Private day hospital – Non-arrangement services fee schedule

View current and past private day hospital – non-arrangement service fee schedules.

GST information for fee schedules

Maximum fees listed in this fee schedule are exclusive of GST. If GST is applicable, WorkSafe Victoria will pay the GST component in addition to the maximum fee. Providers should provide a tax invoice where amounts are subject to GST. For queries regarding whether the services you provide to an injured worker are taxable (that is, subject to GST) please contact the Australian Taxation Office and/or your tax advisor.

Private day hospital – Non-arrangement services fees effective from 1 July 2025

WorkSafe will pay up to a maximum amount for the following categories of the service.

Day surgery accommodation* (DS)

Episode classification	Maximum payment rate
Band 1	$287.50
Band 2	$345.02
Band 3	$431.12
Band 4	$479.05

Theatre Bands*

Episode classification	Maximum payment rate
Band 1	$407.25
Band 1A	$124.00
Band 2	$586.47
Band 3	$741.46
Band 4	$973.75
Band 5	$1,316.72
Band 6	$1,637.55

* NBPC List & Rules

Explanatory notes

All Services and invoicing must be provided in line with the following guidelines located on the WorkSafe website.

WorkSafe Private Hospital Invoicing guidelines
WorkSafe Prosthesis guidelines
WorkSafe Elective Surgery Policy
WorkSafe Pharmacy Policy
WorkSafe MBS Rules

Private day hospital – Non-arrangement services fee schedule

Private day hospital – Non-arrangement services fees effective from 1 July 2025

Day surgery accommodation* (DS)

Theatre Bands*

Explanatory notes

Download current and past fee schedules

Private day hospital – Non-arrangement services fee schedule 2025

Private day hospital – Non-arrangement services fee schedule 2024

Private day hospital – Non-arrangement services fee schedule 2023

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