credit card number, card holder's name, CVD number, and the address/fax number where the receipt is to be sent. Please see each specialty's web page for specifics on the technical component billing and pricing.