Australian Capital Territory
Explanatory Statement
Health (Fees) Determination 2005 (No 2) 
Disallowable Instrument DI2005-131
made under the
Health Act 1993, s 36 (Determination of Fees)

This Determination of Fees revokes and replaces the Determination of Fees DI2005‑72, dated 20 May 2005 and notified on 26 May 2005.

The Determination comes into effect from 1 July 2005 and reproduces Determination DI2005-72 except for:

•	All fees have been increased by CPI (2.5%) with the exception of:
•	Items A & B have increased in-line with the National CPI of 2.4%;
•	Items C (Accommodation for Nursing Home Type Patients) and  Item D (Hostel Fees), which have increased inline with pension rates;
•	Item P1 (Opioid Treatment Service), which has not increased;
•	Item I (Pharmaceutical Co-payment), which have not increased;
•	Item O (Dental Services), which have been adjusted to reflect 20% of the Department of Veterans’ Affairs (DVA) dental services fee schedule – see attachment B;
•	Item formerly labelled I “Physiotherapy and Occupational Therapy” has been renamed “Allied Health Fees” and moved to X3;
•	Pharmaceutical Co-payment, which was formerly labelled Y has been moved to item I;
•	Item formerly labelled M4 has been removed and subsequent items renumbered;
•	New fees have been introduced at D2, G, L1b, R, U2c, X2d-e and X4-5;
•	Item formerly labelled J “Patient’s personnel laundry” has been removed and replaced with “Capital Region Cancer Service fees”, which was formerly labelled X15;
•	the date of effect.

Attachment A & B sets out the pre-1 July 2005 fees, the post 1 July 2005 and GST inclusive fees.

Attachment A

1 JULY 2005 - ANNUAL INCREASE OF FEES & CHARGES	
									
Item			Old	New	Including	
						Charge	Charge	GST	
									
A	Hospital Accommodation Fees - Standard Patients					
		1	a	In multiple-bed room	per day	$255.00	$261.00	n/a	
			b	In single room not at patients request	per day	$255.00	$261.00	n/a	
			c	In single room at patients request	per day	$441.00	$452.00	n/a	
			d	Hospital in the Home	per day	$153.00	$157.00	n/a	
		2	Compensable/Non-eligible					
			a	Critical Care	per day	$1,973.00	$2,020.00	n/a	
			b	Inpatient (other than critical care)	per day	$797.00	$816.00	n/a	
			c	Hospital in the Home	per day	$325.00	$333.00	n/a	
									
B	Hospital Accommodation Fees - Day Care Patients					
		1	Type B	per day	$185.00	$189.00	n/a	
		2	Local anaesthetic, no sedation - < 1 hour	per day	$208.00	$213.00	n/a	
		3	General or regional anaesthetic/intravenous sedation - < 1 hour	per day	$228.00	$233.00	n/a	
		4	General or regional anaesthetic/intravenous sedation - > 1 hour	per day	$255.00	$261.00	n/a	
									
C	Hospital Accommodation Fees - Nursing Home Type Patients					
		1	Over 16:					
			a	Hospital patient	per day	$33.15	$34.80	n/a	
			b	Private patient	per day	$114.00	$117.65	n/a	
		2	Under 16:					
			a	Hospital patient	per day	Nil	nil	n/a	
			b	Private patient	per day	$80.85	$82.85	n/a	
									
D	Hostel Fees					
		1	Hostel Accommodation Fees	per day	$25.25	$26.50	n/a	
		2	Group House - Maintenance Fee	per fortnight	n/a	$9.09	$10.00	
									
E	Accommodation where the person is other than a patient					
		1	On wards	per day	$7.00	$7.00	$7.70	
		2	In residences - non-IPTAS eligible, others					
			a	First person	per day	$31.00	$32.00	$35.20	
			b	Second and subsequent persons, 5 years and older	per day	$15.00	$16.00	$17.60	
			c	Each child, under 5 years	per day	$7.00	$7.00	$7.70	
		3	In residences - IPTAS eligible and Pensioner or health care card holders				
			a	First person	per day	$21.00	$22.00	$24.20	
			b	Second and subsequent persons, 5 years and older	per day	$12.00	$13.00	$14.30	
			c	Each child, under 5 years	per day	Nil	Nil	n/a	
									
