Private hospital – Non-arrangement service fees effective from 1 July 2018

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

Table 1: Emergency services fees

Item number Service description Maximum payment rate
Emergency Services
FACFEE Emergency attendance fee – GST incl. Facilities with a recognised private emergency department $87.76

Table 2: Other service fees

Description Episode classification Maximum payment rate
Advanced Surgical Patients AS
1 - 14 days   $742.30
> 14 days   $576.47
General Surgical Patients GS
1 - 14 days   $663.68
> 14 days   $576.47
Medical Patients M
1 - 14 days   $663.68
> 14 days   $576.47
Hospital in the Home HIT
Hospital in the Home   $379.10
Approved Intensive Care ICU
1 - 4 days   $2,261.71
Approved Coronary Care CCU
1 - 14 days   $1,344.81
Day Surgery Patients DS
  Band 1 $226.90
  Band 2 $272.29
  Band 3 $340.27
  Band 4 $378.09
Theatre Bands
  Band 1A $97.87
  Band 1 $321.42
  Band 2 $462.82
  Band 3 $585.18
  Band 4 $745.39
  Band 5 $1,039.20
  Band 6 $1,292.40
  Band 7 $1,746.54
  Band 8 $2,322.88
  Band 9A $2,541.02
  Band 9 $3,396.89
  Band 10 $4,654.24
  Band 11 $5,090.84
  Band 12 $6,409.44
  Band 13 $7,235.27

Explanatory notes

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

  • Private hospital invoicing guidelines
  • Prosthesis guidelines
  • Elective surgery policy
  • Pharmacy policy
  • MBS rules

GST

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.