PERTH OBSTETRICIAN

Fees

private obstetrician perth

Fees

Obstetrics fees, or fees linked to seeing a fertility specialist, can seem complicated to understand. To help you understand the various out-of-pocket fees, Medicare rebates, and private health insurance aspects of obstetrics, gynaecology and fertility treatment, I have compiled the overview below.
Obstetrics and gynaecology consultations at my private practice in Subiaco.

Fertility consultations at Genea Hollywood Fertility

Delivering at the Labour Ward of SJOG Subiaco Hospital

Obstetrics fees

Lower out-of-pocket fees

I am aware that the current economic climate is difficult for a lot of people. With this in mind I have significantly reduced my fees. I want all patients with private medical insurance to be able to use this without being slugged with large out-of-pocket expenses. As far as I am aware my fees are the lowest available where a full obstetric service is offered including the continuity of care that people do and should expect. The fees schedule below outlines my fees for visits and common procedures.

As a private patient, and in addition to my fees, you can expect fees for care from a Neonatologist, a specialist Paediatrician expert at caring for premature and newborn babies, pathology for blood tests and microbiology swabs and specialist ultrasound, usually just at 12-14 weeks and 19-20 weeks, but this can be more often in particularly complicated pregnancies. You may also see a specialist Anaesthetist for an epidural in labour or for a caesarean.

I do not charge a gap for any in-patient procedures. These fees are fully covered by your health fund.

private obstetrician perth

Top 3 reasons to have private health insurance when you are expecting

You get to see the same obstetrician - of your choice- for all your antenatal visits

It’s a well-known fact that going private in obstetrics means that you can see the doctor of your choice. This means that you will be seeing the same doctor for your entire antenatal journey. Most patients tell me that this continuity throughout their pregnancy, delivery and postnatal course makes a big difference.

"As a Specialist Private Obstetrician, I have a keen interest in promoting natural vaginal delivery when possible. I also regularly deliver by caesarean section when needed. Sometimes unexpected complications occur in pregnancy and I am experienced at performing the full array of pregnancy-related procedures such as ECV (turning breech babies), vaginal twin delivery and the management of miscarriage, both medically and surgically. If medical conditions such as pre-eclampsia, gestational diabetes or fetal growth restriction develop these will also be managed by me, allowing safe and consistent management through your pregnancy."

Dr Richard Murphy, private obstetrician Perth

You deliver at St John of God Subiaco Hospital

Private health insurance will cover the in-hospital component of your obstetric care. I choose to deliver at St John of God Subiaco Hospital, in my view the safest maternity hospital in Western Australia.

"We all want the best possible experience when delivering our children but rare and unpredictable complications do happen. St John of God Subiaco Hospital has an on-site nursery that can safely care for babies as early as 30 weeks gestation and as small as 1kg. In addition, St John of God Subiaco Hospital has excellent theatre facilities, an onsite ICU and an interventional catheter suite all of which provide world class service."

Dr Richard Murphy, private obstetrician Perth

You deliver at St John of God Subiaco Hospital

We all want the best possible experience when delivering our children but rare and unpredictable complications do happen. St John of God Subiaco Hospital has an on-site nursery that can safely care for babies as early as 30 weeks gestation and as small as 1kg. In addition, St John of God Subiaco Hospital has excellent theatre facilities, an onsite ICU and an interventional catheter suite all of which provide world class service.
Mastering breastfeeding is often more difficult than the delivery of your baby and skilled, patient and caring postnatal midwives are there to help you with this. After you have delivered your baby, your partner is encouraged to board at the hospital. He or she can help settle your baby, particularly at night when you may need to catch up on sleep. For partners it is also a fantastic opportunity for them to bond with their baby during the first days after birth.

private obstetrician perth

Would you still see me when I am not insured?

The answer is yes, absolutely. If you are uninsured, it may not be a financial option to plan the entire journey, from early in your pregnancy, through to delivery and beyond, with the same private obstetrician.