G	Pathology Service Fees					
		1	Non-Medicare Testing					
			a	BCL-2 Translocation	per test	n/a	$100.00	n/a	
			b	Cystic Fibrosis - Delta F508 mutation	1 mutation	n/a	$80.00	n/a	
			c	Cystic Fibrosis - 36 mutation screen	36 mutations	n/a	$200.00	n/a	
			d	DNA Extraction and Storage	per test	n/a	$50.00	n/a	
			e	IgH & TCR gamma Gene rearrangements	per test	n/a	$200.00	n/a	
			f	HIV Testing	per test	n/a	$15.00	n/a	
			g	ThinPrep Pap Test	per test	n/a	$24.00	n/a	
			h	Spore Testing	per ampoule	n/a	$7.50	$8.25	
		2	Where the Pathology Service provided involves Inpatient Services				
			a	a Non-Eligible person		100% of Medicare Benefits Schedule Fee	n/a	
			b	a compensable patient		125% of Medicare Benefits Schedule Fee	n/a	
			c	a private patient		100% of Medicare Benefits Schedule Fee	n/a	
			d	a concessional patient		75% of Medicare Benefits Schedule Fee	n/a	
		3	Where the Pathology Service provided involves Outpatient Services				
			a	an outpatient service		85% of Medicare Benefits Schedule Fee	n/a	
			b	a Non-Eligible person		100% of Medicare Benefits Schedule Fee	n/a	
			c	a compensable patient		125% of Medicare Benefits Schedule Fee	n/a	
									
H	Non Eligible or Compensable Outpatient Service Fee					
		1	First visit	per visit	$132.60	$135.90	n/a	
		2	Second & subsequent visits	per visit	$87.50	$89.70	n/a	
									
I	Pharmaceutical Co-payment					
		1	General non-inpatient	per item	$22.90	$22.90	n/a	
		2	Concessional non-inpatient	per item	$4.60	$4.60	n/a	
									
	Patient's Personnel Laundry (Formerly J)					
		Patients at Nursing Homes	per day	$1.40	Deleted	n/a	
									
J	Capital Region Cancer Service					
		1	Copies of mammograms	per set	$29.09	$30.00	$33.00	
									
K	Mass Vaccinations					
		1	Hepatitis A	per vaccine	$69.70	$71.40	n/a	
		2	Hepatitis B	per vaccine	$20.30	$20.80	n/a	
		3	Influenza	per vaccine	$23.70	$24.30	n/a	
		4	Other (Adult Diphtheria Tetanus, Measles Mumps					
			Rubella, Rubella, Sabin)	per vaccine	$11.30	$11.60	n/a	
									
L	Facilities Hire					
		Use of Accommodation Facilities at The Canberra Hospital					
			Use of Theatrette (after hours)	per hour	$130.00	$133.50	$146.85	
			Use of Seminar Room (after hours, non-health related)	per 4 hour block (min) or part thereof	n/a	$120.00	$132.00	
									
		Facility Hire - Community Health					
			Conference, Meeting and Group Rooms					
				Commercial Use					
				 - Non-Health Related	per hour	$25.00	$25.50	$28.05	
				 - Sessional Health Related	per hour	$17.50	$18.00	$19.80	
				Community Use					
				 - Non-Health Related	per hour	$17.50	$18.00	$19.80	
				 - Health Related	per hour	$13.50	$14.00	$15.40	
			Theatrette (Moore Street Building)	per hour	$74.50	$76.50	$84.15	
									
M	Medical Records and Health Reports					
		1	Medical Practitioner Reports					
			a	No further examination of the patient		$173.00	$177.50	$195.25	
			b	As "a" by practitioner who has not previously treated patient	$201.00	$206.00	$226.60	
			c	Where a re-examination is required		$230.00	$235.50	$259.05	
			d	As "c" by practitioner who has not previously treated patient	$287.50	$294.50	$323.95	
		2	Health records required to be produced by subpoena or under notice of non-party production		
			a	Where 5 days notice is given		$50.50	$52.00	$57.20	
			b	Where less than 5 days notice is given		$84.00	$86.00	$94.60	
		3	Search Fees - includes time of birth, admin fee if nil records & cancellation fee	$34.50	$35.50	$39.05	
			Medical Records Department					
				Preparation of report as part of medico-legal responsibilities	$116.00	Deleted		
		4	Health Professional Reports					
			a	No further examination of the patient		$173.00	$177.50	$195.25	
			b	As "a" by practitioner who has not previously treated patient	$201.00	$206.00	$226.60	
			c	Where a re-examination is required		$230.00	$235.50	$259.05	
			d	As "c" by practitioner who has not previously treated patient	$287.50	$294.50	$323.95	
		5	Clinical Notes provided to patient's solicitor		$127.00	$130.00	$143.00	
		6	Clinical Notes provided to insurer		$127.00	$130.00	$143.00	
									
N	Pathology					
		Histology testing on Coronial post mortems		$212.00	$274.00	$301.40	
									
P	Alcohol & Drug Service					
		1	Opioid dispensed to clients on the Opioid Treatment Service	per week	$15.00	$15.00	n/a	
			for 6 months or more					
									
Q	Meals on Wheels					
		Supplied to Red Cross for distribution	per meal	$5.15	$5.30	$5.83	
									
