Item

Service provided

Fee

1. 

For a private patient who is –

(a) an advanced surgical patient –

(i) the first 14 days

$333

$501

(ii) each subsequent day

$231

$393

(b) a surgical/obstetric patient –

(i) the first 14 days

$308

$480

(ii) each subsequent day

$231

$393

(c) a psychiatric patient –

(i) the first 42 days

$308

$480

(ii) the next 23 days

$268

$430

(iii) each subsequent day

$231

$393

(d) a rehabilitation patient –

(i) the first 49 days

$308

$480

(ii) the next 16 days

$268

$430

(iii) each subsequent day

$231

$393

(e) a same-day patient –

Band 1: Gastro-intestinal endoscopy, certain minor surgical items and non-surgical procedures that do not normally require an anaesthetic

$193

.....

Band 2: Procedures (other than Band 1) carried out under local anaesthetic, no sedation, if actual time in theatre is less than one hour

$230

.....

Band 3: Procedures (other than Band 1) carried out under general or regional anaesthesia or intravenous sedation, if actual time in theatre is less than one hour

$267

.....

Band 4: Procedures carried out under general or regional anaesthesia or intravenous sedation, if actual time in theatre is one hour or more

$308

.....

(f) any other patient –

(i) the first 14 days

$268

$430

(ii) each subsequent day

$231

$393

2. 

For an admitted patient who is a compensable patient

$740

.....

3. 

For a person whose injury or disease is one for which the Defence Forces of the Commonwealth accept responsibility

$322

.....

4. 

For an ineligible person who is a non-resident of Australia

$740

.....

5. 

For a person receiving a diagnostic imaging service specified in the general medical services table

the fee specified in that table for that service  (in addition to any fee payable under items 1, 2, 3 or 4 of this Part)

6. 

For a person receiving a diagnostic imaging service specified in the pathology services table

the fee specified in that table for that service  (in addition to any fee payable under items 1, 2, 3, 4 or 5 of this Part)

7. 

For a person receiving a diagnostic imaging service specified in the diagnostic imaging services table

the fee specified in that table for that service (in addition to any fee payable under items 1, 2, 3, 4, 5 or 6 of this Part)

1. 

For a non-admitted patient who is a compensable patient

$76 (each service)

2. 

For a person whose injury or disease is one for which the Defence Forces of the Commonwealth accept responsibility

$76 (each service)

3. 

For a person receiving a medical service specified in the general medical services table

the fee specified in that table for that service (in addition to any fee payable under item 1 of this Part)

4. 

For a person receiving a medical service specified in the pathology services table

the fee specified in that table for that service (in addition to any fee payable under item 1 or 3 of this Part)

5. 

For a person receiving a medical service specified in the diagnostic imaging services table

the fee specified in that table for that service (in addition to any fee payable under item 1, 3 or 4 of this Part)

6. 

For the supply of a pharmaceutical item to –

(a) a person who holds a valid Health Care Card, Pensioner Concession Card or Seniors Health Card

$4.90 (each item) if the concessional beneficiary safety net is not reached

no fee (for any item) if the concessional beneficiary safety net is reached

(b) a person who holds a valid White Card, Gold Card or Orange Card

$4.90 (each item) if the concessional beneficiary safety net is not reached

no fee (for any item) if the concessional beneficiary safety net is reached

(c) any other person

a maximum of $24.60 (each item) if the general patient safety net is not reached

$4.90 (each item) if the general patient safety net is reached

7. 

For the provision of a wrist support, elbow support, neck collar (soft or reinforced), Philadelphian collar, knee support (pull-on type), torn-ligament support (jointed or unjointed), post-operative knee immobiliser, hinged knee cap, ankle support, abdominal support or similar non-consumable aid or appliance to –

(a) a person who holds a valid Health Care Card, Pensioner Concession Card or Seniors Health Card

no fee

(b) any other person

optional fee (the cost of providing the aid or appliance)

1. 

For the provision of a plaster cast, surgical boot, splint, prosthesis or similar aid or appliance to a person –

optional fee (the cost of providing both the service and the aid or appliance)

(a) who is not a public patient; and

(b) who is not eligible under the State program known as the Community Equipment Scheme for assistance in respect of the provision of such aids and appliances; and

(c) who is referred to a public hospital by a registered medical practitioner