Compare 105 cardiothoracic surgeons in Pittsburgh, PA. Check ratings, insurance, and availability.
105
Cardiothoracic Surgeons
100%
Accepting patients
72%
Most common: MD
Ranked by Clarity Score, based on profile detail, verification, and patient activity.
Pittsburgh is a UPMC town, and there is no getting around it. UPMC is one of the largest nonprofit health systems in the country, and it functions as both a hospital operator and an insurance company. Allegheny Health Network (AHN), backed by Highmark Blue Cross, provides the main alternative. The rivalry between UPMC and Highmark shapes nearly every healthcare decision a Pittsburgh resident makes.
Pittsburgh has 105 cardiothoracic surgeons. The most common credential is MD (72%). 100% are currently accepting new patients. Practitioners see patients in neighborhoods including Shadyside, Squirrel Hill, Lawrenceville, and Strip District.
The Oakland neighborhood is Pittsburgh's medical hub, home to UPMC Presbyterian, UPMC Magee-Womens, and UPMC Children's. Allegheny General Hospital sits on the North Side. Pittsburgh's geography (rivers, bridges, hills) makes cross-city travel unpredictable, so most residents choose the hospital system closest to their neighborhood. The T light rail connects South Hills communities to downtown, but bus routes are the primary transit option for hospital access.
Nearby hospitals include UPMC Presbyterian, UPMC Shadyside, and Allegheny General Hospital. Local training programs run through University of Pittsburgh School of Medicine and Carnegie Mellon University. UPMC is one of the largest nonprofit health systems in the US, employing over 95,000 people.
The Pittsburgh insurance market is a two-player game: UPMC Health Plan and Highmark Blue Cross Blue Shield. Employer plans typically align with one system. On the ACA marketplace, both plans compete on price and network breadth. Medicaid managed care is served by UPMC for You, Highmark Wholecare (formerly Gateway Health), and AmeriHealth Caritas. Choosing between the two plans is, effectively, choosing between the two hospital systems. 65% accept Medicare.
The consultation includes a review of your cardiac or thoracic imaging, lab work, and previous testing (echocardiograms, cardiac catheterization, CT scans). The surgeon will explain the recommended procedure, expected outcomes, risks, and recovery timeline. For heart surgery, pre-operative testing may include dental clearance, blood typing, and a meeting with the anesthesia team. Recovery from open-heart surgery typically involves several days in the ICU and a total hospital stay of five to seven days.
The first question every new Pittsburgh resident should answer: are you on UPMC insurance or Highmark insurance? Your insurance determines which hospital system and physicians are in-network. This is not optional advice; it is the most important healthcare decision you will make here.
See a cardiothoracic surgeon for coronary artery disease requiring bypass surgery, heart valve disease (aortic stenosis, mitral regurgitation), aortic aneurysms involving the thoracic aorta, lung cancer, esophageal cancer, mediastinal tumors, and pleural conditions. Your cardiologist, pulmonologist, or oncologist will typically make the referral when surgery is being considered.
Consultation copay: $30-75 · Bypass surgery (CABG): $70,000-200,000 · Valve replacement: $50,000-170,000 · VATS lobectomy: $30,000-80,000
Pittsburgh, PA has 105 licensed cardiothoracic surgeons. 100% are currently accepting new patients, so finding an available provider should be straightforward.
Yes. 100% of cardiothoracic surgeons in Pittsburgh, PA are currently accepting new patients. You can filter your search on FindClarity to show only providers who are taking new patients.
The Pittsburgh insurance market is defined by the UPMC Health Plan and Highmark Blue Cross Blue Shield rivalry. Employer plans tend to offer one or the other, rarely both. On the ACA marketplace, UPMC Health Plan and Highmark compete directly. Medicaid is administered through UPMC for You, Highmark Wholecare (formerly Gateway Health), and AmeriHealth Caritas.
A consultation copay is $50 to $100. Coronary artery bypass costs $70,000 to $200,000. Heart valve replacement costs $80,000 to $170,000. Lung lobectomy costs $30,000 to $80,000. Actual costs in Pittsburgh, PA depend on the provider and your insurance plan. Cardiothoracic surgery involves the highest costs in surgery. Hospital stays average five to ten days. Bills include the surgeon, assistant surgeon, anesthesia, perfusionist (heart-lung machine operator), ICU charges, and implants. Confirm all providers are in-network before the procedure.
Pittsburgh healthcare revolves around the UPMC vs. AHN/Highmark divide. UPMC Health Plan members can use UPMC facilities at in-network rates. Highmark members have full access to AHN facilities and limited (though expanding) access to UPMC. Before choosing a primary care doctor, verify that your insurance covers their hospital system.
65% of cardiothoracic surgeons in Pittsburgh, PA accept Medicare. Medicare covers medically necessary cardiothoracic procedures including coronary artery bypass grafting (CABG), valve replacement, and lung cancer surgery. Cardiac rehabilitation after surgery is also covered. You can filter for Medicare-accepting providers on FindClarity.
Some cardiothoracic surgeons in Pittsburgh, PA accept Pennsylvania Medicaid (MA), the state's Medicaid program. Medicaid covers medically necessary cardiothoracic surgery. Prior authorization is required. Coverage includes surgeon, facility, anesthesia, ICU, and post-operative rehabilitation. Contact the provider's office directly to confirm Pennsylvania Medicaid (MA) participation before scheduling.
UPMC and Highmark Blue Cross Blue Shield have been in a long-running business dispute because UPMC operates its own competing insurance plan. As a result, UPMC hospitals and many UPMC physicians are not fully in-network for Highmark insurance members, and vice versa. A consent decree required some continued access, but the terms have evolved. Always verify your coverage before scheduling appointments.
It depends. Under various agreements, some UPMC facilities and physicians remain accessible to Highmark members, particularly for emergency care and certain community hospitals. However, flagship UPMC hospitals like Presbyterian and Shadyside may be out-of-network for Highmark plans. Check with both your insurer and the provider before booking.
Top accepted carriers in Pittsburgh, PA include unitedhealthcare, medicare, centene, qhp-54192, and cigna.
Cardiothoracic surgery is covered under medical insurance for medically indicated conditions. These are complex, expensive procedures that always require prior authorization. Cardiac rehabilitation after surgery is covered by Medicare and most insurance plans (typically 36 sessions). Verify that all members of the surgical team and the hospital are in-network. Hospital stays for heart surgery commonly exceed $100,000 before insurance.