R	Medical Imaging Services					
		1	Services to patients - Copies of films to patients/solicitors/coroner/police/insurers etc.			
			a	18cm x 24cm sheet	per sheet	n/a	$5.00	$5.50	
			b	24cm x 30cm sheet	per sheet	n/a	$6.00	$6.60	
			c	35cm x 43cm sheet	per sheet	n/a	$8.00	$8.80	
			d	35mm slides	each	n/a	$7.00	$7.70	
			e	Digital slides	each	n/a	$2.00	$2.20	
			f	Laminating	each	n/a	$2.00	$2.20	
			g	CDs	each	n/a	$2.00	$2.20	
			h	OPG sheets	per sheet	n/a	$6.00	$6.60	
			i	DVB Laser Film	per sheet	n/a	$8.00	$8.80	
			j	Service Fee	per order processed	n/a	$25.00	$27.50	
		2	Radiographer services to coroner		n/a			
			a	Monday to Friday	per hour	n/a	$113.00	$124.30	
			b	Saturday and Sunday	per hour	n/a	$123.00	$135.30	
			c	Public Holidays	per hour	n/a	$165.00	$181.50	
			d	Film	per sheet	n/a		see R1 (ex. service fee)	
			e	Processing	per occasion of service	n/a	$40.00	$44.00	
									
S	Pain Management Service					
			1	Multidisciplinary Assessment	per assessment	$862.50	$884.10	n/a	
			2	Cognitive Behaviour Therapy program	per program	$3,659.30	$3,750.80	n/a	
			3	Coping and Life Styles Program	per program	$367.00	$376.20	n/a	
			4	Exercise Program	per program	$6.30	$6.50	n/a	
			5	Psychology Assessment	per assessment	$165.20	$169.30	n/a	
			6(a)	Medical Assessment and Follow-ups First visit	per visit	$188.20	$192.90	n/a	
			6(b)	Medical Assessment and Follow-ups First visit	per visit	$94.10	$96.50	n/a	
			7(a)	Physiotherapy and Occupational therapy First and subsequent visit	per visit	$87.50	$89.70	n/a	
									
T	Biomedical Repairs					
		Repairs on equipment and advice/training provided during:					
		1	Core hours	per hour	$98.00	$100.50	$110.55	
						+ parts	+ parts	+ parts	
		2	After hours	per hour	$127.00	$130.00	$143.00	
						+ parts	+ parts	+ parts	
U	Community Rehabilitation Program					
		1	Community - Based Rehabilitation Services					
				General services to whom fees apply and commercial consultancy services				
			a	Allied Health Staff					
				i) Appointment		$87.50	$89.50	$98.45	
				Education and/or Training (for student groups, private and public sector staff groups)			
				ii) Per facilitator - business hours	per hour (half hr min)	$50.50	$52.00	$57.20	
				iii) Per facilitator - after hours	per hour (half hr min)	$76.50	$78.50	$86.35	
									
		2	Independent Living Centre					
			a	Appointment fee for clients with third party payer					
				i) Assisted appointment	per hour (half hr min)	$87.50	$89.50	n/a	
				ii) Non attendance at appointment		$13.50	$14.00	$15.40	
			b	Unassisted appointments - service provided by staff member of another organisation	per hour (half hr min)	$29.50	$30.00	$33.00	
			c	Education and/or Training (for private organisations and interstate staff)				
				i) ILC Education	per half day	n/a	$65.00	$71.50	
				ii) ILC Education	per full day	n/a	$120.00	$132.00	
			d	Second hand register (referral service)					
				i) for items over $500		$17.50	$18.00	$19.80	
				ii) for items under $500		$8.50	$8.50	$9.35	
				iii) for more than 1 item		$17.50	$18.00	$19.80	
			e	Consultancy fee for commercial advisory services (including travel)	per hour (half hr min)	$88.00	$90.00	$99.00	
									
		3	Equipment Loan Service					
			a	Default on loan agreements		Cost of replacement + 10% admin charge 	Cost of replacement + 10% admin charge	Cost of replacement + 11% admin charge	
						($157 Max)	($161 Max)	($177.10 Max)	
			b	Hire of pressure care products					
				i) Pressure Relief Mattress or Overlay Hire	per month	$87.60	$89.80	n/a	
				ii) Pressure Relief Mattress or Overlay Hire - Pensioner Rate	per month	$43.80	$44.90	n/a	
				iii) Pressure Reduction Mattresses and Overlays	per month	$21.90	$22.40	n/a	
									
		4	ACT Equipment Scheme					
			a	Continence pads and aids for incontinence	Per carton of continence pads or order of incontinence aids	$21.40	$21.90	n/a	
			b	Orthopaedic footwear		10% of total cost	10% of total cost	n/a	
						($53.70 Min)	($55.00 Min)		
			c	Orthoses		10% of total cost	10% of total cost	n/a	
						($21.40 Min)	($21.90 Min)		
			d	Repairs to ACTES Equipment		1/3 of total cost	1/3 of total cost	n/a	
						($21.40 Min)	($21.90 Min)		
			e	Home modifications		10% of total cost	10% of total cost	n/a	
						($21.40 Min)	($21.90 Min)		
			f	Walking aids		10% of total cost	10% of total cost	n/a	
						($21.40 Min)	($21.90 Min)		
			g	Equipment and appliances for personal use		10% of total cost	10% of total cost	n/a	
						($21.40 Min)	($21.90 Min)		
			h	Wigs		$21.40	$21.90	n/a	
			i 	Breast Prostheses Replacement		$21.40	$21.90	n/a	

