Private day hospital – Non-arrangement services fee schedule

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

Private day hospital – Non-arrangement services fees effective from 1 July 2021

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

Day surgery accommodation* (DS)

Theatre Bands*

* 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


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.