General Surgery Fees
Procedures in Hospital - Insured Known Gap Patients
We are a “known gap” provider registered with the most common Private Health Funds. Click here to see the list of funds that we have an agreement with.
If you belong to one of these affiliated Private Health Funds, we charge a $500 gap payment for most procedures under general anaesthetic and your Private Health Fund will pay the rest directly to us to cover the surgeon’s fee and the assistant’s fee.
If your Private Health Fund is not on the list, we can still treat you, however you will have to pay the surgeon and assistant fees at the self funding rates in the next section prior to surgery and then claim reimbursement from your Private Health Fund.
In addition to the surgical gap fee mentioned above, you will have to pay a Private Hospital Excess, and the anaesthetist may also choose to charge a gap fee.
| MBS Item Number | Total Cost | Health Fund pays Surgeon | Health Fund pays Assistant | Patient Pays Surgeon | |
|---|---|---|---|---|---|
| Inguinal Hernia Repair | 30648 | $1,541 | $903 | $138 | $500 |
| Femoral Hernia Repair | 30648 | $1,541 | $903 | $138 | $500 |
| Umbilical Hernia Repair | 30621 | $1,268 | $630 | $138 | $500 |
| Ventral Hernia Repair (Small) | 30651 | $1,420 | $782 | $138 | $500 |
| Ventral Hernia Repair (Large) | 30655 | $2,166 | $1,373 | $294 | $500 |
| Gallbladder Removal | 30445 | $2,138 | $1,371 | $267 | $500 |
| Anti-Gastric Reflux Surgery | 30756 | $2,117 | $1,337 | $280 | $500 |
| Hiatus Hernia (Small, 1st procedure) | 30756 | $2,117 | $1,337 | $280 | $500 |
| Hiatus Hernia (Large, 1st procedure) | 31468 | $3,165 | $2,204 | $461 | $500 |
| Hiatus Hernia (2nd or subsequent procedures) | 31466 30724 |
$3,409 | $2,405 | $504 | $500 |
| Peritoneal Dialysis Catheter Insertion | 13109 | $798 | $298 | No assistant | $500 |
| Peritoneal Dialysis Catheter Removal | 13110 | $799 | $299 | No assistant | $500 |
Procedures in Hospital - Self Funding Patients
If you do not have Private Health Insurance, or your Private Health Fund is does not have an agreement with us then surgery will be charged at the rates below.
The fees and rebates in the table below are a general indication, and an official estimate will be provided to you before surgery is scheduled. Insurance rebates can vary between providers, and coverage depends on your particular plan.
Please note that you will receive either the Insurance Rebate or the Medicare Rebate, but not both.
In addition to these fees, you will have to pay the Private Hospital fee or your insurance excess, and the anaesthetist’s fee.
| MBS Item Number | Surgeon Fee | Assistant Fee | Patient Pays | Insurance Rebate | Medicare Rebate | Out of Pocket (Insured) | Out of Pocket (No Insurance) | |
|---|---|---|---|---|---|---|---|---|
| Inguinal Hernia Repair | 30648 | $1,400 | $150 | $1,550 | $606 | $455 | $944 | $1,095 |
| Femoral Hernia Repair | 30648 | $1,400 | $150 | $1,550 | $606 | $455 | $944 | $1,095 |
| Umbilical Hernia Repair | 30621 | $1,150 | $150 | $1,300 | $544 | $408 | $756 | $892 |
| Ventral Hernia Repair (Small) | 30651 | $1,300 | $150 | $1,450 | $669 | $502 | $781 | $948 |
| Ventral Hernia Repair (Large) | 30655 | $1,900 | $300 | $2,200 | $1,209 | $906 | $991 | $1,294 |
| Gallbladder Removal | 30445 | $1,900 | $300 | $2,200 | $1,099 | $824 | $1,101 | $1,376 |
| Anti-Gastric Reflux Surgery | 30756 | $1,800 | $300 | $2,100 | $1,151 | $863 | $949 | $1,237 |
| Hiatus Hernia (Small, 1st procedure) | 30756 | $1,800 | $300 | $2,100 | $1,151 | $863 | $949 | $1,237 |
| Hiatus Hernia (Large, 1st procedure) | 31468 | $2,700 | $450 | $3,150 | $1,897 | $1,422 | $1,253 | $1,728 |
| Hiatus Hernia (2nd or subsequent procedures) | 31466 30724 |
$3,000 | $500 | $3,500 | $2,072 | $1,554 | $1,428 | $1,946 |
| Peritoneal Dialysis Catheter Insertion | 13109 | $800 | No assistant | $800 | $251 | $188 | $549 | $612 |
| Peritoneal Dialysis Catheter Removal | 13110 | $800 | No assistant | $800 | $252 | $189 | $549 | $611 |
Skin Surgery
This is generally performed in the clinic and pricing varies according to size, location, and complexity.