		5	Prosthetic and Orthotic Services					
			a	New prostheses or repairs for compensable clients	per hour (half hr min)	$87.60	$89.80	n/a	
						+ components	+ components		
			b	New prostheses or repairs for non compensable clients not holding concession cards (cost ceilings apply)	15% of total cost	15% of total cost	n/a	
						($214 pa Max)	($219 pa Max)		
			c	New orthoses 	per hour (half hr min)	$87.60	$89.80	n/a	
						+ components	+ components		
			d	Repairs to Orthoses 	per hour (half hr min)	$87.50	$89.80	$98.78	
						+ components	+ components	+ components	
			e	Rehabilitation engineering maintenance/modification 	per hour (half hr min)	$64.50	$66.00	$72.60	
				on equipment and advice/training		+ components	+ components	+ components	
			f	Orthotics assessments for private and compensable clients	per hour (half hr min)	$87.50	$89.80	n/a	

		6	Driver Rehabilitation Service					
			a	Initial Assessment - Non compensable	per assessment	$57.50	$59.00	$64.90	
			b	Initial Allied Health Assessment	per assessment	$613.50	$629.00	n/a	
			c	Initial Assessment Report and Driving Instruction	per assessment	$280.00	$287.00	$315.70	
			d	Lesson (compensable and non compensable)	per lesson	$52.00	$53.50	$58.85	
			e	Re-assessment - Non compensable	per assessment	$52.00	$53.50	$58.85	
			f	Allied Health Re-assessment	per assessment	$262.50	$269.00	n/a	
			g	Re-assessment Report and Driving Instruction	per assessment	$280.00	$287.00	$315.70	
									
		7	Wheelchair and Posture Seating					
			a	ACT residents, not including residential care (covered by concession card)	Component costs	Component costs	Component Cost + 10%	
			b	Clients whom fees apply					
				i) Occupational Therapist	per hour (half hr min)	$87.50	$89.50	n/a	
				ii) Community Medical Officer	per hour (half hr min)	$102.50	$105.00	n/a	
				iii) Technician	per hour (half hr min)	$64.50	$66.00	n/a	
						+ Comp. costs	+ Comp. costs	Component Cost + 10%	
									
V	Health Protection Services					
		1	Scientific Services					
			a	Other than the ACT Coroner's Office	per hour	$125.00	$128.00	$140.80	
			b	ACT Coroner's Office (Attorney-General's Dept)	per matter	$796.00	$816.00	$897.60	
		2	Other					
			a	Consultation - Business Hours	per hour	$88.00	$90.00	$99.00	
			b	Consultation - After Hours	per hour	$108.50	$111.00	$122.10	
			c	Exhumations	per matter	$313.50	$321.50	$353.65	
									
