Fee Structure

Fee structure: Obstetrics (as of February 1st, 2016)

 

Service Item Number Medicare rebate Our Charge Gap
First antenatal visit 16401 $72.75 $345.00 $272.25
First dating ultrasound 55703 $29.75 $65.00 $35.25
Subsequent antenatal visits 16500

$40.10
$47.15#

$170.00 $129.90
$122.85#
Management of Pregnancy/ Planning for delivery 16590 $275.50
$494.95#
 

Max $4005.00

3 x instalments of $1335.00 from 24 to 32 weeks 

 

$3729.50
$3510.05#
Postnatal visit 16404 $36.55
$43.00#
$95.00 $58.45
$52.00#
Uncomplicated delivery 16519 $520.50 We bill health fund - no gap Nil
Complicated delivery** 16522 $1,222.05 We bill health fund - no gap Nil

 

## Total Gap ~ $5,320 excluding the Medicare 'safety net' rebate.

**A "complicated delivery" is broadly defined, but includes pregnancies complicated by:

  • Multiple pregnancy,
  • Premature birth,
  • Significant diabetes,
  • Significant high blood pressure,
  • Other medical conditions and complications,
  • Placenta praevia,
  • Fetal distress and
  • Prolonged labour

Additional costs for external services:

  1. Ultrasound scans performed by specialised ultrasound services (you will require at least two such ultrasound scans per pregnancy).
  2. Laboratory tests: antenatal screening tests
  3. Hospital accommodation (mostly covered by your Health Fund).  If you are not insured then you can elect to pay for private obstetric care at St George Private Hospital.
  4. Anaesthetists' fees. Can range from approximately $1,500 to over $3,000 for involvement in complicated labours that involve epidurals then caesarean sections. Expect that your Health Fund will refund approximately half of these fees.
  5. Surgical assistants fees for caesarean births
  6. Paediatric service

Fee Structure: Office Gynaecology (as from February 1st, 2016)

 

Service Item Number Medicare rebate Our Charge Gap
First Consulation 104 $72.75 $245.00 $172.25
Subsequent Consultation 105 $36.55 $175.00 $138.45
Insert IUCD 35503 $45.55 $150.00 $104.45
LEEP 35648 $270.90 $680.00 $409.10
Coloscopy 35614 $54.35 $225.00 $170.65
Cervical biopsy 35608 $54.40 $270.00 $215.60
Cryotherapy 30195 $54.00 $155.00 $101.00
Urodynamics 11917 $364.10 $690.00 $325.90
Bladder ultrasound 55039 $32.20 $150.00 $117.80
Pelvic ultrasound 55733 $29.75 $165.00 $135.25

 

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