| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEOnline script / referral | Upfront Fee$30.00 | Medicare Rebate$0.00 | Out of Pocket Gap$25.00 |
CONSULTS
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPELevel A consulting rooms | Upfront Fee$0.00 | Medicare Rebate$20.55 | Out of Pocket Gap$0.00 |
| TYPELevel B consulting rooms | Upfront Fee$105.00 | Medicare Rebate$45.05 | Out of Pocket Gap$59.95 |
| TYPELevel C consulting rooms | Upfront Fee$190.00 | Medicare Rebate$87.10 | Out of Pocket Gap$102.90 |
| TYPELevel D consulting rooms | Upfront Fee$275.00 | Medicare Rebate$128.35 | Out of Pocket Gap$146.65 |
| TYPELevel E consulting rooms | Upfront Fee$380.00 | Medicare Rebate$207.90 | Out of Pocket Gap$172.10 |
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
| TYPENurse Practitioner Level B | Upfront Fee$80.00 | Medicare Rebate$27.80 | Out of Pocket Gap$52.20 |
| TYPENurse Practitioner Level C | Upfront Fee$125.00 | Medicare Rebate$52.55 | Out of Pocket Gap$72.45 |
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
| TYPEMental Health Care Plan 20 – 40 minutes | Upfront Fee$190.00 | Medicare Rebate$108.95 | Out of Pocket Gap$81.05 |
| TYPEMental Health Care Plan > 40 minutes | Upfront Fee$275.00 | Medicare Rebate$160.50 | Out of Pocket Gap$114.50 |
| TYPEGP Chronic Condition Management Plan | Upfront Fee$230.00 | Medicare Rebate$160.60 | Out of Pocket Gap$69.40 |
| TYPEGP Chronic Condition Management Review | Upfront Fee$230.00 | Medicare Rebate$160.60 | Out of Pocket Gap$69.40 |
| TYPEHealth Assessments | Upfront Fee$0.00 | Medicare Rebate$321.75 | Out of Pocket Gap$0.00 |
| TYPEHeart Health Check | Upfront Fee$215.00 | Medicare Rebate$87.10 | Out of Pocket Gap$127.90 |
| TYPEMenopause Health Check | Upfront Fee$230.00 | Medicare Rebate$104.55 | Out of Pocket Gap$125.45 |
PREGNANCY
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEAntenatal Care – Routine | Upfront Fee$130.00 | Medicare Rebate$48.00 | Out of Pocket Gap$82.00 |
| TYPEPostnatal check | Upfront Fee$190.00 | Medicare Rebate$72.95 | Out of Pocket Gap$117.05 |
| TYPEPregnancy counselling | Upfront Fee$0.00 | Medicare Rebate$91.65 | Out of Pocket Gap$0.00 |
| TYPETermination of pregnancy | Upfront Fee$130.00 | Medicare Rebate$43.90 | Out of Pocket Gap$86.10 |
NON-MEDICARE SRVICES
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEFire medical – operational and non-operational | Upfront Fee$250+gst | Medicare Rebate | Out of Pocket Gap$275.00 |
| TYPEFire medical – office based | Upfront Fee$125+gst | Medicare Rebate | Out of Pocket Gap$137.50 |
| TYPEEmployment medical | Upfront Fee$210+gst | Medicare Rebate | Out of Pocket Gap$231.00 |
| TYPECommercial Drivers medical | Upfront Fee$210+gst | Medicare Rebate | Out of Pocket Gap$231.00 |
| TYPESpeedway medicals | Upfront Fee$210+gst | Medicare Rebate | Out of Pocket Gap$231.00 |
| TYPEFirearms health assessment (standard) | Upfront Fee$315+gst | Medicare Rebate | Out of Pocket Gap$346.50 |
| TYPENon-consult paperwork | Upfront Fee$120+gst | Medicare Rebate | Out of Pocket Gap$132.00 |
| TYPEDocument certification per document | Upfront Fee$15+gst | Medicare Rebate | Out of Pocket Gap$16.50 |
TESTS
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEECG with report | Upfront Fee$0.00 | Medicare Rebate$24.65 | Out of Pocket Gap$0.00 |
| TYPEUrine Pregnancy Test | Upfront Fee$0.00 | Medicare Rebate$8.65 | Out of Pocket Gap$0.00 |
| TYPESpirometry | Upfront Fee$80.00 | Medicare Rebate$38.05 | Out of Pocket Gap$41.95 |
