Private hospital – Non-arrangement services fee schedule
View current and past private hospital – non-arrangement service fee schedules.
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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.
Item number  | Service description | Maximum payment rate |
|---|---|---|
FACFEE | Emergency attendance fee – GST incl. Facilities with a recognised Private Emergency Department | $111.20 |
| Description | Episode classification | Maximum payment rate |
|---|---|---|
> 14 days | AS | $730.40 |
1 - 14 days | AS | $940.54 |
| Description | Episode classification | Maximum payment rate |
|---|---|---|
> 14 days | GS | $730.40 |
1 - 14 days | GS | $840.93 |
| Description | Episode classification | Maximum payment rate |
|---|---|---|
> 14 days | M | $730.40 |
1 - 14 days | M | $840.93 |
| Description | Episode classification | Maximum payment rate |
|---|---|---|
Hospital in the home | HITH | $480.35 |
| Description | Episode classification | Maximum payment rate |
|---|---|---|
1 - 4 days | ICU | $2,865.70 |
| Description | Episode classification | Maximum payment rate |
|---|---|---|
1 - 14 days | CCU | $1,703.93 |
| Description | Episode classification | Maximum payment rate |
|---|---|---|
Band 1 | $287.50 | |
Band 2 | $345.02 | |
Band 3 | $431.12 | |
Band 4 | $479.05 |
| Description | Episode classification | Maximum payment rate |
|---|---|---|
Band 1 | $407.25 | |
Band 1A | $124.00 | |
Band 2 | $586.44 | |
Band 3 | $741.46 | |
Band 4 | $944.46 | |
Band 5 | $1,316.72 | |
Band 6 | $1,637.55 | |
Band 7 | $2,212.96 | |
Band 8 | $2,943.22 | |
Band 9 | $4,304.05 | |
Band 9A | $3,219.61 | |
Band 10 | $5,897.18 | |
Band 11 | $6,450.38 | |
Band 12 | $8,121.11 | |
Band 13 | $9,167.49 |