How soon can I have surgery?

We can normally offer you a surgery date within a couple of weeks from your consultation. If you reside a long way from Brisbane we may be able to offer you surgery in the same trip to Brisbane as your consultation; this will depend on your clinical situation and should be discussed with Dr Duke’s practice staff at the time of scheduling your consultation.

Where does Dr Duke operate?

Dr Duke operates exclusively at Brisbane Private Hospital, on Tuesdays and Thursdays only.

How much is a consultation?

Your initial consultation fee is $200; if you have a referral you will get a rebate from Medicare of $72.75.  Subsequent consultations are $100 with a Medicare rebate of $36.55.  Dr Duke does not charge out of pocket fees for any consultations attended for a period of three months post surgery.

If you have a WorkCover Queensland claim (or intend on lodging one), you will be charged the initial consultation fee of $200 and if your claim is accepted you will be reimbursed $160 from WorkCover Qld.  Any surgery or post-operative appointments will be invoiced directly to WorkCover Qld.

If you are covered by some other form of insurance, please enquire about payment arrangements with Dr Duke’s staff at the time of scheduling an appointment.
How much is a consultation?

Your initial consultation fee is $200; if you have a referral you will get a rebate from Medicare of $72.75.  Subsequent consultations are $100 with a Medicare rebate of $36.55.  Dr Duke does not charge out of pocket fees for any consultations attended for a period of three months post surgery.

If you have a WorkCover Queensland claim (or intend on lodging one), you will be charged the initial consultation fee of $200 and if your claim is accepted you will be reimbursed $160 from WorkCover Qld.  Any surgery or post-operative appointments will be invoiced directly to WorkCover Qld.

If you are covered by some other form of insurance, please enquire about payment arrangements with Dr Duke’s staff at the time of scheduling an appointment.How soon can I see Dr Duke?
t depends on your clinical situation. Different injuries require treatment within different timeframes, so whether you have a fracture, a rotator cuff (tendon) tear, arthritis, shoulder instability or a frozen shoulder, Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen. Likewise, the length of time you have had the injury and any treatment to date will also be taken into account when determining when you can be seen.The professional yet friendly staff will discuss your situation and make you an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required.w soon can I see Dr Duke?t depends on your clinical situation. Different injuries require treatment within different timeframes, so whether you have a fracture, a rotator cuff (tendon) tear, arthritis, shoulder instability or a frozen shoulder, Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen. Likewise, the length of time you have had the injury and any treatment to date will also be taken into account when determining when you can be seen.The professional yet friendly staff will discuss your situation and make you an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required

How soon can I see Dr Duke?epends on your clinical situation. Different injuries require treatment within different timeframes, so whether you have a fracture, a rotator cuff (tendon) tear, arthritis, shoulder instability or a frozen shoulder, Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen. Likewise, the length of time you have had the injury and any treatment to date will also be taken into account when determining when you can be seen.he professional yet friendly staff will discuss your situation and make you an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required.ow soon will my appointment be?

It depends on what your clinical situation is.  Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen.

Phone Dr Duke’s friendly staff and discuss your situation and make an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required.

How much is a consultation?

Your initial consultation fee is $200; if you have a referral you will get a rebate from Medicare of $72.75.  Subsequent consultations are $100 with a Medicare rebate of $36.55.  Dr Duke does not charge out of pocket fees for any consultations attended for a period of three months post surgery.

If you have a WorkCover Queensland claim (or intend on lodging one), you will be charged the initial consultation fee of $200 and if your claim is accepted you will be reimbursed $160 from WorkCover Qld.  Any surgery or post-operative appointments will be invoiced directly to WorkCover Qld.

If you are covered by some other form of insurance, please enquire about payment arrangements with Dr Duke’s staff at the time of scheduling an appointment.
How soon will my appointment be?

It depends on what your clinical situation is.  Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen.

Phone Dr Duke’s friendly staff and discuss your situation and make an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required.

How much is a consultation?

Your initial consultation fee is $200; if you have a referral you will get a rebate from Medicare of $72.75.  Subsequent consultations are $100 with a Medicare rebate of $36.55.  Dr Duke does not charge out of pocket fees for any consultations attended for a period of three months post surgery.

If you have a WorkCover Queensland claim (or intend on lodging one), you will be charged the initial consultation fee of $200 and if your claim is accepted you will be reimbursed $160 from WorkCover Qld.  Any surgery or post-operative appointments will be invoiced directly to WorkCover Qld.

If you are covered by some other form of insurance, please enquire about payment arrangements with Dr Duke’s staff at the time of scheduling an appointment.How soon will my appointment be?

It depends on what your clinical situation is.  Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen.

Phone Dr Duke’s friendly staff and discuss your situation and make an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required.

How much is a consultation?