| TYPEHeart Bug Long-Term ECG Setup | Upfront Fee$75.00 | Medicare Rebate$0.00 | Out of Pocket Gap$75.00 |
PROCEDURES
INJECTIONS
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPECortisone injection | Upfront Fee$240.00 | Medicare Rebate$87.10 | Out of Pocket Gap$152.90 |
| TYPEFerinject infusion | Upfront Fee$210.00 | Medicare Rebate$52.55 | Out of Pocket Gap$157.45 |
CONTRACEPTION
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEImplanon insertion | Upfront Fee$0.00 | Medicare Rebate$121.69 | Out of Pocket Gap$0.00 |
| TYPEImplanon removal | Upfront Fee$0.00 | Medicare Rebate$127.51 | Out of Pocket Gap$0.00 |
| TYPEMirena insertion | Upfront Fee$0.00 | Medicare Rebate$261.79 | Out of Pocket Gap$0.00 |
| TYPEMirena removal | Upfront Fee$0.00 | Medicare Rebate$36.80 | Out of Pocket Gap$0.00 |
Gap fees for skin lesion removal are $230. Please note the gap fee portion is the out-of-pocket amount after your Medicare rebate. These fees include all consumables, post-procedural follow-up and aftercare, takehome aftercare pack where required, nursing care and removal of sutures. Some additional follow-up services, such as wound breakdown repairs or when results indicate additional margins are required, will be bulk-billed.
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEDiagnostic biopsy of skin (punch biopsy) | Upfront Fee$120.00 | Medicare Rebate$53.20 | Out of Pocket Gap$66.80 |
| TYPEDiagnostic biopsy of mucous membrane | Upfront Fee$120.00 | Medicare Rebate$53.20 | Out of Pocket Gap$66.80 |
Area 1 – nose, eyelid, eyebrow, lip, ear, digit, genitalia
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEBCC / SCC < 6mm | Upfront Fee$455.20 | Medicare Rebate$225.20 | Out of Pocket Gap$230.00 |
| TYPEBCC / SCC > 6mm | Upfront Fee$505.60 | Medicare Rebate$288.45 | Out of Pocket Gap$230.00 |
Area 2 – face, neck, scalp, nipple, distal upper, lower limb
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEBCC / SCC < 14mm | Upfront Fee$419.95 | Medicare Rebate$189.95 | Out of Pocket Gap$230.00 |
| TYPEBCC/SCC > 14mm | Upfront Fee$478.50 | Medicare Rebate$248.50 | Out of Pocket Gap$230.00 |
Area 3 – body
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEBCC / SCC < 15mm | Upfront Fee$391.05 | Medicare Rebate$161.05 | Out of Pocket Gap$230.00 |
The following procedures are follow-up services after a previous excision is confirmed as a melanoma. These services will be bulk-billed.
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEMelanoma completely excised Area 1 > 6mm | Upfront Fee$0.00 | Medicare Rebate$363.25 | Out of Pocket Gap$0.00 |
| TYPEMelanoma completely excised Area 2 < 14mm | Upfront Fee$0.00 | Medicare Rebate$314.10 | Out of Pocket Gap$0.00 |
OTHER SMALL PROCEDURES
| TYPE | Upfront Fee | Medicare Rebate | Out of Pocket Gap |
|---|---|---|---|
| TYPEBurns dressing (1-3% body) | Upfront Fee$0.00 | Medicare Rebate$37.00 | Out of Pocket Gap$0.00 |
| TYPECryotherapy any skin lesion < 10 lesions | Upfront Fee$0.00 | Medicare Rebate$0.00 | Out of Pocket Gap$0.00 |
Medicare rebates are available under GP Management Plan referrals. NDIS patient accepted – a gap fee may be applicable, please discuss directly with your health professional.
ALLIED HEALTH CONSULTS
| TYPE | Out of Pocket Gap |
|---|---|
| TYPEPaediatric OT Initial assessments – 90 minutes | Out of Pocket Gap$375.00 |
| TYPEPaediatric OT Treatment appointment – 60 minutes | Out of Pocket Gap$250.00 |
| TYPEPaediatric OT Review & education (face-to-face or telehealth) – 30 minutes | Out of Pocket Gap$125.00 |
| TYPEClinical Psychology >50 minutes | Out of Pocket Gap$300.00 |