W	Audiometry					
		Adult Hearing Tests	per consultation	$29.60	$30.30	n/a	
									
X	Other Community Health Fees					
	1	ACT Specialist Scheme					
			a	Specialist Scheme		20% of total cost	20% of total cost	20% of total cost	
	2	Community Health Care Program					
			a	Chronic pain management course for compensation clients	per session	$32.50	$33.50	$36.85	
			b	Nursing and Allied Health education - business hours	per hour	$62.50	$64.00	$70.40	
			c	Nursing and Allied Health education - after hours	per hour	$94.00	$96.50	$106.15	
			d	Nursing and Allied Health education (tertiary standard) - business hours	per hour	n/a	$150.00	$165.00	
			e	Nursing and Allied Health education (tertiary standard) - after hours	per hour	n/a	$225.00	$247.50	
			f	Sale of infection control manual	per manual	$67.50	$69.00	$75.90	
			g	Podiatric nail surgery (materials)	per intervention	$35.00	$48.00	$52.80	
			h	Non moulded innersoles	per pair	$24.00	$24.50	n/a	
			i	Preformed Foot Orthoses	per pair	$92.50	$48.00	n/a	
			j	Custom made Foot Orthoses	per pair	$208.00	$130.00	n/a	
			k	Day care meals	per meal	$5.50	$5.50	n/a	
			l	Consultation in private hospitals	per hour	$64.00	$65.50	$72.05	
			m	Community nursing	per hour	$64.00	$65.50	n/a	
			n	Consultation overseas clients	per hour	$64.00	$65.50	n/a	
	3	Allied Health					
			a	First & subsequent visit	per visit	$87.50	$89.70	n/a	
	4	Other Medical Supplies					
			a	Orthotic Modifications	per pair	n/a	$10.00	n/a	
			b	Foot Files	Per Item	n/a	$3.00	$3.30	
			c	Tubigrip - small/med	per metre	n/a	$3.00	n/a	
			d	Tubigrip - large	per metre	n/a	$10.00	n/a	
			e	Resistance Band	per metre	n/a	$4.00	$4.40	
			f	Exercise Putty	per container	n/a	$7.00	n/a	
			g	Sportstape	per roll	n/a	$6.00	$6.60	
			h	Undertape	per metre	n/a	$5.00	$5.50	
			i	Lumbar Roll	per item	n/a	$17.00	n/a	
			j	Neck Roll	Per Item	n/a	$16.00	n/a	
			k	Collar	per item	n/a	$10.00	n/a	
			l	PFX Probe	Per Item	n/a	$20.00	n/a	
			m	Vaginal Cone	per item	n/a	$16.00	n/a	
			n	TYOB Book	per item	n/a	$18.00	$19.80	
			o	TYON Book	per item	n/a	$18.00	$19.80	
			p	Women's Waterworks Book	per item	n/a	$10.00	$11.00	
			q	Lets Get Things Moving Book	per item	n/a	$10.00	$11.00	
			r	One Step at a time Book	per item	n/a	$20.00	$22.00	
			s	Parkinson's Disease Book	per item	n/a	$4.00	$4.40	
			t	Stroke Survival Guide	per item	n/a	$12.00	$13.20	
			u	Hinged Ankle Brace	per item	n/a	$220.00	n/a	
			v	Fixed Ankle Brace	per item	n/a	$75.00	n/a	
			w	Limited motion brace (knee)	per item	n/a	$130.00	n/a	
			x	Limited motion brace (elbow)	per item	n/a	$225.00	n/a	
			y	Limited motion brace replacement foam	per item	n/a	$20.00	n/a	
			z	Orthotics	per pair	n/a	$40.00	n/a	
			aa	Crutches	per pair	n/a	$30.00	n/a	
			bb	Crutch Tips and Handles	per item	n/a	$3.00	n/a	
			cc	Collar Cervical Rigid	per item	n/a	$80.00	n/a	
			dd	Walking Stick	per item	n/a	$15.00	n/a	
			ee	Wrist Splint Rigid	per item	n/a	$20.00	n/a	
			ff	Wrist Splint Elastic	per item	n/a	$36.00	n/a	
			gg	Neoprene Thumb Splints	per item	n/a	$35.00	n/a	
			hh	Foam Blocks	per item	n/a	$2.50	$2.75	
			ii	Coban Small	per item	n/a	$2.00	n/a	
			jj	Coban Large	per item	n/a	$5.00	n/a	
			kk	Tubigrip Sizes K	per metre	n/a	$5.00	n/a	
			ll	Garment - ready made	per item	n/a	At Cost	n/a	
			mm	Pressure Garment - made to measure	per item	n/a	At Cost	n/a	
			nn	Paediatric Feeding Consumables	per item	n/a	At Cost	n/a	
			oo	Voice Prostheses/consumables	per item	n/a	At Cost	n/a	
			pp	Simple Splints	per item	n/a	At Cost	n/a	
			qq	Complex Splints	per item	n/a	At Cost	n/a	
	5	Home Enteral Nutrition Program					
			a	Equipment Only 0-6 years 11 months	per week	n/a	$12.00	n/a	
			b	Equipment Only 7-12 years 11 months	per week	n/a	$12.00	n/a	
			c	Equipment Only 13+ years	per week	n/a	$12.00	n/a	
			d	Supplementary Feeding 0-6 years 11 months	per week	n/a	$20.00	n/a	
			e	Supplementary Feeding 7-12 years 11 months	per week	n/a	$35.00	n/a	
			f	Supplementary Feeding 13+ years	per week	n/a	$36.00	n/a	
			g	Enteral Feeding 0-6 years 11 months	per week	n/a	$25.00	n/a	
			h	Enteral Feeding 7-12 yeas 11 months	per week	n/a	$40.00	n/a	
			i	Enteral Feeding 13+ years	per week	n/a	$42.00	n/a	

