Clinical Labs is committed to minimising "out of pocket" expenses to hospital and day
procedure inpatients. Clinical Labs has "no gap" agreements in place with most major
health funds; however, for those patients who belong to a fund where agreements are not in
place, or when any part of the claim is not accepted by the fund, a pathology account will be
issued.
Patient Billing Brochure
Fees
Clinical Labs' fees are based on Australian Medical Association
(AMA) recommended rates for pathology services. While there will be an "out of pocket"
cost for members of non-participating funds, Clinical Labs has set a "cap" to help
minimise this expense and the fees will not exceed the "cap". This "gap" fee
will not exceed $600 for the whole hospital stay.
Hospital outpatients may be issued a pathology account from Clinical Labs to pay, for which
patients with Medicare may be able to claim back a portion of once their account has been paid.
Our fees are based on the Australian Medical Association schedule of fees.