Westmead Private Hospital
Part of Ramsay Health Care

You are here: Home > Maternity > Additional Information > Payment Information

Useful Resources

Websites, apps and articles

Payment Information

We believe it is important to have transparency of fees in relation to paediatric and anaesthetic services offered at Westmead Private Hospital. That is why we are pleased to announce that the maximum out of pocket expenses for Paediatric Services will not exceed $300 and for Maternity Anaesthetic Services $500 for insured patients – please read the below information for further clarification.

Westmead Private Hospital is fortunate to have a team of very experienced and skilled paediatricians. Following delivery of your baby, and in line with NSW Department of Health Guidelines, your obstetrician will refer the infant for assessment by a paediatrician. You may wish to select your own paediatrician, in which case it is best to advise your obstetrician beforehand. Alternatively, your obstetrician will advise and arrange a paediatrician for you. A list of paediatricians accredited at Westmead Private can be found on our website by following the link below:

https://www.westmeadprivate.com.au/Our-Doctors/Specialists

The paediatricians providing services at Westmead Private participate in an on-call roster. This ensures access to safe, 24 hour-a-day, high-quality response and care for your baby, in case of emergency and for routine examination and care in the days after birth. In the event of an emergency, the paediatrician of your choice may not be available, in which case the on-call paediatrician will respond and should you prefer, care can then be handed back to the paediatrician you have chosen at an appropriate time.

These first few days for a newborn baby are not only an important time to adapt to life, but are also a time when your baby requires specialised medical assessment and in some cases, further medical assistance may be needed.

Fees

The fees charged by the paediatrician are generally based on the Australian Medical Association recommended fees. You will be billed separately by the paediatrician for the services provided. Please note, paediatrician’s fees are separate from hospital fees and other charges.

Consultations provided by the paediatrician in hospital are eligible for Medicare rebates and may also be eligible for further rebates under the Safety Net from Medicare, depending on your situation. For patients eligible for a Medicare rebate, there will be a gap between the rebate and fee charged by your paediatrician. This gap (out-of-pocket) will be no higher than $300 for the period of time your baby is in hospital (all consultations included). If you are not covered by Medicare we recommend you contact your paediatrician for advice on charges to be expected. Unless your baby requires admission to Special Care Nursery, you cannot access a rebate from your private health fund.

If however, your baby is admitted into Special Care Nursery, you may be eligible for a rebate from your health fund. Please contact your health fund or see Maternity Bookings for further information. Once again, your out-of-pocket expenses will not exceed $300.

Please note that your baby must be added to Medicare as well as your health fund as soon as possible following delivery, in order to claim the eligible rebates.

For clarification on services or fees please contact your obstetrician or the paediatrician servicing Westmead Private Hospital.

Background

An anaesthetist, who is a specialist doctor, will often have an important role in the safe delivery of your baby. This information attempts to answer some of the questions you may have regarding the anaesthesia services available should they be required for the delivery of your baby and the costs involved. An anaesthetist will be involved in your delivery if you require an epidural for pain relief or if your baby requires instrumental delivery (forceps or vacuum) or caesarean delivery. There are other reasons an anaesthetist may be involved in your care after having a baby, including management of bleeding etc. which are not covered in this document.

Service Fees

Patients receiving specialist care will generally expect to know in advance how much their treatment will cost. This is known as “Informed Financial Consent”. The difficulty in providing informed financial consent for obstetric anaesthesia services is that it is not always possible to predict who your anaesthetist will be or exactly what services you will require.

The most predictable scenario is that of a planned caesarean section, as the anaesthetist who provides your care is usually known in advance and your obstetrician, or their practice manager, can provide you with the nominated anaesthetist’s contact details so that you may obtain an estimate of fees. However, it is possible that you may not have your caesarean at the predicted time, for example you may go into labour early, and a different anaesthetist may provide your care. Due to this unpredictability and therefore the difficulty in providing detailed treatment costs, we have prepared this document as a useful guide to assist you in understanding the fees that you may be charged.

There are a large number of anaesthetists who provide obstetric anaesthetic services at Westmead Private Hospital, and the anaesthetists participate in a roster to ensure a 24-hour a day service. The anaesthetists at the hospital are not employees but are independent private practitioners and as such each determines their own service fees. Due to the various types of anaesthetic services which may be provided to each patient, along with the range of hours in the day these services may occur, the fees charged for anaesthetic services by anaesthetists may vary between patients. Therefore, this document can only provide general information. It is intended as a guide only and does not replace specific information given to you by your attending anaesthetist.

Similarly, there is variation in the health products available and the rebates health funds provide. Low cost funds and funds that do not support known gap arrangements may be associated with greater out of pocket costs than indicated below. The fee estimate guide below primarily relates to those funds that have a known gap arrangement e.g. Medibank Private, HCF, BUPA, and AHSA funds. Out of pocket cost is the difference between the fee charged by the anaesthetist providing the service and the rebates provided by the health fund and Medicare.

