The account you have or will received relates to pathology testing performed and reported by SydPath as requested by your doctor.

SydPath is a fully accredited NATA/RCPA registered laboratory, offering a wide range of teaching hospital pathology services to both St Vincent's Hospital and the wider community.

Our Fees

We use the Australian Medical Association (AMA) rates as a guide to set our fees. To ensure that we continue to operate a cost effective service to our clinicians and patients we have already applied a 27% discount on the AMA rate to your account.

Most pathology services receive a Medicare rebate, and the difference between our fees and your Medicare rebate should be less than $100* per outpatient occasion of service.

For a private hospital admission where you are a member of a health fund, your out-of-pocket pathology expenses after the rebate from your Health Fund should, in most cases, be less than $350.00

* Refer to Gap Protection Policy.

Understanding our Billing Policy

This information explains our billing process for outpatient services provided by SydPath.

Who will not receive an account?

Pensioners and Healthcare Card Holders

Pensioners or holders of a current Health Care Card are eligible for bulk billing. If you are bulk billed you will not receive an account for Medicare rebatable tests from SydPath. Your account will be billed directly to Medicare and if you hold A Veteran Affairs Card your account will be billed directly to the Department of Veterans Affairs.

Please note - to bulk bill in this fashion, we require your written authorisation. In the event that we do not receive your written approval, we are legally obliged to issue the invoice directly to you. Our forms are structured such your authority can be provided on the form.

Workers Compensation / Pre employment / Insurance Medical Claims

Accounts for testing that relates to a Workers Compensation claim, pre-employment or pre- insurance medical will be forwarded directly to the relevant company or employer if details are provided.

*Please note if you do not hold the concessions cards mentioned above you will be privately billed and you will receive an account.

If I receive an account, what are my out of pocket expenses?

SydPath's private account charges are based below the Australian Medical Association rate. The fee includes the Medicare rebate amount plus a gap of out-of-pocket payment.

Gap Protection Policy

SydPath has a gap protection policy. This means that the maximum out-of-pocket expense per episode for Medicare rebatable tests that are referred to SydPath will be $100.00.

lf your costs exceed the above amounts and you have paid your account in full, you can write to us requesting a refund of the excess amount. Please provide your invoice number, and copies of your rebate receipts.

*NOTE: Non Medical Benefits Schedule tests (flagged as 'Non MBS' on your account) do not qualify for a Medicare rebate or an "excess" refund.

Does Medicare cover all Pathology tests ordered?

Not all tests are eligible for the Medicare rebate. Refer to our Non Rebatable Test List

The out-of-pocket cap amount does not apply to these tests and must be paid for in full.

Details on how to pay your account will be provided on your invoice.

Account Enquires

Should you have any other queries please contact our Accounts Department on 02 8382 3326.