A standard consultation with Dr Sharp regarding a skin lesion costs $160.

A cosmetic or reconstructive consultation with Dr Sharp for a single procedure is a longer appointment, and cost $250.

A consult for two or more procedures is $350.

This is paid at the time of booking the consultation.

Please let us know at the time of booking so we can allocate enough time for your consult, as we like taking plenty of time to discuss all procedures you are interested in learning more about. If the procedure you are seeing Dr Sharp regarding is eligible for a Medicare item number – and your doctor has referred you to Dr Sharp – you will receive a $78 rebate on your consult fee.

At the time of booking your consult, you will be asked about the nature of your consultation, so that adequate time and clinic resources can be allocated, and the appropriate consultation fee advised.

Postoperative review appointments with Dr Sharp are complimentary in the 12 months following surgery. Depending on the type of surgery you had, a valid referral may be required in order for us to bulk bill your review consultations. After 12 months, review consultations are $80. A Medicare rebate may apply if you have a referral.

While we can provide a general fee range for most procedures prior to consultation with Dr Sharp, please note this is not a quote. To obtain an accurate indication of the costs involved with your surgery – inclusive of any eligible Medicare item numbers – an appointment with Dr Sharp is required.

This is because each operation is tailored to the patient, and the total cost of surgery can vary significantly based upon:

• the procedure required
• any applicable item numbers
• the chosen hospital
• your private health fund status
• whether you can have the surgery as a day case, or with an inpatient stay

Following your consult with Dr Sharp, you will be provided with a customised estimate of fees document, called the Informed Financial consent document (IFC) which itemises your surgical costs, and whenever possible, the anaesthetic and hospital cost aspects, as well as the rebate you can expect to receive on your surgical fee and hospital admission, if applicable.

If you live in regional Australia, a video consultation can be arranged with Dr Sharp, after which a written estimate of fees outlining all costs involved, can be provided.

There are three main fee elements to most surgeries:

1. surgeon’s fee: and if applicable, surgical assistant’s fee
2. anaesthetist’s fee
3. hospital fee

Dr Sharp’s surgeon’s fee includes the following aspects of your procedure and care:

• the fee for your surgical procedure
• implants or prosthesis (if applicable)
• post operative garments (if applicable)
• post operative healing or recovery optimisation products that Dr Sharp would like you to take home and start using immediately after surgery (if required)
• after hours access to our post operative support nurse
• all post operative consultations conducted at our clinics, for 12 weeks following your surgery

Anaesthetic fees are calculated based upon the length of time required to complete the surgery. Your theatre component of the hospital fee is calculated based upon a complex ‘banding’ system as well as theatre time required. Your hospital fee also factors in whether you have the procedure as a day case, or day surgery, or as an inpatient with overnight (or multiple nights) stay. The hospital may also charge for therapeutic goods used during or after your operation, radiology or pathology.

When comparing fees, it is important to take all aspects of the surgery, as well as your post operative costs, into consideration. These should always be provided to you clearly, in plain language.

All quoted fees are estimates, as unexpected findings during your surgery may necessitate an additional procedure to achieve an optimal outcome. In some cases, this can incur an increase in the expected fees. In all cases, Dr Sharp carefully evaluates his patients’ condition as accurately as possible, so that the most precise quote can be provided prior to your procedure.

Minor procedure ‘MOPS’ fees

Sometimes, Dr Sharp may suggest that your lesion can be removed in our clinic, without a hospital admission required. All procedures performed in our clinic are considered ‘outpatient’ procedures, and as such they don’t attract a private health fund rebate.

The total fee for your lesion excision cannot be accurately determined until after we receive the pathology results back following your procedure. So as to avoid patients bearing unexpected costs, we only charge an upfront fixed ‘gap’ payment for in-clinic excision of lesions.

This ‘gap’ payment is payable prior to your minor procedure.

After we receive your pathology results, we bill Medicare for the remaining rebatable amount. Medicare will post this payment to you as a cheque, issued to Dr Sharp.

When you receive this cheque, please promptly forward it to us so your account can be finalised.

