Insurance Information for UPMC in Central Pa. Patients

Notice: COVID-19 Testing Pricing

The Coronavirus Aid, Relief, and Economic Security (CARES) Act requires providers to list the “cash price” of COVID-19 tests on their public websites. UPMC’s standard charge for a COVID-19 diagnostic lab test is $155. If you have insurance, most plans will waive cost-sharing for COVID-19 testing, so there should be no out-of-pocket cost to you for this test. Please contact your insurer if you have questions about your plan. Similarly, if you do not have insurance you will not have an out-of-pocket cost for the COVID-19 diagnostic lab test. The CARES Act provides a financial support mechanism for hospital and providers that conduct COVID-19 diagnostic testing on uninsured patients during the public health emergency.

All UPMC in central Pa. locations accept most major health insurances, including Aetna, Capital Blue Cross, Highmark, and UPMC Health Plan.

Understanding Your Health Insurance Coverage

Always check with your insurer about your coverage before making an appointment or receiving non-emergency care. Verify that you are covered for the practice, the individual provider, and the procedure. Some insurance plans require members to use specific labs, or to obtain a referral or authorization before certain types of care.

View List of Insurances We Accept by Hospital (PDF)

Physician Practices

Insurance accepted by our physician practices may vary by practice. It is important to verify your coverage in advance of your appointment.

Insurance Cards and Forms

Be prepared to show photo ID and your insurance card each time you visit one of our hospitals or physician offices. We may ask you to sign documents as needed, because specific signed forms for each admission are required by insurance companies in order for payment to be made.

Billing by Other Providers

As a result of your care, you may receive bills from providers not employed by UPMC in central Pa. These include Quantum Imaging Radiology, Riverside Anesthesia, Pediatrix Medical Group (neonatologists), Pathology Associates of Central PA, community ambulance services, and others. If you expect that you may receive services from one of these providers, you should check in advance with your insurer about coverage.