Same-day patients may be either intended to be separated on the same day, or intended overnight-stay patients who left of their own accord, died or were transferred on their first day in the hospital.

Same-day admissions are generally governed by Commonwealth legislation. The decision on whether to admit a person as a same-day patient is determined by explicit inclusions and exclusions for procedures and conditions found in the following lists, which are  based on Schedule 3 of the Private Health Insurance (Benefit Requirements) Rules 2011:

  • Admitted procedures (Type B) list
  • Non-admitted procedures (Type C) list.

These lists can be found in Appendix 2 - (1). Admitted procedures (Type B) list and Appendix 3 - (2). Non- admitted procedures (Type C) list.

To be admitted as a same-day private patient, the person must meet one of the following criteria:

  • they receive same-day surgical and diagnostic services as specified in bands 1A, 1B, 2, 3, and 4 but excluding uncertified type C Professional Attention Procedures as specified in the Health Insurance Basic Table as defined in s.4 (1) of the National Health Act 1953 (Clth)  
  • they receive type C Professional Attention Procedures and a medical practitioner has certified that their admission was necessary on the grounds of their medical condition or other special circumstances.

For more information on compensable same-day patients see Compensable patients.

Same-day patients

The following fees are charged for all same day patients who, on admission to a public hospital, have elected to be treated as private patients. Same day patients admitted for minor procedures (that is, those procedures contained in the Commonwealth's Type C exclusion list) must be certified as requiring hospital admission.

Patient classification Commonwealth minimum benefit for same day accommodation 2019–20 #  Estimated costs for 2019–20*
Median cost  Interquartile range (IQR) 
Lower Upper 
Same day - Band 1  $257 $308 $141 $463
Same day - Band 2  $305 $127 $86 $548
Same day - Band 3  $353 $316 $132 $632 
Same day - Band 4  $406 $365 $211 $597 

Note

Updated in line with advice from Commonwealth with effect from 1 July 2019

* The median cost and IQR range is based on the 2017-18 Victorian Cost Data Collection using IPHA indexation rates for the ensuing years to 2019-20. Includes capital and depreciation loading. The Interquartile range is the range in which 50% of all reported costs fall.  

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