Hospital cover
Procedure costs
Specialists & hospitals
Preparing for hospital
Planning your recovery
A gall bladder surgery costs approximately: $7,467 - $9,242
These are approximate costs~ based on claims data by Medibank members with eligible+ hospital cover for a hospital admission at a Medibank Members' Choice Hospitals. They don’t include doctors’ fees and outpatient appointments where you aren’t admitted into hospital.
The chart below shows how costs are typically split between Medibank, Medicare and your out-of-pocket costs:
* Excess is based on your policy and varies from $0 - {{excess_max_cost}}. Some policies may have a Per-Day Payment arrangement. Medibank members can check their cover inclusions in their Cover Summary in My Medibank or call 132 331 to discuss their cover.
Out-of-pocket costs and how to reduce them
Whether you’ll pay any out-of-pocket costs depends on whether your treatment is Included, Restricted, or Excluded under your hospital cover.
Ask us about our No Gap General Surgery program
Eligible Medibank members with hospital cover1 could pay no out-of-pocket costs2 for included treatments and medical services as part of a hospital admission3 for hernia and laparoscopic cholecystectomy procedures with participating surgeons at participating hospitals.
Ask your specialist/s if they’ll participate in GapCover for your procedure
The GapCover scheme is designed to help reduce or eliminate gap payments. Each specialist involved in your care (for example, your surgeon and your anaesthetist) can choose whether to use GapCover for your procedure, so ask your specialist/s about GapCover before you book your procedure.
Consider if a Members’ Choice hospital is right for you
You can generally get better value at a Members’ Choice hospital than a non-Members’ Choice hospital. We have arrangements with most private hospitals and day surgeries in Australia.
Check your cover
Get a personalised assessment on your upcoming hospital visit based on your admission details and what’s included in your cover by completing a hospital eligbility check. You’ll need the Medicare Benefits Schedule (MBS) item codes from your specialist.
Don't have your codes? You can still check which procedures we pay benefits towards by viewing your cover summary in My Medibank.
Health Concierge
Health Concierge provides personalised, phone-based health support to help eligible Medibank members with hospital cover prepare for or recover from a hospital stay or treatment.4
Contact Health Concierge Monday to Friday 9am to 5pm AEST/AEDT, or schedule a call.
Now that you’ve covered
You might like to explore
Looking for something else?
Find more tools and information to support your hospital stay, from planning through to recovery.
Things you need to know
1 Must have hospital cover with Hernia and Appendix listed as Included. Must have served the relevant waiting period.
2 An excess or per-payment may still be payable, depending on the product a member has chosen and whether they are claiming under their hospital cover for the first time in a calendar year. The Medibank Member Guide and Fund Rules set out hospital benefit exclusions, which apply to all hospital admissions for Medibank members. There may be out-of-pocket costs associated with outpatient appointments, such as your initial visit with a participating surgeon in their consulting rooms.
3 Excludes hernia, and laparoscopic cholecystectomy procedures resulting from an emergency admission.
4 Excludes Overseas Visitor Health Cover, Working Visa Health Cover and Overseas Student Health Cover (OSHC).
While we hope you find this information helpful, please note that it is general in nature. It is not health advice, and is not tailored to meet your individual health needs. You should always consult a trusted health professional before making decisions about your health care. While we have prepared the information carefully, we can’t guarantee that it is accurate, complete or up-to-date. And while we may mention goods or services provided by others, we aren’t specifically endorsing them and can’t accept responsibility for them. For these reasons we are unable to accept responsibility for any loss that may be sustained from acting on this information (subject to applicable consumer guarantees).