The Flinders Peak Medical Centre is a mixed billing practice Monday to Friday.
On Sundays some doctors are fully private billing for all patients, while other doctors working on Sundays are mixed billing.
Appointments with Dr Shi (CC) Zhuge on SUNDAYS are all private billing, regardless of a patient’s age or whether they have a concession card. This means that if a child under the age of 16 years old, or concession card holder has an appointment on a Sunday with Dr Shi (CC) Zhuge, a fee is payable up front on the day and then the practice sends the claim to Medicare for the Medicare rebate. This results in an out-of-pocket cost for the consultation.
All fees are payable in full on the day.
From Mondays to Fridays our doctors continue to bulk bill patients who are under the age of 16 years old, who have a current Medicare card number, Pensioner Concession Card holders, Health Care Card holders & Commonwealth Seniors Health Card holders for most types of consultations.
DVA card holders will continue to have eligible consults billed to DVA for most types of consultations.
Patients will need to keep their details up to date with Services Australia and the practice in order to be bulk billed. The list of patients eligible to be bulk billed is subject to change.
After an in-practice consultation all patients need to go to the Reception desk to finalise their visit.
Patients who are bulk billed need to formally “assign their benefit” using Medicare Easyclaim through our EFTPOS terminal.
The Receptionist will ask you to Press the OK or YES button on the EFTPOS terminal so that it records your agreement for Medicare to pay the doctor directly for the bulk-billed consultation. If you do not agree to “assign your benefit” you will need to pay for the consultation yourself and submit your receipt to Medicare for the rebate.
For Telehealth consultations patients pay by credit card over the phone with Reception. To receive a Medicare contribution for a telehealth consultation the patient needs to have an established clinical relationship with the doctor who provides the service. For our practice this means the patient needs to have had at least one, face-to-face consultation with a doctor at our practice in the 12 months preceding the telehealth consultation. Telehealth consultations are not bookable online. Please call (07) 5464 6765 to talk with a Receptionist if you wish to book a telehealth consultation.
We work by appointments and reserve the appointment especially for the booked patient. We have a wait list and like to fill all appointments times. If you do not arrive without notice to us, you may be charged. From 1 November 2023 we have a Did Not Attend Policy with a Did Not Arrive/Attend Fee of $45.00 applicable to both Concessional and Non-Concessional patients with an EFTPOS transaction surcharge paid by the patient. Please refer to the Policy for more information. There is no Medicare rebate for a Did Not Arrive/Attend fee.
The list of most common service item numbers and fees are listed below. A longer list will be available at Reception. The fees will reflect the time taken and the degree of complexity for each consultation. The fees are applicable per patient, not per family. The list of fees and list of patients eligible to be bulk billed is subject to change.
Patients who are not bulk billed need to pay in full on the day of service.
From 1 October 2026 there is no EFTPOS transaction surcharge payable by the patient.
Non-Concessional patients are privately billed for the procedures listed below and the total fee includes a practice facility fee of $25.00:
● wedge resections and nail removals
● removal of a foreign body requiring incision
● repairs of wounds requiring sutures
● incision and drainage of haematoma / abscess / boil
● dressings of burns
● dressing of wounds.
Please talk with Reception for detailed pricings.
