Private hospital – Non-arrangement services fee schedule
View current and past private hospital – non-arrangement service fee schedules.
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.
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 | Service description | Maximum payment rate |
---|---|---|
FACFEE | Emergency attendance fee – GST incl. Facilities with a recognised Private Emergency Department | $106.35 |
Advanced surgical patients
Description | Episode classification | Maximum payment rate |
---|---|---|
> 14 days | AS | $698.55 |
1 - 14 days | AS | $899.52 |
General surgical patients
Description | Episode classification | Maximum payment rate |
---|---|---|
> 14 days | GS | $698.55 |
1 - 14 days | GS | $804.26 |
Medical patients
Description | Episode classification | Maximum payment rate |
---|---|---|
> 14 days | M | $698.55 |
1 - 14 days | M | $804.26 |
Hospital in the home
Description | Episode classification | Maximum payment rate |
---|---|---|
Hospital in the home | HIT | $459.40 |
Approved intensive care
Description | Episode classification | Maximum payment rate |
---|---|---|
1 - 4 days | ICU | $2,740.72 |
Approved coronary care
Description | Episode classification | Maximum payment rate |
---|---|---|
1 - 14 days | CCU | $1,629.62 |
Day surgery patients
Description | Episode classification | Maximum payment rate |
---|---|---|
Band 1 | $274.96 | |
Band 2 | $329.97 | |
Band 3 | $412.32 | |
Band 4 | $458.16 |
Theatre bands
Description | Episode classification | Maximum 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