The information on the Medical Costs Finder is a guide only and should not be used as a quote or medical diagnosis.
You are viewing costs across Australia

A procedure using light waves to take pictures inside the eye (optical coherence tomography). This is to see what treatment is needed after the person has received an eye medication (ocriplasmin).

Treatment venue

Out-of-hospital

Medical specialty

Ophthalmology

Your care options

Bulk billing patient:

If you are bulk billed for a medical service you will have no out-of-pocket costs. The GP or specialist bills Medicare and accepts the Medicare benefit as full payment for the service.

Non-bulk billing patient:

GPs and specialists can set a fee for the service that is higher than the Medicare benefit. In this case you may have out-of-pocket costs. This is the difference between the service fee and the Medicare benefit.

In 2022-23

For patients who had an MBS item 11220 in a private setting across all of Australia, 57% had an out-of-pocket cost. Of those:

Patients typically paid: $39, Medicare paid: $36, Insurer paid: $0. Typical fees: $75.

Percent of patients who paid in 2022-23

43% of patients had no out-of-pocket costs

57% of patients had out-of-pocket costs

Low, typical, and high out-of-pocket costs

Of the 57% of people who had an out-of-pocket cost in 2022-23, the typical cost was calculated as follows:

High$64
Typical$39
Low$4

The table below shows the following by state and territory:

  • Percent of patients who paid no out-of-pocket cost. The GP or specialist’s fees were paid by Medicare.
  • How much GPs or specialists typically charged for this service, when there was an out-of-pocket cost for the patient.
  • How much patients typically paid if they had an out-of-pocket cost.

Some regions may not show data due to insufficient services or providers available to ensure a specific person is not identified.

This information is for all services using this MBS item in the selected specialty in 2022-23.

Vic
% with no out-of-pocket costs6%
Typical GP or specialists’ fees$100
Patients typically paid$64

What the fees and costs shown include

The fees and costs show typical fees for an individual service. They are based on data from 2022-23.

Each service is linked to a number listed on the Medicare Benefits Schedule (MBS), called an MBS item. Patients may have other MBS items as well, as multiple services may occur in a setting. The Medicare benefit amount(opens in new tab) has been rounded to the nearest dollar.

Talk to your GP or specialist to find out:

  • If you may need a referral to a medical specialist.
  • What specific tests or treatments you will need. This might include diagnostic imaging or pathology services.
  • What other specialists may be involved in your service, and their fees.

We show local data by Primary Health Network(opens in new tab) if a person or provider can’t be identified. Otherwise, we will show information at higher level, by aggregating the data. The data might then be at a state and territory level, or across Australia. See our disclaimer for more information.

What the fees and costs shown don’t include

  • Aftercare costs.
  • Costs associated with pharmaceuticals and other incidentals.

MBS item number(s) that may be the main treatment for an MBS item 11220.

MBS Item 11220

A procedure using light waves to take pictures inside the eye (optical coherence tomography). This is to see what treatment is needed after the person has received an eye medication (ocriplasmin).