I am happy to share your care as an uninsured patient, providing antenatal care until you transfer to your public hospital for delivery. This gives you consistency of care, reassurance, usually less waiting around at appointment times and as we are able to spend more time together, an increased level of understanding of the process of delivery.
Some patients will self-insure, paying the cost of the hospital admission themselves, as an alternative to private health insurance. If you are interested in this a quote can be organised through my rooms.
If you are thinking about starting a family in the short to medium term it is important to check your private insurance covers obstetric care and that any waiting period has been completed. As people delay having babies until later in life it is often not desirable to delay conception longer due to insurance waiting times.

private obstetrician perth

Medicare rebates

All doctor visits and outpatient procedures will attract a Medicare rebate. Sadly, as the Medicare rebate has lagged well behind inflation for decades the current rebate will provide just a partial reimbursement for the cost of any visit or procedure. In the fee table below the rebate varies depending on whether you have reached the Medicare safety net threshold for a given calendar year or not.

When you spend certain amounts in gap and out-of-pocket costs, you’ll reach the threshold. Once you’ve reached the threshold, you’ll start getting higher Medicare benefits. This means you’ll get more money back for certain Medicare services.

On 1 January 2020 the general Medicare safety net threshold was $ 2,169.20. Medicare rebates also apply to in hospital procedures, like vaginal delivery or caesarean section but cover only a very small fraction of the cost of providing a service.

If you are privately insured, your insurance covers the full cost of any procedures performed by me, with no additional cost to you.

Please scroll right to see whole table

Obstetrics fees
Item number
Fee
Medicare rebate
Initial consultation
16401
$ 280.00
$ 75.00
Subsequent antenatal visit
16500
$ 90.00
$ 41.35
Planning and Management fee (with private care in private hospital)
16590
$ 1,600.00
$ 326.75
Planning and Management fee (shared care with delivery as a public patient)
16591
$ 600.00
$ 125.05
Postnatal visit
16404
$ 90.00
$ 37.70

Gynaecology fees

Gynaecology

All doctor visits and outpatient procedures will attract a Medicare rebate. Sadly, as the Medicare rebate has lagged well behind inflation for decades the current rebate will provide just a partial reimbursement for the cost of any visit or procedure.

In the fee table below the rebate varies depending on whether you have reached the Medicare safety net threshold for a given calendar year or not.

When you spend certain amounts in gap and out-of-pocket costs, you’ll reach the threshold. Once you’ve reached the threshold, you will start getting higher Medicare benefits. This means you’ll get more money back for certain Medicare services.

On 1 January 2020, the general Medicare safety net threshold was $ 2,169.20. Medicare rebates also apply to in-hospital procedures, like D+C, hysteroscopy or laparoscopy but cover only a very small fraction of the cost of providing a service.

If you are privately insured, your insurance covers the full cost of any procedures performed by me, with no additional cost to you.

Please scroll right to see whole table

Gynaecology fees
Item number
Fee
Medicare rebate
Initial consultation
104
$ 280.00
$ 76.15
Subsequent consultation
105
$ 90.00
$ 38.25
Colposcopy
35614
$ 150.00
$ 56.00
Biopsy with colposcopy
35608
$ 90.00
$ 56.10

Fertility fees

Top 3 reasons to have private insurance when you are considering fertility treatment

Private health insurance covers the cost of inpatient treatment. Most components of fertility treatment are done as an outpatient, meaning not in hospital.

"Thankfully Medicare does provide quite generous rebates for a number of fertility treatments including IVF, allowing you to minimise your costs. If you are privately insured for fertility treatment then your fund will cover the cost of the egg collection procedure. Only Gold level insurance policies cover assisted reproduction."

Dr Richard MurphyFertility Specialist Perth
private obstetrician perth
A lack of private insurance should not put you off pursuing fertility treatment in the private sector as for the majority of visits and procedures the fee is the same with or without insurance.
Probably the biggest reason to have private insurance when starting fertility treatment is if you would like to deliver in the private sector. You need to ensure your insurance covers obstetrics. This will mean Gold cover, as Silver, Bronze and Basic insurance cover will not include pregnancy and birth.

Please scroll right to see whole table

Fertility fees
Item number
Fee
Medicare rebate
Initial consultation
104
$ 280.00
$ 76.15
Subsequent consultation
105
$ 90.00
$ 38.25

Note, if you have a partner, they will also need a referral and need to be seen. If I am seeing you at Genea Hollywood Fertility, then the clinic fee will apply.