St. Clair Outpatient Center now accepting Highmark

Published Jul 25, 2013 at 12:49 pm (Updated Jul 31, 2013 at 4:20 pm)

Patients with Highmark health insurance who wished diagnostic services and tests at the recently opened St. Clair Hospital Outpatient Center in Peters Township, may now schedule appointments, as the hospital and Highmark Health Services announced an agreement July 24.

Those with Highmark insurance will now be considered in-network, not only at the Peters Township center along Washington Road, but at the hospital and all of its outpatient centers.

“St. Clair is pleased that we have reached a fair and equitable agreement with Highmark,” said James M. Collins, president and chief executive officer of the hospital. “We are looking forward to continuing to be a participating provider in all Highmark products.”

The 40,000-square-foot outpatient center in Peters Township opened at the end of May and offers diagnostic services on the first floor and houses physicians offices on the second floor. There is also a small cafe on the first floor.

Until the agreement was announced, Highmark insurance was not accepted for the diagnostic services such as laboratory, X-ray or other medical imaging procedures.

“Highmark is pleased that the new contract with St. Clair achieves an important balance, reimbursing the institution to provide necessary care to Highmark Health members, while also recognizing the need to maintain comprehensive and affordable health benefit programs for Highmark Health customers,” said Michael Fiaschetti, president of Health Markets for Highmark Health Services. “As health care costs continue to rise, we need to continue to work with all health care providers to reach mutually acceptable agreements that are in the community’s best interest.”

Fiaschetti went on to say that Highmark “is committed to working with community hospitals to support improvements in health care that will enable them to remain independent, and will assure affordable access to quality medical care for its members” in community hospitals.

St. Clair is an independent hospital based in Mt. Lebanon, and cares for more than 400,000 residents annually. There are more than 550 physicians in the system with more than 2,000 employees, making the hospital the largest employer in the South Hills section of Pittsburgh.

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