Your surgical fee is not payable at the time of your first consultation; in fact, Australian regulations prevent your surgeon from taking payment for cosmetic surgery (ie non item numbered procedures) for at least two weeks following your first consult, to allow a ‘cooling off’ period. Once your surgery is booked, we ask that you contact the anaesthetist and hospital to be advised of their payment’s due date.

If you are having a surgical procedure, your surgeon’s fee is due in full, four weeks prior to your surgery.

If you are having a non surgical treatment in the clinic, payment is due at the time of treatment.

Part payments and deposits might be required to book theatre time or treatments. Please refer to the booking email provided, or your Informed Financial Consent document, for the terms of part payments and deposits.

Minor procedure ‘MOPS’ fees

Sometimes, Dr Sharp may suggest that your lesion can be removed in our clinic, without a hospital admission required. All procedures performed in our clinic are considered ‘outpatient’ procedures, and as such they don’t attract a private health fund rebate. The total fee for your lesion excision cannot be accurately determined until after we receive the pathology results back following your procedure. So as to avoid patients bearing unexpected costs, we only charge an upfront fixed ‘gap’ payment for in-clinic excision of lesions. This ‘gap’ payment is payable 4 weeks prior to your minor procedure. After we receive your pathology results, we bill Medicare for the remaining rebatable amount. Medicare will post this payment to you as a cheque, issued to Dr Sharp. When you receive this cheque, please promptly forward it to us so your account can be finalised.

We respect our patients’ right to fund their surgery in whichever way they personally see fit. We offer the following payment options:

• cash
• cheque
• EFTPOS
• direct funds transfer
• credit card
• partial payments made over a period of time, commencing no sooner than 2 weeks following their first consultation, and ensuring that the surgeon’s ‘s later than 4 weeks prior to their surgery date

Some of our patients choose to obtain medical or surgical finance suppliers, personal loans or redraw facilities to fund their surgery. Our practice does not offer, or assist with the application for, these payment options.

We do not encourage patients to use their home loan or superannuation for elective cosmetic surgery – although in some circumstances, superannuation may accessed to fund procedures that are listed on the MBS (i.e. procedures that attract an item number), at the discretion of the Australian Taxation Office.  

Surgery can sometimes require revisional or secondary procedures, and patients are encouraged to consider how they will afford any subsequent surgery required, if their funding options have been exhausted by their initial procedure.

Your gap, or out of pocket costs, will be dependent upon the specific procedure you are having, as well as your level of private cover, any waiting periods applicable and excess payments or your fund’s exclusions.

If you are having a procedure listed on the MBS in hospital, the government allows your health fund to pay a further 25% of the MBS fee for services provided in hospital (ontop of your Medicare rebate). To learn more about the fixed MBS fee for procedures, scroll further down this page. Your private health fund can’t provide a rebate for medical services provided outside of hospital, as an outpatient.

We aim to provide you with an accurate indication of any expected rebates for your surgical fee, but we cannot assure the accuracy of these as they are provided to us via a third party provider – as we do not have direct access to each health fund’s internal client system. Therefore, once you have obtained an estimate of fees from us, we encourage you to contact your health fund to ascertain your coverage and any rebates applicable, to avoid any unexpected costs.

Yes, for cancer, skin lesion, trauma and some reconstructive procedures, Dr Sharp offers ‘known gap’ pricing.

For medically-required procedures listed on the Medicare Benefits Schedule, Dr Sharp does not offer ‘known gap’ pricing.

Consultation fee rebates, if applicable, are processed digitally to Medicare by our team, and the rebate is usually paid into the patient’s nominated bank account within several days of our lodgement.

If you have been advised that you are eligible for a consultation fee rebate and don’t receive this within 5 working days, please contact Medicare on 132 011.

If your procedure is listed on the Medicare Benefits Schedule – such as skin lesions, breast reduction surgery, breast reconstruction and some rhinoplasty and abdominoplasty procedures – you will be able to lodge your surgery receipt with Medicare and your health fund to receive a rebate.

