Consultation fees

You will be required to pay for your consultation on the day.
The initial consultation fee is $200.

Payment can be made via EFTPOS or Credit cards ( VISA & MASTER cards only)

You will be eligible to get rebate of part of fees from Medicare under the Medicare Benefits Schedule (MBS), provided you are Australian Medicare card holder and have a valid referral.

We can help to submit the claim through online Medicare claiming on your behalf following payment of your consultation. If your bank details are registered with Medicare, they will deposit your rebate into your nominated bank account directly.

Procedure cost and gap fees

We aim to provide high quality medical care without compromise and the costs associated with provision of such care are substantial. The procedure fees we charge are fair and reasonable, based on the complexity of the individual surgical procedure and the time and expertise required.

The overall procedure fee comprise of:

  • Surgeons’ fee
  • Assistant’s fee (where applicable)
  • Anaesthetist’s fee
  • Hospital fee (usually the excess you have on your private health cover)

After initial consultation, a quote will be provided of formal estimate of fees if procedure is required. This typically covers the cost of surgical procedure, in hospital review after surgery, post operative consultation as required (up to 12 weeks following surgery).

Once the date of surgery is booked, you will be required to pay the surgeon’s fees in full.

The Australian Medical Association (AMA) provides a list of recommended fees for all operations. The Federal Government and Medicare run the Medicare Benefits Schedule (MBS) and determines fee for a particular service or procedure. This is coded by an item number for each procedure.

The fee we charge is usually less than the AMA recommended fee. The Medicare and the private health insurer typically covers the cost of procedure, however they pay less than the true cost of the procedure. (Medicare will pay 75% of the MBS fee and the private health fund will pay 25% of the MBS fee). The remaining discrepancy between true cost and MBS fee is what forms the 'gap' ( or co-payment) and the patient is personally responsible for this payment.

We charges a known-gap (up to $500 capped) rate for the majority of general surgical operations. Some very complex procedures may incur a higher gap fees.

Post-operation instructions – Anorectal Procedures

Surgery on anal area can be associated with significant pain. This will subside over time and you will appreciate the surgical results once healing occurs. Please follow the instructions below to ensure pain is well control and to allow optimal healing to occur.

Analgesia

Anal surgery can be very painful. You will be advised which pain killers are recommended before you are discharged home. Generally we advise regular Paracetamol (Panadol) 2 tablets every 4-6 hours (maximum of 8 tablets in 24 hours). This is very safe, is not constipating, and should be taken regular for few days for best results. In addition to this, a regular anti-inflammatory medication such as Ibuprofen (Nurofen) may be taken if not contraindicated and should be taken with food to avoid stomach irritation.

You my also be prescribed a stronger pain killer to be taken in addition to above simple analgesic medications. If your pain is not controlled with simple analgesics, you will be advised to take stronger pain killer. The stronger analgesics can have a constipating effect, however this can generally be counteracted with regular fibre supplements (see below) and laxatives.

You should contact our office or seek emergency help if pain is not controlled with strong analgesics.

Laxatives

You should avoid constipation and dehydration. You should drink plenty of water per day and take a regular fibre supplement such as Metamucil or Benefiber.

You can also take Movicol as advised and  alter the dose you take depending on stool frequency and consistency. Aim for a formed soft stool that is easy to pass.

Avoid straining to pass a bowel motion, and avoid prolonged sitting on the toilet. Due to surgery, you can feel the sensation of needing to move bowels, even if the rectum is empty. This sensation will settle over the coming days.

Salt baths / Sitz bath

Warm baths have a soothing effect when you are in pain. The warm water can help relax any spasm of the anal sphincter, improve blood flow and aid healing of wound.. A handful (about ½ cup) of table salt can be added to the warm water and helps keep the wound clean. You should sit in the warm bath 2-3 times a day, and after a bowel motion.

Bleeding

It is common to have small amount of bleeding in the first few days after surgery. This might be noticed on the underwear or on a pad, as well as in the first few bowel motions. It usually settles in a few days. If the bleeding is very heavy with continual dripping into the toilet bowel, contact our office or present to the emergency department for assessment. Often heavy bleeding will resolve spontaneously, although occasionally repeat surgery is required.

Follow up

Dr Kumar will arrange for follow up visit at the recommended time, depending on the nature of your surgery. The practice staff will contact you to notify you of the time and date of appointment.