Attachment B

1 JULY 2005 - ANNUAL INCREASE OF FEES & CHARGES	
DENTAL SERVICE FEES	
								
Item		Old	New	Including	
					Charge	Charge	GST	
								
O	Dental Services				
		Group 0 - Examination/Diagnostic				
				Comprehensive Oral Exam	$7.00	$6.50	n/a	
				Periodic Exam	$7.00	$5.00	n/a	
				Emerg Exam (Min. $20: Restorative Emergencies) -                                    	nil	n/a	
				Pros Emergency Visit 	$25.00	nil	n/a	
				Emergency Restorative Course of Care 	N/A	$25.00	n/a	
				Emergency Prosthodontic Course of Care 	N/A	$25.00	n/a	
				Consult (incl Exam)	$7.00	$7.00	n/a	
				Consult Ext + 30 (incl Exam)	$7.00	$11.50	n/a	
				Consult by Ref (incl Exam)	nil	nil	n/a	
				Consult  by Ref Ext +30 (incl Exam)	$7.00	nil	n/a	
				Letter of Referral	$0.00	nil	n/a	
				X-Ray -1 film PA or BW	$7.00	$5.00	n/a	
				Intraoral radiograph - occlusal, maxillary or mandibular - single film	$7.00	$7.00	n/a	
				Extraoral radiograph - maxillary and/or mandibular - single film	$7.00	$8.00	n/a	
				Caries activity screening test	N/A	$4.50	n/a	
				Biopsy of Tissue	$7.00	$14.00	n/a	
				Pulp Test Per visit	nil	nil	n/a	
				Diagnostic cast	$7.00	$7.00	n/a	
				Photographic records - intraoral	nil	$5.00	n/a	
		Group 1 - Preventative Services				
				Removal of Plaque and / or stain	$9.00	$6.50	n/a	
				Recontouring - pre existing restoration/s	$9.00	$2.50	n/a	
				Calculus (supra & subging.) & Plaque Removal 1st visit	$9.00	$9.00	n/a	
				Calculus (supra & subging.) & Plaque Removal  Addit. visit	$9.00	$6.50	n/a	
				Enamel micro- abrasion - per tooth	$9.00	$5.50	n/a	
				Bleaching, internal - per tooth	$9.00	$31.50	n/a	
				Bleaching, external - per tooth	$9.00	$28.00	n/a	
				Fluoride - Topical (including tooth mousse)	$9.00	$3.50	n/a	
				Concentrated fluoride, application single tooth	$9.00	$3.00	n/a	
				Dietary advice. Analysis  and advice	$9.00	$4.00	n/a	
				Oral Hygiene Instr.  (if more than 10 mins.)	$9.00	$5.50	n/a	
				Fissure Sealant - per tooth	$9.00	$5.50	n/a	
				Apply Desensitising Agent	$9.00	$3.00	n/a	
				Odontoplasty - per tooth	$9.00	$5.50	n/a	
		Group 2 - Periodontics				
				Treatment of acute Periodontal Infection	$8.00	$8.00	n/a	
				Root Planing & Curettage (per 8 teeth or less)	$20.00	$15.50	n/a	
				Non-surgical periodontal treatment not otherwise specified - per visit	$12.00	n/a	
				Gingivectomy (per 8 teeth or less)	$20.00	$23.00	n/a	
				Periodontal flap surgery (per 8 teeth or less)	$20.00	$40.50	n/a	
				Osseous surgery (per 8 teeth or less)	$20.00	$48.50	n/a	
				Root resection - per root	$20.00	$26.00	n/a	
				Periodontal surgery involving one tooth or an implant	$8.00	$9.00	n/a	
		Group 3 - Oral Surgery				
				Removal of tooth or parts	$10.00	$14.00	n/a	
				Sectional removal of tooth.  Bone  removal maybe necessary	$10.00	$19.00	n/a	
				Surgical removal of tooth or tooth fragment not including bone	$21.00	$24.00	n/a	
				Surgical removal of tooth or tooth fragment including bone	$21.00	$29.50	n/a	
				Surgical removal of tooth or tooth fragment requiring both bone and tooth division	$21.00	$37.00	n/a	
				Alveolectomy per segment	$21.00	$15.00	n/a	
				Ostectomy	N/A	$62.00	n/a	
				Reduction of fibrous tuberosity	$21.00	$21.00	n/a	
				Reduction of flabby ridge - per segment	$21.00	$12.00	n/a	
				Removal of fibrous hyperplasia	$21.00	$31.00	n/a	
				Removal of tumour, cyst or scar 	$21.00	$23.00	n/a	
				Removal of tumour, cyst or scar involving muscle, done or deep tissue	$21.00	$82.00	n/a	
				Surgery to salivary duct	$21.00	$72.00	n/a	
				Surgery to salivary gland	$21.00	$24.50	n/a	
				Removal or repair of soft tissue  (not elsewhere defined)	$21.00	$23.00	n/a	
				Surgical removal of foreign body	$21.00	$13.00	n/a	
				Marsupialization of cyst	$21.00	$43.50	n/a	
				Surgical exposure to unerupted tooth	$21.00	$37.50	n/a	
				Reposition tooth / Splint	$21.00	$22.00	n/a	
				Replantation of /& Splinting of tooth	$21.00	$43.50	n/a	
				Frenectomy	$21.00	$20.00	n/a	
				Drainage of abscess or cyst	$21.00	$11.00	n/a	
				Surgery involving the maxially antrum	$21.00	$95.50	n/a	
