TranslateWhat will I pay?
- Australian residents do not usually pay for Outpatient Clinic appointments in public hospitals. These services are covered by Medicare.
- Australian residents do not usually pay for hospital diagnostic tests like blood tests or x-rays in public hospitals. These services are covered by Medicare.
- Pharmacy, medical supplies or equipment may have a cost. You will be advised by that service.
- Diagnostic tests like blood tests or x-rays for inpatients are covered by Medicare and your private health insurance fund if you have one. You will have to pay the difference (gap) from your own money.
- If you choose to be treated as private patient but do not have private health insurance, you will be responsible for the costs of accommodation and some other services.
- As an inpatient, you may claim any diagnostic tests through Medicare, but please note fees may apply if you are an overseas resident or pursuing a compensation claim.
Costs not covered by Medicare
There are some instances where Medicare may not cover your full costs. Learn more at the Australian Department of Health website
Residential aged care costs
- Beaconsfield District Health Service: Residential Aged Care
- Campbell Town Health and Community Service: Residential Aged Care
- Flinders Island Multi-Purpose Centre - Residential Aged Care
- King Island District Hospital and Health Centre - Residential Aged Care
- Lyell House (West Cost District Hospital) - Residential Aged Care Price
- Midlands Multi-Purpose Health Centre - Residential Aged Care Price
Health (Fees) Regulations 2017
The Health (Fees) Regulations 2017 prescribe the fees payable under the Health Act 1997 for certain admitted and non‑admitted patients for hospital services provided to the patient in a public hospital.
Fees may be charged to the following categories of patients:
- admitted and non-admitted private and overseas patients who receive hospital services in a public hospital; and
- admitted and non-admitted private and public patients who are receiving care or treatment in a public hospital for an injury, illness, or disease by way of a claim for compensation or damages under workers rehabilitation legislation, asbestos-related legislation, from the Motor Accidents Insurance Board or under another law; and
- admitted and non-admitted private and public patients who are receiving care or treatment in a public hospital and whose injury or disease is one for which the Defence Force of the Australian Government (ADF) accepts responsibility.
The fees that may be charged are set out in the tables below.
Fees for dental services
Fees for dental services are detailed in section 8 of the Health (Fees) Regulation Act 2017
The current fee for holders of valid Health Care Cards or Pensioner Concession Cards is $45.
Nursing-home-type patients
If you are being provided with accommodation and nursing care in a hospital, you may be classed as a nursing-home-type patient. For the full definition, please see Section 4 of the Health (Fees) Regulation Act 2017
From 20 September 2024, the nursing-home-type patient contribution will increase from $75.55 per day to $78.60 per day.
The default benefit payable for nursing-home-type patients insured with a private health fund will increase from $181.30 per day to $188.75 per day from 20 September 2024.
The fees are determined using a formula outlined in Schedule 2 of the Health (Fees) Regulations 2017
Schedule 1 - Fees payable by non-nursing-home-type patients
Unless otherwise stated, all rates are applicable from 1 July 2024 to 30 June 2025.
Private patients
| Advance surgical | Shared ward (per day) | Single room (per day) |
|---|---|---|
| First 14 days | $527 | $792 |
| Subsequent days | $367 | $620 |
| Surgical/obstetric | Shared ward (per day) | Single room (per day) |
|---|---|---|
| First 14 days | $489 | $761 |
| Subsequent days | $367 | $620 |
| Psychiatric | Shared ward (per day) | Single room (per day) |
|---|---|---|
| First 42 days | $489 | $761 |
| Next 23 days | $425 | $680 |
| Subsequent days | $367 | $620 |
| Rehabilitation | Shared ward (per day) | Single room (per day) |
|---|---|---|
| First 49 days | $489 | $761 |
| Next 16 days | $425 | $680 |
| Subsequent days | $367 | $620 |
| Other patients | Shared ward (per day) | Single room (per day) |
|---|---|---|
| First 14 days | $425 | $680 |
| Subsequent days | $367 | $620 |
| Same-day patients | Rate (per day) |
|---|---|
| Band 1: Gastro-intestinal endoscopy, certain minor surgical items and non-surgical procedures that do not normally require an anaesthetic | $307 |
| Band 2: Procedures (other than Band 1) carried out under local anaesthetic, no sedation, if actual time in theatre is less than one hour | $366 |
| Band 3: Procedures (other than Band 1) carried out under general or regional anaesthetic or intravenous sedation, if actual time in theatre is less than one hour | $422 |
| Band 4: Procedures carried out under general or regional anaesthetic or intravenous sedation, if actual time in theatre is one hour or more | $489 |
| Admitted compensable patients | Rate (per day) |
|---|---|
| Rates Apply to all Wards/Services | $1,170 |
| Where injury or disease responsibility of Commonwealth Defence Forces | Rate (per day) |
|---|---|
| Rates Apply to all Wards/Services | $509 |
| Ineligible non-resident | Rate (per day) |
|---|---|
| Same day patient | $2,530 |
| Overnight patient | $2,980 |
| Coronary care unit patient | $5,374 |
| Intensive Care unit patient | $7,735 |
| Neonatal intensive care unit patient | $7,735 |
| High dependency unit patient | $4,437 |
| Neonatal special care nursery patient | $4,437 |
| Sub-acute care patient | $1,755 |
| Non-acute (maintenance) care patient | $1,270 |
| Category of service | Rate (per service) |
|---|---|
| Non-admitted compensable patients | $118 |
| Non-admitted patient (ineligible non-resident) | $383 |
| Non-admitted patient (ineligible non-resident attending emergency department) | $668 |
| Where injury or disease responsibility of Commonwealth Defence Forces | $118 |
