IN ROOMS HISTOPATHOLOGY FEES  FOR PRIVATE PATIENTS
HOSPITAL/DAY SURGERY FEES FOR PRIVATE PATIENTS
 
 
         
           
IN ROOMS  
HISTOPATHOLOGY FEES   
           
 FOR PRIVATE PATIENTS  
AS AT 1 FEBRUARY 2007  
           
           
  Item Schedule Medicare Gap  
  Number Fee Benefit Charge  
           
           
           
Complexity level 3          
Examination of 1 specimen 72816 95.35 81.10 14.25  
Examination of 2 - 4 specimens 72817 105.70 89.90 15.80  
Examination of 5 or more specimens 72818 116.00 98.65 17.35  
           
Complexity level 4          
Examination of 1 specimen 72823 106.20 90.35 15.85  
Examination of 2 - 4 specimens 72824 150.55 128.05 22.50  
Examination of 5 - 7 specimens 72825 189.70 161.30 28.40  
Examination of 8 or more specimens 72826 204.15 173.60 30.55  
           
Complexity level 5          
Examination of 1 or more specimens 72830 199.00 169.20 29.80  
           
Complexity level 6          
Examination of 1 or more specimens 72836 302.10 256.85 45.25  
           
All fees include item number 73905 (patient episode) which forms part of the Schedule fee.  
           
           
           
           
The Medicare benefit for patients treated in Doctor's rooms is 85% of the Schedule fee.    
           
All Veterans Affairs patients are billed directly to DVA,  the patient does not receive an account.  
We do not charge a gap to pensioners and holders of a current health care card.    
           
For further information on our fees or services, please contact Gramp Skin Pathology.    
           

 

 

             
             
             
             
     
             
HOSPITAL / DAY SURGERY    
HISTOPATHOLOGY FEES     
             
 FOR PRIVATE PATIENTS    
AS AT 1 FEBRUARY 2007    
             
  Item Schedule Medicare Gap    
  Number Fee Benefit Charge*    
             
             
             
Complexity level 3            
Examination of 1 specimen 72816 101.85 76.45 25.40    
Examination of 2 - 4 specimens 72817 112.20 84.20 28.00    
Examination of 5 or more specimens 72818 122.50 91.95 30.55    
             
Complexity level 4            
Examination of 1 specimen 72823 112.70 84.60 28.10    
Examination of 2 - 4 specimens 72824 157.05 117.85 39.20    
Examination of 5 - 7 specimens 72825 196.20 147.20 49.00    
Examination of 8 or more specimens 72826 210.65 158.05 52.60    
             
Complexity level 5            
Examination of 1 or more specimens 72830 205.50 154.20 51.30    
             
Complexity level 6            
Examination of 1 or more specimens 72836 308.60 231.50 77.10    
             
All fees include item number 73903 (patient episode) which forms part of the Schedule fee.    
             
             
Additional charges            
             
Immunofluorescence            
1 - 3 antibodies 72846 43.30 32.50 10.80    
4 or more antibodies 72847 57.75 43.35 14.40    
Frozen section             
1 specimen 72855 185.60 139.20 46.40    
2 - 4 specimens 72856 247.45 185.60 61.85    
             
All additional fees include item number 73915 (patient episode) which forms part of the Schedule fee.  
             
             
             
*The gap charge is only payable by patients without private health cover.      
Patients with private health cover will not receive an account, we will bill the heath fund directly.    
             
The Medicare benefit for patients treated in hospital/day surgery is 75% of the Schedule fee.    
             
All Veterans Affairs patients are billed directly to DVA, the patient does not receive an account.    
We do not charge a gap to pensioners and holders of a current health care card.      
             
For further information on our fees or services, please contact Gramp Skin Pathology.