Plastic Surgeons in Pittsburgh, PA

Pittsburgh, PA has 62 licensed plastic surgeons. 100% are currently accepting new patients, so finding an available provider should be straightforward.

Yes. 100% of plastic 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 costs $100 to $250. Breast reconstruction costs $5,000 to $15,000 per stage (often covered by insurance). Rhinoplasty costs $5,000 to $10,000 cosmetic. Skin graft procedures cost $3,000 to $10,000. Actual costs in Pittsburgh, PA depend on the provider and your insurance plan. Reconstructive surgery for medical conditions (post-cancer, congenital defects, trauma) is generally covered by insurance. The Women's Health and Cancer Rights Act requires insurers to cover breast reconstruction. Cosmetic procedures are paid out of pocket. Many surgeons offer payment plans.

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.

63% of plastic surgeons in Pittsburgh, PA accept Medicare. Medicare covers reconstructive plastic surgery when medically necessary, such as breast reconstruction after mastectomy or skin grafts after burns. Cosmetic procedures are not covered. You can filter for Medicare-accepting providers on FindClarity.

Some plastic surgeons in Pittsburgh, PA accept Pennsylvania Medicaid (MA), the state's Medicaid program. Medicaid covers reconstructive surgery deemed medically necessary. Prior authorization is typically required. Cosmetic procedures are excluded from coverage. 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.