UPP Anatomic Pathology Pricing
Consults with IHC's
Consults range in price from $150.00 to $650.00 based on the complexity of the case and includes IHC's performed.
|Level I||Consult with slide review only - less than 4 H&E's||$150|
|Level II||Consult with 4-10 H&E's, or up to 3 special stains||$250|
|Level III||Consult with 4 to 7 special stains||$375|
|Level IV||Consult with 8 to 11 special stains||$550|
|Level V||Consult with 12 or more special stains||$650|
Note: This pricing is intended to be a general guideline. Final consultation charge is determined by the consulting pathologist and is based on pathologist time and complexity of case.
Tests sent to the FISH/ISH Lab as well as molecular testing are not included and are separate charges.
Payment for Services - UPP Pathology
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:
University of Pittsburgh Physicians
P.O. Box 7406
Pittsburgh, PA 15213
Third Party Billing/Billing Patient Insurance
Complete patient demographic and insurance information must be sent along with the specimen. UPP Pathology will attempt to bill the patient's insurance and collect payment. We must also be a participating provider with the insurance. UPP Pathology participates with Medicare and other major insurers, however, the submitting institution is responsible for verifying the insurance and coverage prior to sending. Please check with the patient's insurance before sending the specimen for review. 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.
Demographic material should include enough information to sufficiently register the patient. Demographics include the following: patient full name and date of birth, complete address and telephone number, insurance name and address, insurance ID number, group number, and complete address and contact telephone number. Please be HIPAA compliant when sending the information.
Fresh Tissue Specimens and Specialized Testing
All specialized testing (ordered without a consult) 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.
Download the Specimen Collection Requirements Manual, effective 2017, here.