About Our Fees
Procedure Fees for
Privately Insured Patients
Medical practitioner Fees
Both the endoscopist and anaesthetist have agreed to a no gap billing arrangement for all the private health funds. You will not incur any out of pocket expenses and will not receive any bills for their fees.
Pathology Fees
The pathology service that we use is Clinipath. They have an agreement with most funds and for these funds you will not receive a bill and not be out of pocket. There are some funds that they do not have a contract with, and for these funds you will receive the bill, but this simply has to be sent to the fund and you will be reimbursed the entire amount, and thus will not be out of pocket
Hospital Fees
You will not incur any out of pocket expenses for the hospital fees and will not receive any bills. Your only out of pocket expense should be the excess on the insurance policy that you agreed with your fund and this needs to be paid to the hospital on the day of your procedure. You are strongly advised to contact your fund prior to booking any procedures to ensure you know exactly what your insurance policy will cover you for and what your agreed excess is. One common mistake is that you have not been in the fund long enough or that you only have Extra’s cover which will not cover you for procedure related fees
Procedure Fees for
Uninsured Patients Who Are Self Funding
As a rough guide you will be out of pocket $2500-$3000 in total. The breakdown is as follows
Gastroenterologist Fees
This is an estimate of the fees that will be charged by the endoscopist depending on which of the following you may require.
| Item number | Description | Fee | Medicare rebate | Out of pocket |
|---|---|---|---|---|
|
110
|
Initial consultation |
$143.35 |
$143.35 |
$0.00 |
|
116 |
Follow up consultation |
$71.70 |
$71.70 |
$0.00 |
|
30473 |
Gastroscopy |
$315.75 |
$165.75 |
$150.00 |
|
32222 |
Colonoscopy |
$562.80 |
$312.80 |
$250.00 |
If polyps are found and removed, then there will be an additional charge (approximately $150 out of pocket)
Anaesthetist Fees
These are set out by the anesthetist and independent of the endoscopist. These are difficult to pre-quote as they are dependent on the time taken for each procedure. As a rough estimate you may be out of pocket $250-350.
Pathology Fees
The Pathology company will bulk bill all procedures directly to Medicare. You will not incur any out of pocket expenses and will not receive any bills for their fees.
Hospital Fees
These are set out by Waikiki Private Hospital and payable directly to them, and independent of the endoscopist. You will need to get a formal quote from them directly but the rough estimate is
Gastroscopy
$1500.00
Colonoscopy
$1837.00
Gastroscopy and Colonoscopy
$2148.50
There is no Medicare rebate for hospital fees.