Private hospital (non-arrangement) services fees
Effective 1 July 2024
The TAC has extended the funding of temporary telehealth services previously scheduled to end on 30 September 2020 until further notice, giving clients the ongoing convenience and flexibility of accessing health services from home.
Some TAC clients may not have access to videoconferencing. Telephone consultations may be used if videoconferencing is not possible.
2024/25 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $970.66 |
| 15 + Days | $746.92 | |
| General Surgical Patients | 1 - 14 Days | $869.19 |
| 15 + Days | $746.92 | |
| Special Medical Patients | 1 - 14 Days | $869.19 |
| 15 + Days | $736.22 | |
| General Medical Patients | 1 - 14 Days | $679.39 |
| 15 + Days | $626.66 | |
| Psychiatric Patients | 1 - 30 Days | $869.19 |
| 31 - 65 Days | $736.22 | |
| 66 + Days | $626.66 | |
| Rehabilitation Patients | 1 - 25 Days | $848.17 |
| 26 + Days | $647.70 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,370.84 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,549.81 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $2,115.53 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,470.31 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $240.44 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $335.63 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $486.78 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $56.20 | |
| Theatre Fees | ||
| Band | 1A | $135.10 |
| 1 | $424.66 | |
| 2 | $603.01 | |
| 3 | $757.39 | |
| 4 | $990.23 | |
| 5 | $1,336.37 | |
| 6 | $1,668.91 | |
| 7 | $2,247.84 | |
| 8 | $2,994.11 | |
| 9A | $3,270.39 | |
| 9 | $4,371.25 | |
| 10 | $5,974.79 | |
| 11 | $6,529.58 | |
| 12 | $8,219.98 | |
| 13 | $9,288.50 | |
| 0 (Lithotripsy) | $4,005.88 | |
| Electroconvulsive Therapy | $303.95 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $72.17 |
| Group Session | 99922 | $43.53 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $65.98 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $72.79 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $69.22 |
| Occupational Therapy | ||
| Individual Session | 99920 | $65.98 |
| Individual Session - Telehealth | 99920T | $65.98 |
| Group Session | 99919 | $39.67 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $65.98 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $65.98 |
| Physical Education | ||
| Individual Session | 99958* | $65.98 |
| Group Session | 99959* | $39.67 |
| Physiotherapy | ||
| Individual Session | 99913 | $72.17 |
| Individual Session - Telehealth | 99913T | $72.17 |
| Group Session | 99914 | $43.53 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $72.17 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $72.17 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $65.98 |
| Psychology | ||
| Individual Session | 99908 | $113.24 |
| Individual Session - Telehealth | 99908T | $113.24 |
| Group Session | 99907 | $67.97 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $738.40 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $280.82 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $62.84 |
| Group Session | 99937 | $37.48 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $65.98 |
| Group Session | 99952 | $39.67 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $63.42 |
| Group Session | 99936* | $37.95 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $65.98 |
| Group Session | 99929 | $39.67 |
^Reimbursements will be made only to hospitals with approved facilities
2023/24 Rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $926.11 |
| 15 + Days | $712.64 | |
| General Surgical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $712.64 | |
| Special Medical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $702.43 | |
| General Medical Patients | 1 - 14 Days | $648.21 |
| 15 + Days | $597.90 | |
| Psychiatric Patients | 1 - 30 Days | $829.30 |
| 31 - 65 Days | $702.43 | |
| 66 + Days | $597.90 | |
| Rehabilitation Patients | 1 - 25 Days | $809.25 |
| 26 + Days | $617.98 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,262.04 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,386.90 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $2,018.44 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,402.83 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $229.41 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $320.23 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $464.44 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $53.62 | |
| Theatre Fees | ||
| Band | 1A | $128.90 |
| 1 | $405.17 | |
| 2 | $575.34 | |
| 3 | $722.63 | |
| 4 | $944.79 | |
| 5 | $1,275.04 | |
| 6 | $1,592.32 | |
| 7 | $2,144.68 | |
| 8 | $2,856.70 | |
| 9A | $3,120.30 | |
| 9 | $4,170.64 | |
| 10 | $5,700.59 | |
| 11 | $6,229.92 | |
| 12 | $7,842.74 | |
| 13 | $8,862.23 | |
| 0 (Lithotripsy) | $3,822.04 | |
| Electroconvulsive Therapy | $290.00 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $68.86 |
| Group Session | 99922 | $41.53 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $62.95 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $69.45 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $66.04 |
| Occupational Therapy | ||
| Individual Session | 99920 | $62.95 |
| Individual Session - Telehealth | 99920T | $62.95 |
| Group Session | 99919 | $37.85 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $62.95 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $62.95 |
| Physical Education | ||
| Individual Session | 99958* | $62.95 |
| Group Session | 99959* | $37.85 |
| Physiotherapy | ||
| Individual Session | 99913 | $68.86 |
| Individual Session - Telehealth | 99913T | $68.86 |
| Group Session | 99914 | $41.53 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $68.86 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $68.86 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $62.95 |
| Psychology | ||
| Individual Session | 99908 | $108.04 |
| Individual Session - Telehealth | 99908T | $108.04 |
| Group Session | 99907 | $64.85 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $704.51 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $267.93 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $59.96 |
| Group Session | 99937 | $35.76 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $62.95 |
| Group Session | 99952 | $37.85 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $60.51 |
