Anaesthesia and out of pocket costs



Will you pay a gap? It might depend on where you live

Percent of anaesthesia services where patients pay a gap:

Australian Capital Territory: 48.33%

New South Wales: 28.10%

Northern Territory: 23.35%

Queensland: 22.72%

South Australia: 20.86%

Tasmania: 12.75%

Victoria: 22.01%

Western Australia: 9.82%

Your chance of paying gap fees could come down to where you live. In WA fewer than one in ten anaesthesia services attract out of pocket costs – in the ACT it's close to half.

Average fees and out of pocket costs

Average fees under "no gap" agreements

NSW:
Total fee covered: $120

VIC:
Total fee covered: $120

QLD:
Total fee covered: $118

WA:
Total fee covered: $131

SA:
Total fee covered: $120

TAS:
Total fee covered: $119

ACT:
Total fee covered: $109

NT:
Total fee covered: $129

National:
Total fee covered: $121

Average fees where "no gap" agreements are not used*

Note: This includes "known gap" arrangements, where the fund and the patient share the cost of the gap, and instances where there is no arrangement, and the patient pays the entire gap.

NSW:
Total fee: $256
Fee covered $146
Gap fee: $110

VIC:
Total fee: $221
Fee covered $144
Gap fee: $77

QLD:
Total fee: $225
Fee covered $131
Gap fee: $94

WA:
Total fee: $258
Fee covered $161
Gap fee: $97

SA:
Total fee: $199
Fee covered $150
Gap fee: $49

TAS:
Total fee: $196
Fee covered $144
Gap fee: $52

ACT:
Total fee: $251
Fee covered $131
Gap fee: $120

NT:
Total fee: $230
Fee covered $148
Gap fee: $82

National:
Total fee: $236
Fee covered $143
Gap fee: $93

Source: APRA

Back to main article: How much will my anaesthesia cost?


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