Price List Overview

As part of the accreditation process, each Day Procedural Centre is required to provide a list of their intended surgical/medical Service Items to the Federal Health Department. This list forms part of the contract negotiations with each Health Fund, where it is up to the individual Day Procedural Centre to negotiate the best rate for reimbursement. Contracts are generally renegotiated annually. The contract payment schedule is generally consists of five categories:

  • Band level payment for Accommodation (The National Private Hospital Association assigns banding levels to all medical and surgical items)
  • Band level payment for Theatre
  • Multiple procedure scale rate
  • Case/Episodic based payments
  • Prosthetics, Disposables and Pharmaceuticals