Health Hub · Fees and Medicare
“Do you bulk bill?” is the question our reception team is asked more than any other. The short answer at Main Street Medical Centre in Pialba is yes — standard GP appointments are bulk billed for eligible Medicare card holders, and so are skin checks, immunisations, women’s health consultations and health assessments. A handful of procedures do carry a private fee, and this guide sets out exactly which ones, so there are no surprises at the front desk.

What bulk billing actually means
When a practice bulk bills, it accepts the Medicare benefit as full payment for the service and bills Medicare directly. You sign (or tap) to confirm the service, and there is nothing to pay on the day and nothing to claim back afterwards.
Bulk billing applies to services Medicare covers. It does not extend to things Medicare has no item number for, which is why a small number of procedures at any Australian general practice carry a private fee. The two lists below set out where the line falls at Main Street Medical Centre.
What is bulk billed at Main Street Medical Centre
All of the following are bulk billed for patients with a valid Medicare card:
- ✓Standard and extended GP consultations
- ✓Telehealth consultations, provided you have been seen in person at the practice within the past 12 months or are registered with us through MyMedicare
- ✓Full body skin checks and spot checks
- ✓Chronic disease management and diabetes care plans
- ✓Mental health treatment plans (some items require MyMedicare registration)
- ✓Children’s health appointments for anyone under 16
- ✓Women’s health and contraception consultations, including cervical screening
- ✓Immunisations
- ✓Health assessments for ages 45 to 49, ages 75 and over, and Aboriginal and Torres Strait Islander patients
What carries a private fee
These services sit outside the Medicare benefit, either partly or entirely. The consultation attached to them is still bulk billed — the fee is for the procedure itself.
Other private fees: a commercial driver’s licence medical is $140 (no Medicare rebate applies), venesection is $120 with a Medicare rebate of $74.25, and a toenail wedge resection is up to $292 with a rebate of $172.50. WorkCover and medico-legal work is quoted case by case — call reception on (07) 4325 4000.
Skin checks are bulk billed; skin cancer surgery has a gap
This is the distinction most people are searching for. A full body skin check is a bulk billed consultation. If your GP finds something that needs removing, the biopsy or excision attracts a gap payment, because the Medicare rebate for surgical items does not cover the full cost of theatre time, consumables and pathology.
As a guide, biopsies are $25 to $50 each, a simple excision is $75 to $100, a complex excision is $100 to $200, and a flap or graft repair is around $200. Concession card holders pay reduced fees, and skin cancer surgery is bulk billed for DVA Gold and White Card holders. Your doctor will tell you the exact figure before anything is done — nothing is booked without you knowing the cost.
No Medicare card, DVA and concession card holders
If you do not hold a valid Medicare card — visitors, some visa holders, or a card that has expired — a standard consultation is $89. It is worth checking your card’s expiry before your appointment, because a lapsed card is the most common reason someone is charged unexpectedly.
DVA Gold and White Card holders are bulk billed for covered services, including skin cancer surgery and iron infusions. Concession card holders receive reduced fees on procedures that carry a gap. Full detail is on our fees page.
Frequently asked questions
Do you bulk bill everyone, or only pensioners and children?
Is a skin check really bulk billed?
Is a telehealth appointment bulk billed?
Will I be told the cost before a procedure?
What is MyMedicare and do I need it?
New to the area? Our guide to finding a GP in Hervey Bay and registering as a new patient covers how to get set up.
Book a bulk billed appointment in Hervey Bay
Main Street Medical Centre is at 71 Main Street, Pialba. Standard consultations, skin checks, immunisations and women’s health appointments are bulk billed for eligible Medicare card holders.
This article is general information and is not a substitute for individual medical advice.
Last reviewed September 2026