				Control of reactionary or secondary post operative haemorrhage	$21.00	$7.00	n/a	
		Group 4 - Endodontics				
				Direct pulp capping	nil	$4.00	n/a	
				Pulpotomy 	$15.00	$8.50	n/a	
				Complete Endodontic treatment, incisor or canine tooth	$61.00	$54.00	n/a	
				Complete Endodontic treatment, premolar tooth 	$61.00	$75.50	n/a	
				Complete Endodontic treatment, molar tooth	$61.00	$99.00	n/a	
				Extirpation of pulp and debridement of root canal(s) - emerg	$15.00	$15.50	n/a	
				Resorbable root canal filling - primary tooth	$15.00	$32.00	n/a	
				Periapical curettage - per root	$15.00	$32.00	n/a	
				Apicectomy- per root	$60.00	$33.50	n/a	
				Apical seal - per canal	nil	$14.50	n/a	
				Sealing of perforation	$60.00	$39.50	n/a	
				Surgical treatment or repair of external root resorption	$60.00	$52.50	n/a	
				Exploration and/or negotiation of calcified canal -per canal, per visit	$15.00	$12.00	n/a	
				Removal of root filling, per canal	$15.00	$12.00	n/a	
				Removal of cemented root canal post or post crown	$15.00	$12.00	n/a	
				Removing or bypassing fractured endodontic instrument	$15.00	$10.00	n/a	
				Additional visit for irrigation and/or dressing of the root canal system - per tooth	Nil	$12.00	n/a	
				Interim therapeutic root filling - per tooth	$15.00	$16.00	n/a	
		Group 5 - Restorative Services				
				Metallic restoration  - 1 surface - direct	$13.00	$11.50	n/a	
				Metallic restoration  - 2 surface - direct	$13.00	$14.50	n/a	
				Metallic restoration  - 3 surface - direct	$13.00	$17.50	n/a	
				Metallic restoration  - 4 surface - direct	$13.00	$21.00	n/a	
				Metallic restoration - 5 surface - direct	$13.00	$24.00	n/a	
				Adhesive restoration  - 1 surface - Anterior tooth - direct	$13.00	$13.50	n/a	
				Adhesive restoration  - 2 surface - Anterior tooth - direct	$13.00	$16.50	n/a	
				Adhesive restoration  - 3 surface - Anterior tooth - direct	$13.00	$19.00	n/a	
				Adhesive restoration  - 4 surface - Anterior tooth - direct	$13.00	$22.50	n/a	
				Adhesive restoration - 5 surface - Anterior tooth - direct	$13.00	$26.00	n/a	
				Adhesive restoration - 1 surface  Posterior tooth - direct	$13.00	$14.50	n/a	
				Adhesive restoration - 2 surface  Posterior tooth - direct	$13.00	$18.50	n/a	
				Adhesive restoration - 3 surface  Posterior tooth - direct	$13.00	$23.00	n/a	
				Adhesive restoration - 4 surface  Posterior tooth - direct	$13.00	$27.00	n/a	
				Adhesive restoration - 5 surface  Posterior tooth - direct	$13.00	$30.50	n/a	
				Provisional (Intermediate / temporary) restoration	$5.00	$5.50	n/a	
				Provisional (Intermediate / temporary) restoration Endo	nil	nil	n/a	
				Metal band	$5.00	$4.50	n/a	
				Pin restoration -per pin	$5.00	$3.50	n/a	
				Stainless Steel Crown	N/A	$34.00	n/a	
				Cusp capping - per cusp	nil	$3.50	n/a	
				Restoration of an incisal corner - per corner	nil	$3.50	n/a	
				Removal of inlay/onlay	$5.00	$11.00	n/a	
				Recementing onlay/inlay	$5.00	$9.00	n/a	
				Post - direct	$5.00	$17.00	n/a	
		Group 6 - Crown and Bridge				
				Provisional Crown	N/A	$17.00	n/a	
				Recrement Crown or veneer	$10.00	$10.00	n/a	
				Recrement bridge or splint	$10.00	$11.50	n/a	
				Removal of crown	$10.00	$7.00	n/a	
				Removal of bridge or splint	$10.00	$21.00	n/a	
		Group 7 - Prosthodontics				
				Full Maxillary denture	$61.00	$77.50	n/a	
				Full Mandibular denture	$61.00	$77.50	n/a	
				Metal plate or mesh	$160.00	$184.00	n/a	
				Full Maxillary & Full Mandibular dentures	$122.00	$139.00	n/a	
				Partial Max Denture - resin base	$61.00	$65.00	n/a	
				Partial Mand Denture - resin base	$61.00	$65.00	n/a	
				Partial Max Denture - cast CO/CR base	$241.00	$250.00	n/a	
				Partial Mand Denture - cast CO/CR base 	$241.00	$250.00	n/a	
				Retainer - per tooth	nil	nil	n/a	
				Occlusal rest - per rest	nil	nil	n/a	
				Tooth/ Teeth (Partial denture)	nil	nil	n/a	
				Overlays - per tooth	nil	nil	n/a	
				Immediate tooth replacement - per tooth	nil	nil	n/a	
				Resilient Lining in addit'n to new denture	$28.00	$20.00	n/a	
				Wrought Bar	nil	nil	n/a	
				Metal Backing - per backing	nil	nil	n/a	
