Private hospital – Non-arrangement service fees effective from 1 July 2019
WorkSafe will pay up to a maximum amount for the following categories of the service.
Emergency services fees
| Item number | Service description | Maximum payment rate |
|---|---|---|
| FACFEE | Emergency attendance fee – GST incl. Facilities with a recognised private emergency department | $90.44 |
Advanced Surgical Patients
| Description | Episode classification | Maximum payment rate |
|---|---|---|
| 1 - 14 days | AS | $764.94 |
| > 14 days | AS | $594.05 |
General Surgical Patients
| Description | Episode classification | Maximum payment rate |
|---|---|---|
| 1 - 14 days | GS | $683.93 |
| > 14 days | GS | $594.05 |
Medical Patients
| Description | Episode classification | Maximum payment rate |
|---|---|---|
| 1 - 14 days | M | $683.93 |
| > 14 days | M | $594.05 |
Hospital in the Home
| Description | Episode classification | Maximum payment rate |
|---|---|---|
| Hospital in the Home | HIT | $390.67 |
Approved Intensive Care
| Description | Episode classification | Maximum payment rate |
|---|---|---|
| 1 - 4 days | ICU | $2,330.69 |
Approved Coronary Care
| Description | Episode classification | Maximum payment rate |
|---|---|---|
| 1 - 14 days | CCU | $1,385.82 |
Day Surgery Patients
| Description | Episode classification | Maximum payment rate |
|---|---|---|
| Band 1 | $233.82 | |
| Band 2 | $280.60 | |
| Band 3 | $350.65 | |
| Band 4 | $389.62 |
Theatre Bands
| Description | Episode classification | Maximum payment rate |
|---|---|---|
| Band 1A | $100.85 | |
| Band 1 | $331.22 | |
| Band 2 | $476.94 | |
| Band 3 | $603.02 | |
| Band 4 | $768.13 | |
| Band 5 | $1,070.89 | |
| Band 6 | $1,331.82 | |
| Band 7 | $1,799.81 | |
| Band 8 | $2,393.73 | |
| Band 9A | $2,618.53 | |
| Band 9 | $3,500.50 | |
| Band 10 | $4,796.20 | |
| Band 11 | $5,246.11 | |
| Band 12 | $6,604.93 | |
| Band 13 | $7,455.95 |
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
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.