Document ID: chunk:federal_register_of_legislation:F2025C00117:body:0:p16
Version: federal_register_of_legislation:F2025C00117
Segment Type: other
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Character Range: 45608–49557

Type C procedure―see the definitions of those terms in rule 3 of Part 1 of these Rules.

           Note 2: The definition of hospital treatment in section 121‑5 of the Act includes that the treatment is provided either at the hospital or provided or arranged with the direct involvement of a hospital.  This Schedule sets out benefit requirements only for treatment provided at the relevant hospital ― see paragraph 121‑5 (1) (c) of the Act.

2. Minimum benefit

      (1) The minimum benefit for hospital treatment provided in the circumstances specified in this Schedule is the amount set out in Table 1 or 2 in this clause for that hospital treatment.

      (2) The references to Bands in the tables are references as follows:
            (a) Band 1 means Band 1 treatment;
            (b) Band 2 means Band 2 treatment;
            (c) Band 3 means Band 3 treatment;
            (d) Band 4 means Band 4 treatment,
as those bands are described in Part 2 of this Schedule.

Table 1‑Same day accommodation for private patients at public hospitals in all States/Territories
Column 1                                                                                           Column 2  Column 3  Column 4  Column 5
Public hospitals                                                                                   Band 1    Band 2    Band 3    Band 4
New South Wales                                                                                    $316      $352      $389      $436
Australian Capital Territory                                                                       $316      $352      $389      $436
Northern Territory                                                                                 $316      $363      $418      $436
Queensland                                                                                         $322      $365      $399      $447
South Australia                                                                                    $316      $363      $398      $436
Tasmania                                                                                           $307      $366      $422      $489
Victoria                                                                                           $311      $367      $426      $489
Western Australia                                                                                  $359      $359      $359      $359

Table 2‑ Same day accommodation for private patients at private hospitals in all States/Territories
Column 1                                                                                             Column 2  Column 3  Column 4  Column 5
Private hospitals                                                                                    Band 1    Band 2    Band 3    Band 4
All States and Territories                                                                           $274      $344      $418      $489

     Part 2 Type B procedures

3. Interpretation

     A Type B procedure is a procedure specified as a Band 1, 2, 3 and 4 as described in this Part.

           Note: These procedures normally require hospital treatment that does not include part of an overnight stay.

4. Band 1

      (1) Hospital treatment that involves a professional service of the type identified by the MBS item number specified in the following table in this clause is Band 1 treatment for the purposes of the tables in clause 2 of this Schedule:

Type B day procedures: Band 1 – list of MBS items
11801, 13100, 13103, 13706, 13950, 30210, 30475, 30679, 32075, 32084, 32087, 32095, 32215, 35500, 36665, 39000, 41674, 42575, 42741, 55118, 55600, 55603

      (2) Other hospital treatment requiring day admission to a hospital that is not Band 2, 3 or 4 treatment is Band 1 treatment for the purposes of the tables in clause 2 of this Schedule.

5. Non‑band specific Type B day procedures

      (1) Hospital treatment that involves