FROM 1 OCTOBER 2026:
| Sundays for ALL PATIENTS with Dr Shi (CC) Zhuge. | Upfront cost | Medicare rebate | Patient out-of-pocket amount |
| MBS Item 5020, Standard After Hours | $110.00 | $58.65 rebate | $51.35 out of pocket |
| MBS Item 5040, Long After Hours | $160.00 | $100.55 rebate | $59.45 out of pocket |
| AFTER HOURS patients with no concession card, aged 16 years old and over | Upfront cost | Medicare rebate | Patient out-of-pocket amount |
| Before 8.00 am weekdays & all day Sundays MBS Item 5020, Standard After Hours | $110.00 | $58.65 rebate | $51.35 out of pocket |
| Before 8.00 am weekdays & all day Sundays MBS Item 5040, Long After Hours | $160.00 | $100.55 rebate | $59.45 out of pocket |
| STANDARD HOURS patients with no concession card, aged 16 years old and over | Upfront cost | Medicare rebate | Patient out-of-pocket amount |
| Standard consult after 8.00 am weekdays MBS item 23 | $85.00 | $45.05 rebate | $39.95 out of pocket |
| Long consult after 8.00 am weekdays MBS item 36 | $135.00 | $87.10 rebate | $47.90 out of pocket |
| Prolonged consult after 8.00 am weekdays MBS item 44 | $180.00 | $128.35 rebate | $51.65 out of pocket |
| Level E More Prolonged consult after 8.00 am weekdays MBS item 123 | $265.00 | $207.90 rebate | $57.10 out of pocket |
| COMMON, ADDITIONAL SERVICES no concession card | Upfront cost | Medicare rebate | Patient out-of-pocket amount |
| ELECTROCARDIOGRAM (ECG) to graph heart’s activity. Twelve‑lead trace. This is added to a Standard, Long or Prolonged Consult, MBS Item 11707 | $40.00 | $24.65 rebate | $15.35 out of pocket |
| PREGNANCY TEST. This is added to a Standard, Long or Prolonged Consult, MBS Item 73806 | $15.00 | $8.65 rebate | $6.35 out of pocket |
| TELEHEALTH TELEPHONE CONSULT Please see the Medicare Rebate Process note for Telehealth consultations. | Upfront cost | Medicare rebate | Patient out-of-pocket amount |
| very short Telephone consult MBS Item 91890 | $45.00 | $20.55 rebate | $24.45 out of pocket |
| Standard Telephone consult MBS Item 91891 | $85.00 | $45.05 rebate | $39.95 out of pocket |
| Long Telehealth consult | $135.00 | $87.10 rebate if registered at this practice with MyMedicare. $45.05 rebate if not registered at this practice with MyMedicare. | $47.90 out of pocket if registered at this practice with MyMedicare. $89.95 out of pocket if not registered at this practice with MyMedicare. |
| Prolonged Telehealth consult | $180.00 | $128.35 rebate if registered at this practice with MyMedicare. $45.05 rebate if not registered at this practice with MyMedicare. | $51.65 out of pocket if registered at this practice with MyMedicare. $134.95 out of pocket if not registered at this practice with MyMedicare. |
| SKIN PROCEDURES are privately billed for Non-Concession Card holders. Skin excisions involve 3 visits and are not bookable online. Please call the surgery to book. | Upfront cost | Medicare rebate | Patient out-of-pocket amount |
| Consult 1: Pre-procedure consult. NON-Concession card holders privately billed, MBS item 23. Bulk billed for Concession card holders. | Concession card holders: bulk billed. NON-Concession card holders $85.00 | $45.05 rebate | Consult 1: no out of pocket for concession card holders. $39.95 for NON-Concession card holders. |
| Consult 2: Procedure This is when the skin excision is done. The billing is held awaiting the pathology result. | The billing is held awaiting the pathology result. | The billing is held awaiting the pathology result. | The billing is held awaiting the pathology result. |
| Consult 3: Post-procedure consult. Non-concessional patients are privately billed for the excision item, a facility fee and possibly a consultation item. | Expect up to $500 upfront cost. | The Medicare rebate depends on item number billed. (MBS items 31356 – 31383, 45200 & 45201). | Expect a $100 to $150 out-of-pocket expense. |
| FEMALE CONTRACEPTION | Upfront cost | Medicare rebate | Patient out-of-pocket amount |
| IUD (Mirena) Insertion Privately billed for all patients including Concession card holders. Insertion MBS item 35503 $230.00 + required pregnancy test MBS item 73806 billed at $15.00 + practice facility fee of $25.00 | $270.00 | $197.00 rebate (being $188.35 item 35503 + $8.65 preg test item 73806) | $73.00 out of pocket |
| IUD (Mirena) Removal Privately billed for all patients including Concession card holders. MBS Item 23 | $125.00 | $45.05 rebate | $79.95 out of pocket |
| No discount for Mirena removal and insertion of a new Mirena same day | |||