| Group Session | 99936* | $36.21 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $62.95 |
| Group Session | 99929 | $37.85 |
^Reimbursements will be made only to hospitals with approved facilities
2024/25 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $970.66 |
| 15 + Days | $746.92 | |
| General Surgical Patients | 1 - 14 Days | $869.19 |
| 15 + Days | $746.92 | |
| Special Medical Patients | 1 - 14 Days | $869.19 |
| 15 + Days | $736.22 | |
| General Medical Patients | 1 - 14 Days | $679.39 |
| 15 + Days | $626.66 | |
| Psychiatric Patients | 1 - 30 Days | $869.19 |
| 31 - 65 Days | $736.22 | |
| 66 + Days | $626.66 | |
| Rehabilitation Patients | 1 - 25 Days | $848.17 |
| 26 + Days | $647.70 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,370.84 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,549.81 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $2,115.53 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,470.31 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $240.44 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $335.63 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $486.78 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $56.20 | |
| Theatre Fees | ||
| Band | 1A | $135.10 |
| 1 | $424.66 | |
| 2 | $603.01 | |
| 3 | $757.39 | |
| 4 | $990.23 | |
| 5 | $1,336.37 | |
| 6 | $1,668.91 | |
| 7 | $2,247.84 | |
| 8 | $2,994.11 | |
| 9A | $3,270.39 | |
| 9 | $4,371.25 | |
| 10 | $5,974.79 | |
| 11 | $6,529.58 | |
| 12 | $8,219.98 | |
| 13 | $9,288.50 | |
| 0 (Lithotripsy) | $4,005.88 | |
| Electroconvulsive Therapy | $303.95 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $72.17 |
| Group Session | 99922 | $43.53 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $65.98 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $72.79 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $69.22 |
| Occupational Therapy | ||
| Individual Session | 99920 | $65.98 |
| Individual Session - Telehealth | 99920T | $65.98 |
| Group Session | 99919 | $39.67 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $65.98 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $65.98 |
| Physical Education | ||
| Individual Session | 99958* | $65.98 |
| Group Session | 99959* | $39.67 |
| Physiotherapy | ||
| Individual Session | 99913 | $72.17 |
| Individual Session - Telehealth | 99913T | $72.17 |
| Group Session | 99914 | $43.53 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $72.17 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $72.17 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $65.98 |
| Psychology | ||
| Individual Session | 99908 | $113.24 |
| Individual Session - Telehealth | 99908T | $113.24 |
| Group Session | 99907 | $67.97 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $738.40 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $280.82 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $62.84 |
| Group Session | 99937 | $37.48 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $65.98 |
| Group Session | 99952 | $39.67 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $63.42 |
| Group Session | 99936* | $37.95 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $65.98 |
| Group Session | 99929 | $39.67 |
^Reimbursements will be made only to hospitals with approved facilities
2023/24 Rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $926.11 |
| 15 + Days | $712.64 | |
| General Surgical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $712.64 | |
| Special Medical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $702.43 | |
| General Medical Patients | 1 - 14 Days | $648.21 |
| 15 + Days | $597.90 | |
| Psychiatric Patients | 1 - 30 Days | $829.30 |
| 31 - 65 Days | $702.43 | |
| 66 + Days | $597.90 | |
| Rehabilitation Patients | 1 - 25 Days | $809.25 |
| 26 + Days | $617.98 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,262.04 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,386.90 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $2,018.44 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,402.83 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $229.41 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $320.23 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $464.44 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $53.62 | |
| Theatre Fees | ||
| Band | 1A | $128.90 |
| 1 | $405.17 | |
| 2 | $575.34 | |
| 3 | $722.63 | |
| 4 | $944.79 | |
| 5 | $1,275.04 | |
| 6 | $1,592.32 | |
| 7 | $2,144.68 | |
| 8 | $2,856.70 | |
| 9A | $3,120.30 | |
| 9 | $4,170.64 | |
| 10 | $5,700.59 | |
| 11 | $6,229.92 | |
| 12 | $7,842.74 | |
| 13 | $8,862.23 | |
| 0 (Lithotripsy) | $3,822.04 | |
| Electroconvulsive Therapy | $290.00 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $68.86 |
| Group Session | 99922 | $41.53 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $62.95 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $69.45 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $66.04 |
| Occupational Therapy | ||
| Individual Session | 99920 | $62.95 |
| Individual Session - Telehealth | 99920T | $62.95 |
| Group Session | 99919 | $37.85 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $62.95 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $62.95 |
| Physical Education | ||
| Individual Session | 99958* | $62.95 |
| Group Session | 99959* | $37.85 |
| Physiotherapy | ||
| Individual Session | 99913 | $68.86 |
| Individual Session - Telehealth | 99913T | $68.86 |
| Group Session | 99914 | $41.53 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $68.86 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $68.86 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $62.95 |
| Psychology | ||
| Individual Session | 99908 | $108.04 |
| Individual Session - Telehealth | 99908T | $108.04 |
| Group Session | 99907 | $64.85 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $704.51 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $267.93 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $59.96 |
| Group Session | 99937 | $35.76 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $62.95 |
| Group Session | 99952 | $37.85 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $60.51 |
| Group Session | 99936* | $36.21 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $62.95 |
| Group Session | 99929 | $37.85 |
^Reimbursements will be made only to hospitals with approved facilities