				Denture Adjustment (not new)	$5.00	$4.00	n/a	
				Denture Adjustment ( new)	nil	nil	n/a	
				Reline -Complete denture	$28.00	$31.50	n/a	
				Reline -Part denture	$28.00	$23.00	n/a	
				Remodel - complete denture 	$28.00	$57.00	n/a	
				Remodel - Partial denture 	$28.00	$45.50	n/a	
				Clean and polish of pre-existing denture	$5.00	$3.50	n/a	
				Denture base modification	$28.00	$28.50	n/a	
				Reattaching pre-existing tooth or clasp to denture	nil	nil	n/a	
				Replacing/added clasp to denture	nil	nil	n/a	
				Repairing broken base of complete denture	nil	nil	n/a	
				Repairing broken base of partial denture	nil	nil	n/a	
				Added tooth to partial denture to replace an extraction or decoronated tooth	nil	nil	n/a	
				Repair to metal casting: one point	$85.00	$85.00	n/a	
				Tissue conditioning preparatory to impressions  - per application	$5.00	$7.00	n/a	
				Impression  for denture repair	nil	nil	n/a	
				Identification	$5.00	$4.00	n/a	
		Group 7 - Provision for New Dentures  (No ADA Item Numbers)				
				Ist Impression (New Denture) Per Impression	nil	nil	n/a	
				2nd Impression (New Denture) Per Impression	nil	nil	n/a	
				Bite (New Denture)	nil	nil	n/a	
				Try In (New Denture)	nil	nil	n/a	
				Re Try (New Denture)	nil	nil	n/a	
		Group 8 - Orthodontics (When Used for an Adult)				
				Passive removable appliance - one arch	$122.00	nil	n/a	
				Active removable appliance - one arch	$122.00	nil	n/a	
				Functional orthopaedic appliance	$122.00	nil	n/a	
				Passive fixed appliance	$122.00	nil	n/a	
				Extra-oral appliance 	$122.00	nil	n/a	
				Orthodontic adjustment	nil	nil	n/a	
				Repair removable appliance	$21.00	nil	n/a	
				Repair removable appliance - clasp, spring or tooth	$21.00	nil	n/a	
				additional to removable appliance	$21.00	nil	n/a	
				Relining removable appliance	$21.00	nil	n/a	
		Group 9 - General Services				
				Palliative  care	$6.00	$5.50	n/a	
				After hours emergency	nil	nil	n/a	
				Travel to provide service	$6.00	$7.50	n/a	
				Provision of medication/ medicaments	nil	$3.00	n/a	
				Local anaesthesia (dignosis or pain relief)	$6.00	$2.00	n/a	
				Treatment under G.A.	$82.00	$122.00	n/a	
				Minor Occlusal adjustment	$6.00	$5.50	n/a	
				Occlusal splint	$46.00	$60.00	n/a	
				Adjust occlusal splint	$6.00	$8.00	n/a	
				Repair/addition - occlusal splint	$6.00	$31.50	n/a	
				Splinting and stabilization - direct - per tooth	$6.00	$11.00	n/a	
				Post-operative care not elsewhere included	nil	$8.00	n/a	
				Treatment not otherwise included	$6.00	$6.00	n/a	
		Group A - Restorative Referal Scheme  (No ADA Item Numbers)				
				Complete Endodontic treatment, incisor or canine tooth	$61.00	$54.00	n/a	
				Complete Endodontic treatment, premolar tooth 	$61.00	$75.50	n/a	
				Complete Endodontic treatment, molar tooth	$61.00	$99.00	n/a	
		Group B - Child & Youth Membership Fees				
				Standard Annual Fee	$40.00	nil	n/a	
				Maximum Standard Annual Family Fee	$100.00	nil	n/a	
				Reduced Annual Fee For Low Income Families	$20.00	nil	n/a	
				Maximum Reduced Annual Family Fee	$20.00	nil	n/a	
				Free for Families Covered by a Concession Card	nil	nil	n/a	
		Group B - Child & Youth Dental				
				Assessment or Screening Examination Visit	nil	$0.00	n/a	
				Standard Annual Fee	$40.00	$40.00	n/a	
				Free for families meeting eligibility criteria. 	nil	nil	n/a	
		Group C - Child and Youth Extra Fee Services				
				Passive removable appliance - one arch	50% of Group 8 	$41.50	n/a	
				Active removable appliance - one arch	50% of Group 8 	$41.50	n/a	
				Functional orthopaedic appliance	50% of Group 8 	$32.50	n/a	
				Passive fixed appliance	50% of Group 8 	$27.00	n/a	
				Extra-oral appliance 	50% of Group 8 	$108.00	n/a	
				Orthodontic adjustment	50% of Group 8 	nil	n/a	
				Repair removable appliance	50% of Group 8 	$8.50	n/a	
				Repair removable appliance - clasp, spring or tooth	50% of Group 8 	$8.00	n/a	
				additional to removable appliance	50% of Group 8 	$8.50	n/a	
				Relining removable appliance	50% of Group 8 	$17.00	n/a	
				Occlusal splint	50% of Group 8 	$30.00	n/a