Fees and charges for healthcare services
Directive number: QH-HSD-045:2016
Effective date: 07 June 2021
Review date: 07 June 2024
Supersedes: Version 4
On this page:
- Mandatory requirements
- Related or governing legislation, policy and agreements
- Supporting documents
- Business area contact
- Approval and implementation
- Definitions of terms used in this directive
- Version control
Fees and charges (XLSX 2569 kB), current as at 19 September 2023
The purpose of this Health Service Directive is to ensure consistent application of fees and charges for health care services across the public health system in Queensland.
This Health Service Directive applies to all Hospital and Health Services.
- Consistency: Fees and charges contained in the Queensland Health Fees and Charges Register are applied consistently across all Hospital and Health Services.
- Transparency: Fees and charges are applied across all Hospital and Health Services in a transparent way, including transparency to the public.
Hospital and Health Services shall achieve the following outcomes:
- Compliance with the Queensland Health Fees and Charges Register.
In applying the Queensland Health Fees and Charges Register, Hospital and Health Services must:
- ensure Service Fees for Granted Private Practice Retention Arrangements are levied in accordance with those contained within the Queensland Health Fees and Charges Register.
- ensure all other fees raised do not exceed amounts contained in the Queensland Health Fees and Charges Register.
- Ensure there are no costs directly charged to Medicare-ineligible asylum seekers for public health services. Costs should be indirectly recovered from a third party (such as the International Health and Medical Services and Status Resolution Support Service Providers – Red Cross, Access Community Services and MDA), with the service provider arranging this.
- Note: the Queensland Health Fees and Charges Register does not apply to Medical Officers’ Licensed Private Practice arrangements. Hospital and Health Services will ensure appropriate fees and charges are levied on Medical Officers’ Licensed Private Practice arrangements.
Related or governing legislation, policy and agreements
- Hospital and Health Boards Act 2011 (Qld)
- Section 20 of the Hospital and Health Boards Act provides Hospital and Health Services with the power to charge for service they provide.
- Financial Accountability Act 2009
- Financial and Performance Management Standard 2019
- National Health Reform Agreement
- Queensland Government – Principles for Fees and Charges (January 2020)
- Private Health Insurance (Benefit Requirements) Rules (Cwth)
- Hospital Services Arrangement between the Commonwealth of Australia and the Repatriation Commission and the Military Rehabilitation and Compensation Commission and the State of Queensland
- Motor Accident Insurance Commission (MAIC) Compulsory Third Party (CTP) Insurance Hospital and Emergency Service Levy Confirmation
- Queensland Health Fees and Charges Register (XLSX 2569 kB)
- Qld Workers’ Compensation Medical Table of Costs. Schedule of Fees
- Qld Workers’ Compensation Public Health Service Table of Costs
- QHEALTH Acute Inpatient Cost Calculator
Business area contact
- Director, Revenue Strategy and Support Unit, Corporate Services Division
This Health Service Directive will be reviewed at least every three years.
Date of last review: June 2021
Supersedes: Version 4
Approval and implementation
Chief Finance Officer, Finance Branch, Corporate Services Division
Approval by Chief Executive
Director-General, Queensland Health
Approval date: 31 May 2021
Issued under section 47 of the Hospital and Health Boards Act 2011.
Definitions of terms used in this directive
|Term||Definition / explanation / details||Source|
|Fees and Charges||Fees and Charges are payable by patients accessing private, compensable and ineligible services provided by Queensland public hospitals. Fees and Charges are also payable for administrative services for example Right to Information applications and requests for clinical records and services utilised by doctors under private practice.||Revenue Strategy and Support Unit.|
|Medicare-ineligible asylum seekers||For further information on Medicare-ineligible asylum seekers refer to the Queensland Health information sheet on refugees, asylum seekers and detainees available at: https://www.health.qld.gov.au/public-health/groups/multicultural/refugee-services||Strategic Policy Unit|
|1.0||July 2014||Finance Branch|
|2.0||August 2015||Revenue Strategy and Support Unit, Finance Branch||
The following changes were made:
|3.0||March 2016||Revenue Strategy and Support Unit, Finance Branch||Reviewed Document|
|4.0||August 2017||Legislative Policy Unit, Strategic Policy and Legislation Branch||
Amended document – under the ‘mandatory requirements’ the following was added:
|5.0||June 2021||Revenue Strategy and Support Unit, Finance Branch||Reviewed document with minor changes, including: “DRG 7” was deleted from “Acute Inpatient Cost Calculator” in “Supporting documents” section as the DRG version changes within the HSD validity.|