Patient-reported out-of-pocket cost benchmarks for New South Wales. Compare procedure pricing across 3 city markets with 47% private health insurance participation.
New South Wales sits near the national average for private health insurance participation. Out-of-pocket costs depend heavily on your level of extras cover.
Medicare rebates apply to MBS-listed procedures regardless of state. PHI hospital cover reduces the hospital gap: always confirm your policy's benefit limit for the specific procedure item number.
Medicare benefits are set by the Commonwealth and apply equally in New South Wales as in every other state. The gap fee you pay depends on your specialist's schedule fee and your level of private health cover: not which state you live in. Always request a written itemised estimate before booking.
Medicare rebate guideState-specific report feed builds as patients in New South Wales contribute cost records. Submit your procedure cost to help the community.
Every cost report from a New South Wales patient strengthens the state benchmark and helps the next person negotiate a fair gap fee.
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