Pricing transparency gets cloudier as health care costs soar

Earlier this fall, Highmark Inc. paid Pittsburgh Cardiovascular Institute $581 for doing a nuclear stress test for a patient. The insurer compensated UPMC Monroeville $1,540 for the same procedure — a common measure of how well the heart is working — in another patient.

Pittsburgh Cardiovascular Institute
200 James Place, 1st Floor
Monroeville, PA 15146
Phone: 412-372-2035 Fax: 412-229-1432

Our Doctors

Name: Samir Shah, MD, F.A.C.C.
Medical Associate, Pittsburgh Cardiovascular Institute
Internal Medicine, Cardiovascular Disease and Interventional Cardiology
Education: Doctor of Medicine, Medical College of Baroda, India
United Hospitals Medical Center, New Jersey, USA
Western Pennsylvania Hospital, Pittsburgh, PA, USA
Affiliations: The American Medical Society
The American College of Physicians
Fellow, American College of Cardiology

Dr. Shah completed his internship in cardiology at the United Hospitals Medical Center in New Jersey, as well as his residency and fellowship in Cardiology at the Western Pennsylvania Hospital, in Pittsburgh, PA. He is board certified in the fields of internal medicine, cardiovascular disease, interventional cardiology, and nuclear cardiology. Dr. Shah's training also included computer methods for analysis of perfusion imaging studies, including single-photon emission computed tomography (SPECT) and ejection fraction and regional wall motion measurements from radionuclide angiographic studies. Dr. Shah also has extensive experience in all modalities of heart catheterization and vascular angiography, and is a leader in the area of Pittsburgh in interventional cardiology (all modalities of coronary stenting, etc.).


Committed to modern-day, outpatient medicine, Dr. Shah is the head of the Department of Nuclear Diagnostic Testing at Pittsburgh Cardiovascular Institute and Med Health Services. He holds active privileges at the Western Pennsylvania Hospital, the Western Pennsylvania Hospital Forbes Regional Campus, UPMC St. Margaret Hospital and the Armstrong County Medical Center in Kittanning.


Name: Benedict Pilar Mariano, Jr., MD
Medical Associate, Med Health Services

Education: Doctor of Medicine, University of Santo Tomas Medical School, Manila, Philippines
St. Mary’s Hospital, Minneapolis, Minnesota
St. Francis General Hospital, Pittsburgh, Pennsylvania
Mallinckrodt Institute of Radiology, Barnes Hospital Complex, St. Louis, Missouri
American Medical Association
Pennsylvania Medical Association
Westmoreland County Medical Society
American College of Radiology
Radiological Society of North America
Pittsburgh Roentgen Society
Philippine Radiological Society in USA
University of Santo Tomas Medical Alumni Association

Dr. Mariano completed his medical residency at Santo Tomas Medical School Hospital in the Philippines. He moved to the United States in 1959 and completed a Rotating Internship at St. Mary’s Hospital in Minneapolis. Dr. Mariano then came to Pittsburgh to complete his residency in radiology at St. Francis General Hospital, and moved on to the Mallinckrodt Institute of Radiology for his fellowship in vascular and interventional radiology.


In addition to working as a reading radiologist for Med Health Services, Dr. Mariano has been on staff at the Mercy Jeannette Hospital’s Department of Medical Imaging for more than thirty years now. He has also held privileges at the Western Pennsylvania Hospital, and worked in private practice as well.



Name: Carlos A. Borzutzky, MD
Medical Associate, Med Health Servicess
Diagnostic Radiology with Special Competence in Nuclear Medicine
Education: Doctor of Medicine, University of Chile School of Medicine, Santiago, Chile
University of Pittsburgh Medical Center, Pittsburgh, PA
Medical Publications: "Renal Cell Carcinoma presenting as a 'Hot' Lesion in theKidney, with 'Cold' Metastases in the Skeleton," Clinical Nuclear Medicine, October 1985.
"Tc 99m MDP Accumulation in Malignant Ascites," Clinical Nuclear Medicine, October 1985.
"The Predictive Value of HAPS," JNM, October 1985

Dr. Carlos A. Borzutzky, commonly referred to by colleagues as “Dr. B,” completed his medical residency in Pediatric Radiology at the Exequiel Gonzalez Cortes Children’s Hospital in Santiago, Chile. Shortly thereafter, he moved to the United States in 1971 and completed a second residency in pediatrics at the Beth Israel Medical Center in New York city and in diagnostic radiology in 1976 at the University of Pittsburgh’s Montefiore Hospital. Dr. B then pursued his fellowship in Nuclear Medicine at the Mercy Hospital of Pittsburgh from 1984-1985.


In addition to working as a reading radiologist for Med Health Services, Dr. Borzutzky has been on staff at Jefferson Regional Medical Center, Pittsburgh Specialty Hospital, Elwood City Hospital, Penn Vascular Lab and Ohio Valley Hospital. He also specializes in teleradiology and works in private practice as well.


Dr. B is licensed to practice medicine in Pennsylvania, Ohio and West Virginia.