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A consultation with a specialist for a pregnancy which has passed 28 weeks. The specialist will plan and manage the pregnancy. They might also be available for the birth and care afterwards. The specialist must offer a mental health assessment. The patient can choose to undertake the assessment.

Treatment venue

Out-of-hospital

Medical specialty

Obstetrics and gynaecology

Your care options

Bulk billing patient:

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

Private patient:

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 2021-22

For patients who had a Pregnancy management fee in a private setting across all of Australia, 91% had an out-of-pocket cost. Of those:

Patients typically paid: $2,570, Medicare paid: $330, Insurer paid: $0. Typical specialists’ fees: $2,900.

Percent of patients who paid in 2021-22

9% of patients had no out-of-pocket costs

91% of patients had out-of-pocket costs

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

Of the 91% of people who had an out-of-pocket cost in 2021-22, the typical cost was calculated as follows:

High$4,170
Typical$2,570
Low$1,120

The table below shows the following by state and territory:

  • Percent of patients who paid no out-of-pocket cost. The specialist’s fees were paid by Medicare.
  • How much 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 by all specialties in 2021-22.

VICQLDTASACTSANSWWA
% with no out-of-pocket costs7%9%6%4%15%12%6%
Typical specialists’ fees$2,643$2,100$1,800$3,600$2,827$3,600$2,450
Patients typically paid$2,313$1,770$1,470$3,270$2,497$3,270$2,120

What the fees and costs shown include

The fees and costs show typical fees for an individual service. They are based on data from 2021-22.

Each service is linked to a number listed on the Medical 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 specialist to find out:

  • 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 a Pregnancy management fee.

MBS Item 16590

A consultation with a specialist for a pregnancy that has passed 28 weeks. The specialist will plan and manage the pregnancy. They might also be available for the birth and care afterwards. The specialist must offer a mental health assessment. The patient can choose to undertake the assessment.