Fees for Consultations and Procedures

Consultations Fees

The following fee schedule will apply effective 1st January 2026.

* Please be advised the Medicare Rebate is always subject to change

Appointment Type Private Fee Concession Fee  Medicare Rebate
Initial consultation $230.00 $200.00 $151.90
Review consultation $120.00 $100.00 $76.00

Who is eligible for the concession fee?

You will be eligible for the concession rate if you hold a current Centrelink Pension or Health Care Card.

When and how are services paid?

Payment in full is due at time of consultation. West Gippsland Endoscopy accepts cash and EFTPOS payments. For patients participating in a telehealth appointment, reception staff will contact you by phone once your consultation is complete to arrange payment via EFTPOS.
We facilitate Medicare claiming for all rebates where funds are quickly deposited back into the patients nominated bank account. Reception staff can provide further detail if required.

What is our Bulk Billing Policy?

Current DVA GOLD card holders will be bulk billed.
Doctors may at their own discretion, bulk bill a patient.

Does the new Fee Schedule Apply to Existing Patients?

Payment arrangements in place for existing Concession/Pension Card holders will not change during the current care period. Once discharged, a new fee schedule would apply if you were to return in the future. Payment arrangements in place for existing ongoing patients with chronic conditions will not change.

Referrals

To be able to claim the Medicare rebate, you must have a valid referral. We make every attempt to remind our patients of the need for a new referral before their next appointment, however it is your responsibility to ensure your referral is valid. Please check with reception if you are unsure of your referral status.

Appointment Cancellation

Patients are requested to cancel appointments as early as possible preferably with at least 24 hours’ notice. This enables us to offer the appointment to a patient currently waiting for a cancellation. We do monitor cancellations and non-attendance. Wait times for a rescheduled appointment can be up to 12 weeks.

 

Hospital Fees

When and how are services paid?

Facility Fees:

West Gippsland Endoscopy Centre is an approved second-tier default benefit eligible hospital. This means that if you hold private health insurance and West Gippsland Endoscopy Centre does not have an agreement with your insurer, we will claim benefits directly from your insurer if you are an eligible Member. You will not be billed directly for the portion covered by your insurer.

You may still be required to pay any policy excess or co-payment, as well as any additional out-of-pocket costs that are not covered by your insurer’s second-tier default benefit.

For patients who are not eligible for private health insurance benefits, or where no benefit applies, a facility fee will be payable.

An “Estimate of Patient Costs” detailing the estimated hospital costs, insurer benefits (if applicable) and out-of-pocket costs will be provided once your admission paperwork has been processed. Payment of the estimated hospital costs is due upon admission.

Whilst every effort will be made to provide an accurate Estimate of Patient Costs, the actual costs may vary due to unforeseen circumstances, changes to the proposed treatment or procedure, or an extended length of stay. In such cases, additional costs may apply.

West Gippsland Endoscopy Centre accepts cash, EFTPOS and direct debit payments.

Patients who have undergone a procedure at West Gippsland Endoscopy Centre in the preceding 3 months will receive a $100 discount.

Procedurelist/Anaesthetist fees:

For patients who are eligible for private health insurance benefits, these fees will be billed directly to Medicare and your insurer.

For patients who are not eligible for private health insurance benefits, these fees are all bulk billed through Medicare.

Appointment Cancellation

Patients are requested to cancel appointments as early as possible, preferably with at least 48 hours’ notice. This enables us to offer the appointment to a patient on the cancellation waitlist.

Due to the exceptionally high demand for Direct Access Endoscopy, a $50 cancellation fee applies to:

· patients who have not attended their appointment and have not given us advanced notice, and

· patients who have cancelled multiple appointments.

Failure to pay the cancellation fee within a reasonable timeframe may result in future appointments being delayed or unable to be scheduled until the fee is settled.