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 2024

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

$106.35

Advanced surgical patients

Description image indicating ascending sortEpisode classification Maximum payment rate

> 14 days

AS

$698.55

1 - 14 days

AS

$899.52

General surgical patients

Description image indicating ascending sortEpisode classification Maximum payment rate

> 14 days

GS

$698.55

1 - 14 days

GS

$804.26

Medical patients

Description image indicating ascending sortEpisode classification Maximum payment rate

> 14 days

M

$698.55

1 - 14 days

M

$804.26

Hospital in the home

Description image indicating ascending sortEpisode classification Maximum payment rate

Hospital in the home

HIT

$459.40

Approved intensive care

Description image indicating ascending sortEpisode classification Maximum payment rate

1 - 4 days

ICU

$2,740.72

Approved coronary care

Description image indicating ascending sortEpisode classification Maximum payment rate

1 - 14 days

CCU

$1,629.62

Day surgery patients

Description Episode classification image indicating ascending sortMaximum payment rate

Band 1

$274.96

Band 2

$329.97

Band 3

$412.32

Band 4

$458.16

Theatre bands

Description Episode classification image indicating ascending sortMaximum payment rate

Band 1

$389.49

Band 1A

$118.59

Band 2

$560.86

Band 3

$709.12

Band 4

$903.27

Band 5

$1,259.30

Band 6

$1,566.13

Band 7

$2,116.45

Band 8

$2,814.86

Band 9

$4,116.34

Band 9A

$3,079.20

Band 10

$5,640.00

Band 11

$6,169.07

Band 12

$7,766.94

Band 13

$8,767.68

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