If you have private health insurance, most health funds will allow you to complete a ‘two way’ claim, which enables your claim to be assessed and processed in a single claim by both your health fund and Medicare, who will liaise with each other to provide your rebate amounts.

This occurs after your surgery. 

Our Practice Manager will email your surgery receipt and claim form, and is available on 3202 4744 or manager@drdavidsharp.com.au if you require assistance with your lodgement.

Cosmetic procedures do not attract a rebate.

No, many of our patients do not have private health insurance, but opt to have their procedure performed privately with Dr Sharp as it gives them the ability to choose their surgeon and hospital, among other factors.

Patients having a procedure that is eligible for coverage under the Medicare Benefits Schedule item number may find that some of their surgery and anaesthetic fees are rebatable.

Patients who have an uninsured cosmetic procedure that is not listed on the Medicare Benefits Schedule in a private hospital will not be eligible for any aspect of their surgery to be covered by Medicare.

Postoperative consultations with Dr Sharp are complimentary for a year following surgery (12 months).  

Following this, review appointments are $80 – or are bulk billed if patients have a query or postoperative concern, and bring a valid GP referral.

‘Intermediate’ surgery used to occur commonly in Queensland, however this initiative has been scaled back by Queensland Health in recent years and is not currently available to Dr Sharp’s patients in metropolitan Brisbane hospitals.

The medical and surgical rebate system is complex and can be difficult to understand. In summary, the Australian government sets the scheduled fees, and therefore rebate amounts, that it will pay for medical services; this list is known as the Medicare Benefits Schedule (MBS).

It determines a set fee for certain services or procedures – these are allocated corresponding ‘item numbers’. Not all medical procedures are included in this schedule, and those that are included have a strict set of criteria to ensure only applicable procedures qualify for rebates.

The MBS fees were introduced in the 1980’s, and at the time, were similar to surgeon’s fees.

However, over the decades both internal and external market pressures have dramatically forced up the costs of health service delivery.

During this time, MBS fees have not been fully indexed and have fallen behind the rate of inflation and average weekly earning increases.

The costs of providing medical services continues to rise faster than CPI and AWEI, and as a consequence a gap has formed between most medical services and procedures and the MBS, in order to continue to provide Australia’s high quality private healthcare system.

Like any industry, you will be able to find cut-price surgical services. Some are provided by practitioners that claim to be ‘surgeons’  but do not hold a Fellowship of the Royal Australasian College of Surgeons and have not completed formally recognised specialist training in Australia.

We have chosen not to comprise the quality of our facilities, services, staff or the safety of our patients’ clinical care in order to cut costs – therefore the fees we charge takes into account the increased costs of providing high quality surgical services.

Medicare

The MBS is used to calculate the Medicare rebate paid on your procedure’s fees. If you are not in hospital, Medicare rebates 85% of the MBS fee. If you are admitted to hospital (as a day surgery patient, or inpatient) the rebate is 75% of the MBS fee.

The Australian Medical Association (AMA) has created the AMA List of Service and Fees – a recommended schedule for services and procedures that reflects the cost of delivering medical services, with applicable indexation with CPI and AWEI.

The cost of running practice is different, depending on the location, type, size and quality of practice – and therefore each doctor will apply their own, different private fee schedule.

The AMA has campaigned for more accurate indexation of the MBS fees so that patients receive appropriate rebates for their care.

Dr Sharp’s fees are based on a percentage of the AMA fee, and we typically charge less than the fees recommended by their schedule.

Words to know:

Medicare benefit is the amount that is paid for a Medicare-eligible medical service. It includes the Medicare Safety Net benefit where applicable.

Medicare Safety Net benefit is the amount a Medicare benefit is increased once the annual threshold in eligible out-of-pocket costs is reached.

Eligible out-of-pocket costs means the difference between the fee you are charged by your doctor, and the MBS rebate you will receive from Medicare.

MBS rebate is an amount of money which patients receive from Medicare following a Medicare-eligible service. It is based on the MBS Fee and does not include the Medicare Safety Net rebate.

MBS Fee (or Schedule Fee) is the fee the Government has set for each individual Medicare service. This is different from the fee the doctor chooses to charge.