Table 1

Unit costs of allied health and community services in Australia
Services Cost given by individual studies 2011 $AD Mean (SD), range
Physiotherapy
Public Hospital Service $50.10 [18], $76.10 [20] $73.40 [10], $72.14 [22] $67.94 per hour (12.00) $41.26-$76.10
Group $29.09 [23], $27.35 [24] $28.22 per patient (1.23)
Hydrotherapy $15.77 [20], $35.80 [24] $25.79 per patient (14.16)
Outreach $212.19 [18] $212.19
Private per visit $76.50 [19], $51.44 [20] $ 63.97per consultation (17.72)
First consultation $96.32 [23], $100.40 [10], $91.18 [17], $69.24 [3] $89.29 per consultation (13.89) $69.24-$100.40
Second consultation $61.63 [10], $70.14 [17], $55.39 [3] $62.39 per consultation (7.4) $51.44-$70.14
Medicare Benefits Schedule $59.90-Fee $50.95- Rebate [5] $55.43 per consultation
Special Population Veterans’ Affairs $60.53 [17], $61.10 (initial & standard) [24]1 $60.82 per consultation ($60.53-$76.70)
Hourly rate $157.75 per hour
Percentage difference between the private and the MBS fee 62-89% of the private fee
Fee suggested by professional association (National) $79.25 (initial consultation) $66.95 (subsequent visits)
Occupational Therapy
Private per visit $71.30 [23], $76.50 [19], $76.10 [20], $37.81 [25], $69.24 [3] (initial), $55.39 [3] (subsequent) $64.39 per consultation (15.12) $37.81-$85.80
Medicare Benefits Schedule $59.90-Fee $50.95- Rebate [5]2 $55.43 per consultation
Special Population Veterans’ Affairs $61.10 (initial & standard) 3 $61.10 per consultation $61.10-$111.25
Group Therapy $21.95 per person [24] $21.95 per person
Hourly rate $150.77 per hour
Percentage difference between the private and the MBS fee 86-146% of the private fee
Fee suggested by professional association (Victoria) $120.00 per consultation (expected 1 hour duration)
Dietetics
Private per visit $60.89 [6] $60.89 per consultation
First consultation $82.28 [7], $105.16 [17] $93.72 per consultation (16.18)
Second consultation $61.71 [17] $61.71 per consultation
Medicare Benefits Schedule $59.90 - Fee $50.95- Rebate [5] $55.43 per consultation
Special Population Veterans’ Affairs $85.30 (initial), $61.10 (standard) [24]4 $73.20 per consultation
Hourly rate $182.66 [7] $163.11 per hour
Percentage difference between the private and the MBS fee 53-91% of the private fee
Fee suggested by professional association Private practitioner survey $70-$130 per hour
Psychological Services
Private per visit $93.56 [23] $93.56 per consultation
Medicare Benefits Schedule $59.90- Fee $50.95- Rebate [5]5 $55.43 per consultation
Special Population Veterans’ Affairs
    Psychologist
$69.35 (20–50 minutes) 6
$97.90 (50 + minutes)
$146.90 (90 + minutes)
    Clinical Psychology
$97.90 (30–50 minutes) 7
$143.70 (50 + minutes)
$215.60 (90 + minutes
Hourly rate $165.77
Percentage difference between the private and the MBS fee 59% of the private fee
Fee suggested by professional association $222.00 per one hour consultation
Community Nursing
Private per visit $74.37 [20], $37.81 [26] $56.09 per consultation (25.85)
Per hour $69.24 [3], $82.47 [16], $28.85 [22] $60.19 per hour (27.93)
Special Population Veterans’ Affairs
    Average
    8
$40.47 ($37.65- $43.28) -20 minute visit
Hourly rate $105.76 per hour
Percentage difference between the private and the MBS fee 80-118% of the private fee
Fee suggested by professional association No recommended fee by association Private agencies $46.94-$69.40 per hour
Podiatry
Private per visit $22.95 [20] $22.95 per consultation
First consultation $66.85 [17] $66.85 per consultation
Second consultation $61.71 [17] $61.71 per consultation
Medicare Benefits Schedule $59.90- Fee $50.95- Rebate [5] $55.43 per consultation
Special Population Veterans’ Affairs $61.10 (standard) [24]9 $61.10 per consultation
Hourly rate $129.72
Percentage difference between the private and the MBS fee 79-92% of the private fee
Fee suggested by professional association Based on market demand ($60-$70 per consultation)
Staff travel 0.38c per km [19], 0.73c per km [26], 0.69c per km (0.63c per km- 0.75c per km) 11 0.60c per km (0.17)
Community Services
Personal care $34.23 [20], $28.07 [26], $46.89 [16] per hour $36.40 per hour (9.6)
Meals on wheels $6.56 per meal [20], $20.00 [16], $6.75 ($4.50-$9.00) 10 $11.10 per meal (7.71)
Patient transport $6.56 per trip (council/hospital provided) [20], $18.22 per trip [16] $12.39 per trip (8.25)
Domestic services $18.36 per service [20], $38.31 per service [16]
Domestic care rates per hour 12
$39.07 (Monday-Friday)
$48.52 (Saturday)
$57.31 (Sunday)
Gardening $52.26 ($30.00-$60.00) per service (10 providers)
Handyman rates $50.80 ($40-$80.30) per service (10 providers)

1 $64.74 extended consult, $65.65 standard in institution, $76.70 extended consult (home).

2Specialist OT services (mental health) $50.95-$59.90 (20–50 minutes) $71.95-$84.60 (50 minutes +).

3$111.25 (50+ minutes- out of rooms).

4 $106.60 (extended).

5 Specialist Psych services - $57.80-$68.00 (20–50 minutes), $81.60-$96.00 (50 + minutes) Clinical Psychology- $81.60-$96.00 (30–50 minutes), $119.80-$140.90 (50+ minutes).

6 Out of rooms - $94.35 (20–50 minutes).

7 Out of rooms $122.35 (30–50 minutes), $168.15 (50+ minutes), $252.25 (90+ minutes), Neuropsychological Assessment (1–4 hours) $574.80.

8 Complex community nursing schedule of fees, which is dependent on the type of service provided, including: clinical mentoring, medication administration, palliative care and personal care.

9 Out of rooms $68.95.

10 Direct contact with service provider – meals on wheels NSW.

11Direct contact with Australian Taxation Office.

12 Direct contact with service providers (11 providers).

Farag et al.

Farag et al. BMC Health Services Research 2013 13:69   doi:10.1186/1472-6963-13-69

Open Data