Fee Estimate Guide

This fee estimate guide is intended to provide information regarding the possible fees that you may be charged during your admission in order to minimise unanticipated costs. Table 1 is a guide of the typical anaesthetic fees charged for the most common obstetric anaesthetic interventions, labour epidural and caesarean section.

NIB, Frank, La Trobe, St Lukes, Grand United, Australian Unity Health Basic Insurance, Budget Direct have been excluded from the below calculations as they either do not support a known arrangement or provide a rebate significantly smaller than the majority of funds.

Many health funds also pay lower rebates for non-resident/visa policies. Patients who are ‘self-insured’ may expect to pay the total fee for each service with a partial rebate available from Medicare. This may result in significantly greater out of pocket costs than indicated below.

In Table 1, the indicated fee is the upper limit of what MOST anaesthetists at Westmead Private Hospital will charge. The out of pocket cost is an indication of the upper limit of what your out of pocket cost may be, based on what MOST anaesthetists at Westmead Private Hospital will charge.

On the table below, you will note that we have highlighted your estimated out-of-pocket expenses.

Table 1

Typical Anaesthetic Fees at Westmead Private* 0800 - 2000hrs Monday to Friday Emergency After Hours**
Total Epidural Fee $850.00 - $950.00 $1000.00 - $1100.00
Epidural (Estimated) out of Pocket Cost*** $500.00 $500.00
Total Emergency Caesarean Section Fee $1300.00 - $1400.00 $1700.00 - $1800.00
Caesarean Section –(Estimated) Out of Pocket Cost*** $500.00 $500.00

Example:

Total Epidural Fee $950.00
Less Medicare and Fund rebate $450.00
Balance of your Out of pocket expense $500.00

* These fees are an estimate only
** The after hour’s period is defined as that period between 8.00pm and 8.00am the following day on weekdays and for the whole 24-hour period on weekends and Public Holidays.
*** Out of pocket costs for patients in a known gap fund.

Most anaesthetists accredited at Westmead Private Hospital do not support the charging of multiple out of pocket, or gap payments, by individual anaesthetists or different anaesthetists involved in your care at different points during your obstetric journey. An example of this would be if you had an epidural inserted in the day and later the same evening you required a caesarean section, then you should not expect to pay a gap payment for the epidural and another for the caesarean section.

If you have concerns that the amount you have been charged varies significantly from the guide above, or if you have been charged more than one gap amount for your obstetric anaesthetic management, then please contact the Maternity Bookings Team on 8837 9279 to discuss your situation.

Doctor services

Medical and allied health practitioner’s fees may be billed separately by the practitioner. Please discuss these with your doctor before your admission. You can receive separate accounts for:

  • Obstetrician
  • Anaesthetist
  • Assistant Surgeon
  • Paediatrician
  • Other consultants
  • Allied health

Private health insurance

Costs for obstetric, anaesthetic and paediatric services are contracted between yourself and the practitioner. Please discuss with the individual specialists the costs that may be incurred.

Westmead Private Hospital has negotiated agreements with all major health funds to ensure the relevant hospital charges are paid on your behalf. An excess or co-payment may form part of your contract with your health fund.

You should confirm with your health fund prior to admission the following:

  • Does my policy cover me for this procedure?
  • Do I have an “excess” payment on my insurance policy?
  • Are there any co-payments required for each night I will be in hospital?
  • Does my policy exclude some treatments, for example baby being in the Special Care Nursery

Please note that if you have been a member of your health fund for less than 12 months your fund may not accept liability for the costs of this admission, e.g. your pregnancy due date within the period.

Please contact your health fund directly to confirm your cover – ensure you have family cover for both yourself and your baby’s hospital stay well before the due date as babies can come early.

Uninsured Patients – If you are not privately insured, you will be asked to pay the total estimated cost of hospitalisation prior to admission (aside from any ancillary charges). It is therefore necessary to contact our Maternity Booking Officer (ph: 02 8837 9279) for an estimate of fees and charges prior to your hospital admission. Payment may be made by cash, cheque or credit card. As it is an estimate only, in the event of unforeseen complications or variations from the proposed treatment the cost may vary.

A letter with an estimation of the cost is given to you when you book into the hospital. Payment may be made by cash, bank cheque or credit card.

What costs could I incur that will not be covered by my health fund?

  • Pharmacy (medicines required during your admission and discharge medications)
  • Pathology (e.g. blood tests)
  • Imaging

How do I pay?

For your convenience, payment may be made by cash, EFTPOS, Bank cheques, MasterCard or Visa. Amex or Diners cards are not accepted. If you have any further questions, please call the hospital’s maternity bookings department.