Fees and Billing

We are a private billing practice with bulk billing available in limited circumstances

General Billing Policy

The GPs who work at this practice do not generally bulk bill with some limited exceptions (as below). This means that all patients will be expected to pay the relevant fee at the conclusion of their consultation or procedure. The GPs who work at the clinic have agreed to reduce their fees in certain circumstances as below. The fees for allied health providers are not elligible for 25% discount.

25% Discount applies to School Students 12 to 16yrs of age, patients 65yrs or older with a concession card as well as Aboriginal and Torres Strait Islander patients.

We will direct bill (Medicare or DVA) Children 11 yrs of age and under as well as DVA patients wiht a Gold card or White car holders for the relevant condition(s)

Fees

We recognise that quality healthcare can be an impost on the household budget and so with that in mind we have tried to be as transparent as possible with our fees and charges. We have compiled a comprehensive list of the most used item numbers in our practice. This is not an exhaustive list as The Medicare Benefits Schedule is a massive document that is continually being updated but should give a good indication of what costs you can expect when you visit our surgery.

Note also that in some case you may be charged for more than 1 service, for example if you attend for a Standard Consultation and you also require an ECG, you will be charged an Item 23 and an Item 11714.

As well as the applicable Medicare rebate(s) you may be eligible for additional rebate amounts as a result of the Extended Medicare Safety Net Check out the details of the Concessional Safety Net Family Program and register if appropriate.

If you are facing severe financial hardship and are unable to pay for your consultation please make contact with the Practice Manager so that arrangements can be made to ensure you can continue to access healthcare.

Current prices

Here is a list of the fees for common items along with the relevant medicare description and rebate amount (where applicable)

Item Description Fee Medicare Rebate
3 Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-each attendance $55 $20.55
23 Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:
(a) taking a patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation
$102 $45.05
36 Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant:
(a) taking a detailed patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation-each attendance
$183 $87.10
44 Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:
(a) taking an extensive patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation-each attendance
$284 $128.35
2715 Professional attendance by a general practitioner (including a general practitioner who has undertaken mental health skills training of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient $220 $108.95
11714 Twelve-lead electrocardiography, trace and clinical note, by a medical practitioner, if:
(a) the trace is required to inform clinical decision making during or following an attendance by the medical practitioner; and
(b) the clinical note details the clinical indication for the service; and
(c) the clinical note includes the interpretation in the context of the indication for the service; and
(d) the service is not associated with a service to which item 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies; and
(e) the service is not a service to which item 12218 or 12219 applies
$70 $24.65
11505 Measurement of spirometry, that:
(a) involves a permanently recorded tracing, performed before and after inhalation of a bronchodilator; and
(b) is performed to confirm diagnosis of:
(i) asthma; or
(ii) chronic obstructive pulmonary disease (COPD); or
(iii) another cause of airflow limitation;
each occasion at which 3 or more recordings are made
$103 $41.95
13757 THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda $211 $74.25
73806 Pregnancy test by 1 or more immunochemical methods $33 $8.65
91890 Phone attendance by a general practitioner lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management

NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
$55 $20.55
91891 Phone attendance by a general practitioner lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant:
(a) taking a short patient history;
(b) arranging any necessary investigation;
(c) implementing a management plan;
(d) providing appropriate preventative health care

NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
$102 $45.05
91900 Phone attendance by a general practitioner to a patient registered under MyMedicare with the billing practice, lasting at least 20 minutes, if the attendance includes any of the following that are clinically relevant:
(a) taking a detailed patient history;
(b) arranging any necessary investigation;
(c) implementing a management plan;
(d) providing appropriate preventative health care;
for one or more health related issues, with appropriate documentation
$183 $87.10

Apple Tree Medical
ph: 4038 2777 | fax: 4038 3077
2-6 Cumberland Avenue, Smithfield, Qld,4878
open: monday to friday 8am to 5pm