Fees & Billing
At Dapto Healthcare, we are committed to providing high-quality, accessible healthcare to our community. Our practice operates under a mixed billing model, which means:
- Medicare rebates are available for eligible services under the Medicare Benefits Schedule (MBS).
- Consultations and procedures may attract a private fee, with the Medicare rebate reducing your out-of-pocket expense.
- Bulk billing is available in certain circumstances, at the discretion of the treating doctor.
Face to Face Consults
|
Standard rates
|
Service Fee
|
Medicare rebate
|
Out of Pocket Fee
|
|---|---|---|---|
|
BRIEF CONSULT (Item No. 3) |
$45.60 |
$19.60 |
$26.00 |
|
sTANDARD consult (item No. 23) |
$80.85 |
$42.85 |
$38.00 |
|
Long consult (Item No. 36) |
$130.90 |
$82.90 |
$48.00 |
|
Pro-longed Consult (Item No. 44) |
$180.15 |
$122.15 |
$58.00 |
|
Extended Consult (item No. 122) |
$257.95 |
$179.95 |
$78.00 |
Telehealth Consults
|
Standard rates
|
Service Fee
|
Medicare rebate
|
Out of Pocket Fee
|
|---|---|---|---|
| BRIEF telehealth CONSULT (Item No. 91890) | $45.60 | $19.60 | $26.00 |
| sTANDARD Telehealth consult (item No. 91891) | $80.85 | $42.85 | $28.00 |
My Medicare*
|
Standard rates
|
Service Fee
|
Medicare rebate
|
Out of Pocket Fee
|
|---|---|---|---|
| Long telehealth CONSULT (Item No. 91900) | $82.90 | $82.90 | $0.00 |
| ProLonged Telehealth Consult (item No. 91910) | $122.15 | $122.15 | $0.00 |
*Only available to patient's registered with My Medicare
Nurse Services
|
Standard rates
|
Service Fee
|
Medicare rebate
|
Out of Pocket Fee
|
|---|---|---|---|
| Antenatal Appointment | $90.00 | $45.65 | $44.35 |
| Ear Syringing | $77.85 | $42.85 | $35.00 |
| Iron Infusion | $127.85 | + Doctors consultation fee | |
| Surgical Procedures | Procedure out of pocket fees to be advised by your doctor | ||
Please be advised: We are a mixed billing practice. Your appointment may not be automatically Bulk Billed.
Non Attendance: $30
A $30 non-attendance fee will be enforced if cancelled within 24 hours with no reasonable explanation provided before appointment is cancelled.
What is Mixed Billing?
Mixed billing allows us to offer a combination of bulk billed and privately billed services. This approach helps us maintain the sustainability of our practice while continuing to deliver comprehensive care. Patients may be required to pay a gap fee—the difference between our consultation fee and the Medicare rebate. This fee varies depending on the type and length of the consultation.
Why Mixed Billing?
The decision to adopt a mixed billing model is driven by several factors including:
- Medicare Rebate Stagnation: Medicare rebates have not kept pace with the actual costs of providing healthcare services, making it challenging to cover expenses through bulk billing alone.
- Practice Sustainability: Implementing mixed billing ensures that we can maintain the quality of care, invest in better services, and support our dedicated staff.
Medicare Rebates
For eligible services, patients can claim a rebate through Medicare. We offer on-the-spot electronic claiming to facilitate this process.
Payment Information
Payment is required at the time of consultation. We accept:
- Cash
- Credit/Debit Cards
- EFTPOS