Private hospital – Non-arrangement services fee schedule

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

Private hospital – Non-arrangement service fees effective from 1 July 2026

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

Emergency services

Item number image indicating ascending sortService description Maximum payment rate

FACFEE

Emergency attendance fee – GST incl. Facilities with a recognised Private Emergency Department

$113.81

Advanced surgical patients

Description image indicating ascending sortEpisode classification Maximum payment rate

> 14 days

AS

$747.56

1 - 14 days

AS

$962.64

General surgical patients

Description image indicating ascending sortEpisode classification Maximum payment rate

> 14 days

GS

$747.56

1 - 14 days

GS

$860.69

Medical patients

Description image indicating ascending sortEpisode classification Maximum payment rate

> 14 days

M

$747.56

1 - 14 days

M

$860.69

Hospital in the home

Description image indicating ascending sortEpisode classification Maximum payment rate

Hospital in the home

HIT

$491.64

Approved intensive care

Description image indicating ascending sortEpisode classification Maximum payment rate

1 - 4 days

ICU

$2,933.04

Approved coronary care

Description image indicating ascending sortEpisode classification Maximum payment rate

1 - 14 days

CCU

$1,743.97

Day surgery patients

Description Episode classification image indicating ascending sortMaximum payment rate

Band 1

$294.26

Band 2

$353.13

Band 3

$441.25

Band 4

$490.31

Theatre bands

Description Episode classification image indicating ascending sortMaximum payment rate

Band 1

$416.82

Band 1A

$126.91

Band 2

$600.22

Band 3

$758.88

Band 4

$966.65

Band 5

$1,347.66

Band 6

$1,676.03

Band 7

$2,264.96

Band 8

$3,012.39

Band 9

$4,405.20

Band 9A

$3,295.27

Band 10

$6,035.76

Band 11

$6,601.96

Band 12

$8,311.96

Band 13

$9,382.93

Explanatory Notes

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

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

Download current and past fee schedules