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2017 Private hospital Fees Schedule

Private hospitals fee order from 1 July 2017 under section 62(1) of the Workers Compensation Act 1987.

CodeType of serviceMaximum fees for service
Overnight facility fees (daily)
PTH001Advanced surgical 1 to 14 days$813.10
> 14 days$550.90
PTH002Surgical 1 to 14 days$765.40
> 14 days$550.90
PTH003Psychiatric 1 to 21 days$727.40
22 to 65 days$562.40
Over 65 days$516.30
PTH004Rehabilitation 1 to 49 days$790.10
>49 days$580.60
PTH005Other (medical) 1 to 14 days$679.50
> 14 days$550.90
PTH006Day facility fees (including accident and emergency attendance) (daily)
Psychiatric
Full-day program - treatments with a minimum of 4.5 hours' duration$349.70
Half-day program - treatments with a minimum of 2.5 hours' duration$273.20
Rehabilitation
Full-day program - treatments with a minimum of 3 hours' duration$349.70
Half-day program - treatments between 1.5 and 2.5 hours' duration$273.20
Band 1 - absence of anaesthetic or theatre times$349.70
Band 2 - local anaesthetic, no sedation$410.70
Band 3 - general or regional anaesthetic or intravenous sedation, less than 1 hour theatre time$463.40
Band 4 - general or regional anaesthetic or intravenous sedation, 1 hour or more theatre time$517.90
PTH007Intensive care <5 days, level 2$3,161.90
<5 days, level 1$2,188.80
PTH008

Theatre fees - as per national procedure banding schedule.
Multiple procedure rule:

  • 100% of fee for first procedure
  • 50% for second procedure undertaken at the same time as the first
  • 20% for the third and subsequent procedures undertaken at the same time as the first
Band 1A$196.30
Band 1$349.70
Band 2$598.70
Band 3$732.40
Band 4$991.30
Band 5$1,456.40
Band 6$1,670.80
Band 7$2,233.20
Band 8$3,109.10
Band 9A$3,214.70
Band 9$4,107.90
Band 10$4,859.10
Band 11$5,753.10
Band 12$6,216.60
Band 13$7,539.40
Surgical prostheses fees:
  • Prostheses
As per Department of Health listed minimum rate
 
  • Handling fee
5% of prosthesis fee capped at $163.90

Fee for electroconvulsive (ECT): this service is to be billed using the facility fee Band 3 (PTH006) and theatre Band 1 (PTH008).

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