For a privately insured patient who meets Medicare criteria, the cost of a breast reduction is from $14,000, including the surgical fee, anaesthetic fee and 12 months’ follow-up with Dr Cameron and clinical nurse. Hospital and theatre costs will be covered by your insurance, with payment of your excess due on admission to the hospital. Some rebates will apply.

If you hold private health insurance, we recommend contacting your health fund before booking to confirm:
– Your level of cover for the relevant item number(s)
– Whether your policy has any applicable waiting periods
– Your excess and any co-payment amounts
– You will also need to purchase the relevant compression garment (our team will assist you with this during the process)

Even if your procedure is eligible for health fund cover, it is important to understand that out-of-pocket costs are still significant. In most cases, private health insurance primarily contributes to hospital-related costs. You may also receive rebates from Medicare and your health fund towards the surgeon’s and anaesthetist’s fees; however, these rebates are limited in comparison to the overall specialist fees

For an uninsured patient, the cost of a breast reduction is from $20,000, including surgical fee, anaesthetic fee, theatre fee, one night in hospital and 12 months’ follow-up with Dr Cameron and clinical nurse. Some rebates may apply

If you do not hold private health insurance, your breast reduction can still proceed as a self-funded procedure. Your quoted fee will be inclusive of the surgeon’s fee, anaesthetic fee, theatre and hospital fees, one night in hospital, and 12 months of follow-up care with Dr Cameron and our clinical nurse.

Quotes will be sourced from all providers involved in your care once your procedure details are confirmed following your review appointment with Dr Cameron. Our team will provide a formal personalised quote confirming your total costs before you commit to surgery.

Dr Cameron will consult with you to determine whether you are medically indicated during an individual consultation and advise on the relevant item number for your procedure for you to confirm with your health fund.

Item 45523: Bilateral reduction mammaplasty with surgical repositioning of the nipple — applicable for patients with macromastia experiencing neck or shoulder pain. Clinical photographs and documentation of symptoms are required. This is the most commonly claimed item for bilateral breast reduction. Not claimable where any prosthesis is inserted at the same procedure.

Item 45522: Unilateral reduction mammaplasty without surgical repositioning of the nipple — applicable for single-sided reduction or staged procedures. Excludes treatment of gynaecomastia and procedures involving prosthesis insertion. Same documentation requirements apply.

Item 45520: Unilateral reduction mammaplasty with surgical repositioning of the nipple — applicable in the context of breast cancer treatment or a documented developmental abnormality of the breast (e.g. tuberous breast, significant asymmetry). Clinical and photographic documentation required.

For eligible patients where the procedure meets the relevant Medicare criteria, Medicare rebates will apply.

Where there is no medical indication and the procedure does not meet Medicare eligibility criteria, no Medicare rebate will apply and GST will be payable.

We understand that navigating the financial aspects of surgery can feel overwhelming. Our aim is to provide clarity and transparency around the costs involved.

Medicare sets a Benefits Schedule (MBS) fee for surgical procedures. However, the MBS fee has not kept pace with the actual costs of delivering specialist plastic surgery care. Medicare reimburses 75% of the MBS fee for in-hospital procedures, and your private health fund typically contributes an additional 25% — together covering only a portion of the scheduled fee, not the actual cost of surgery.

Dr Cameron’s surgical fee reflects the complexity of your procedure, operative time, his level of specialist training and experience (FRACS — Plastic and Reconstructive Surgery, PhD), consumables, the surgical assistant fee, and the overheads of running a specialist surgical practice. The difference between what Medicare and your health fund contribute and Dr Cameron’s fee is your out-of-pocket gap, and will be clearly outlined in your personalised quote prior to comitment to surgery.

Your final surgical plan must be confirmed before a formal quote can be finalised and your booking secured. Our team will guide you through all costs prior to proceeding.

All of Dr Cameron’s surgical quotes are based on the planned procedure. In some cases, additional costs may arise if:

Please note that post-operative compression garments are a mandatory part of recovery for most surgical procedures. These are not covered by Medicare or private health insurance and are an additional out-of-pocket cost. Garment costs are listed separately in the cost overview above.

Where possible, Dr Cameron will discuss any anticipated complexity at your consultation. Our team will contact you promptly if any unexpected costs arise during your care.