| Implanon Insertion Privately billed for non-concessional patients MBS item 14206 billed at $110.00 + required pregnancy test MBS item 73806 billed at $15.00 + $25.00 facility fee | $150.00 | $96.20 rebate (being $87.55 item 14206 + $8.65 preg test item 73806) | $45.15 out of pocket |
| Implanon Removal Privately billed for non-concessional patients MBS item 30062 billed at $110.00 + $25.00 facility fee | $135.00 | $91.75 rebate | $43.25 out of pocket |
| No discount for Implanon removal and insertion of a new Implanon same day |
| IRON INFUSION | Upfront cost | Medicare rebate | Patient out-of-pocket amount |
| Step 1: Pre-procedure consult, required for all patients wishing to discuss an iron infusion. Bulk billed for Concession card holders. NON-Concession card holders privately billed, MBS item 23. | $85.00 during normal consulting hours. | $45.05 rebate | $39.95 out of pocket |
Step 2: If the doctor advises that an iron infusion will be suitable for you, the doctor will give you a script to fill before the procedure. You buy the iron yourself from the pharmacy and bring it with you to the infusion consultation. | The cost of the iron itself typically ranges from: $7.70 – $36 depending on your health care card status and PBS eligibility. | ||
| Step 3: Infusion consultation. This is privately billed for all patients, including Concession card holders. Privately billed Item 23 billed for this procedure at $170.00 + practice facility fee $75.00. | $245.00 | $45.05 rebate | $199.95 out of pocket |
All patients will need to keep their details up to date with the practice and Medicare to receive a Medicare rebate.
All concessional beneficiaries need to keep their details up to date with the practice and Centrelink/Services Australia and/or DVA.
Patients need to have their concession card type, number and expiry date recorded on the practice software.
Patients need to register their bank account details with Medicare to receive a Medicare rebate. Medicare does not send cheques or pay cash rebates. Please see Getting Medicare Benefits
Items that do not attract a Medicare contribution:
Employment and insurance medicals, legal reports, medicals for recreational activities and Workcover claims are all privately billed and not receive a rebate from Medicare. Receptionists will advise on the fee for non-bulk-billed services in accordance with our schedule of fees when you book this sort of consultation.
Income Protection Insurance Forms are $155.00 (including GST).
Harness racing, Drag racing and Commercial Drivers License medicals are $155.00 (including GST).
Patients interested in Q Fever testing and Q Fever vaccinations are advised to please ring the surgery for more information about the cost and consultation process.
The administrative cost to prepare your medical records for a different surgery is $44.00 for the full file or $25.00 for a summary (including GST).
We do not do Aviation medical assessments, Boxing medicals, Diving medicals or assessments or reports for a Firearm or Weapons licence.
Infants and children without a Medicare card
Child without a Medicare Card, over the age of 2 months old, who is eligible for a Medicare card but has not yet got one: $70.00 for a Standard Consult or $110.00 for a Long Consult.
We understand that some parents and carers may feel overwhelmed in the first few weeks and months of caring for a child. We nevertheless require a valid Medicare card number for all infants and children who are treated at the practice if they are to be bulk billed.
As well as this, having your child registered with Medicare will assist you financially if your infant or child is referred on for tests, scans, or specialist treatment.
There are many ways to register a child with Medicare. Please see: Enrolling your baby with Medicare We can hold aside bulk billing claims for an infant until they are 2 months of age.
After this time, if the child does not have a Medicare card number, the parent or carer will be responsible for paying for the consultation on the day of service. A receipt will be given that can then be submitted to Medicare for a rebate when or if the child is registered with Medicare. Any held aside claims which have arisen over the preceding 2 months will also need to be paid in full. The receipt can then be submitted to Medicare within 2 years of the service date when or if the child is registered with Medicare.
Where can I direct my opinions about the change the Flinders Peak Medical Centre made from universal bulk-billing to mixed billing in November 2023?
If you wish to voice your protest about the demise of Medicare universal bulk billing we suggest you contact the Honorable Mark Bulter MP, Minister for Health and Ageing and/or the Honorable Anne Ruston, Shadow Minister for Health and Aged Care.