Your initial consultation fee is $200; if you have a referral you will get a rebate from Medicare of $72.75.  Subsequent consultations are $100 with a Medicare rebate of $36.55.  Dr Duke does not charge out of pocket fees for any consultations attended for a period of three months post surgery.

If you have a WorkCover Queensland claim (or intend on lodging one), you will be charged the initial consultation fee of $200 and if your claim is accepted you will be reimbursed $160 from WorkCover Qld.  Any surgery or post-operative appointments will be invoiced directly to WorkCover Qld.

If you are covered by some other form of insurance, please enquire about payment arrangements with Dr Duke’s staff at the time of scheduling an appointment.

How soon can I have surgery?

We can normally offer you a surgery date within a couple of weeks from your consultation.  If you reside a long way from Brisbane we may be able to offer you surgery in the same trip to Brisbane as your consultation; this will depend on your clinical situation and should be discussed with Dr Duke’s practice staff at the time of scheduling your consultation.

Where does Dr Duke operate?

Dr Duke operates exclusively at Brisbane Private Hospital on Tuesdays and Thursdays (only).

Can I have my surgery at another hospital?

No.  Dr Duke operates two days per week at Brisbane Private Hospital.  He does not operate in the public system nor can he provide Intermediate services.

Do I have to stay in hospital overnight?

It depends on the procedure you are having.  Minor hand surgery may be performed as a Day Procedure at Dr Duke’s discretion, with only a half day required in hospital.  After most shoulder operations, Dr Duke requires patients to remain in hospital for at least one night to ensure pain relief is adequate prior to discharge (which is normally at around 10AM the following morning).  This also allows time for a physiotherapist to take the patient through some exercises for them to perform at home between discharge from hospital and their first post-op appointment.

Will I need physiotherapy/hand therapy after surgery?

Yes.  Most surgical procedures will require a post-operative physiotherapy/hand therapy program.  The length/degree of rehabilitation depends on the surgery performed. 

If you have a minor shoulder procedure you may only need one or two physiotherapy sessions whereas a Total Shoulder Replacement would necessitate some six months of regular physiotherapy visits.  Likewise, after some hand surgery, a splint will need to be made for you to wear during your rehabilitation program and regular hand therapy appointments may be required for more complex hand surgery.

In general terms, the regularity of physiotherapy appointments will be determined by the surgical procedure performed, the operative findings and your post-operative progress.  The more compliant you are with the post-operative regime, the more successful your recovery is likely to be.

How much will surgery cost?

At the time of your consultation, should Dr Duke recommend surgery, we will give you an accurate estimate of surgical costs.  This will clearly outline the expected total, your expected Medicare and Health Fund rebates and your expected out of pocket cost (Gap).  We will provide the details of the Anaesthetist working with Dr Duke on the day of surgery so that you can enquire about their fees.  The Surgical Estimate will also provide relevant ‘Item Numbers’ pertaining to your procedure.  You can use these to confirm your Health Fund policy covers the procedure; if your Health Fund confirms that the Item Numbers are covered by your policy, they will pay your hospital fees and contribute to your Surgeon and Anaesthetist fees (your Health Fund can also advise if an excess is payable on admission to hospital).

If you do not have private health insurance we will obtain a quote of hospital fees on your behalf from Brisbane Private Hospital.  These fees differ dependent upon the procedure to be performed and need to be paid on admission to hospital.
How soon will my appointment be?

It depends on what your clinical situation is.  Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen.

Phone Dr Duke’s friendly staff and discuss your situation and make an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required.

How much is a consultation?

Your initial consultation fee is $200; if you have a referral you will get a rebate from Medicare of $72.75.  Subsequent consultations are $100 with a Medicare rebate of $36.55.  Dr Duke does not charge out of pocket fees for any consultations attended for a period of three months post surgery.

If you have a WorkCover Queensland claim (or intend on lodging one), you will be charged the initial consultation fee of $200 and if your claim is accepted you will be reimbursed $160 from WorkCover Qld.  Any surgery or post-operative appointments will be invoiced directly to WorkCover Qld.

If you are covered by some other form of insurance, please enquire about payment arrangements with Dr Duke’s staff at the time of scheduling an appointment.

How soon can I have surgery?

We can normally offer you a surgery date within a couple of weeks from your consultation.  If you reside a long way from Brisbane we may be able to offer you surgery in the same trip to Brisbane as your consultation; this will depend on your clinical situation and should be discussed with Dr Duke’s practice staff at the time of scheduling your consultation.

Where does Dr Duke operate?

Dr Duke operates exclusively at Brisbane Private Hospital on Tuesdays and Thursdays (only).

Can I have my surgery at another hospital?

No.  Dr Duke operates two days per week at Brisbane Private Hospital.  He does not operate in the public system nor can he provide Intermediate services.

Do I have to stay in hospital overnight?

It depends on the procedure you are having.  Minor hand surgery may be performed as a Day Procedure at Dr Duke’s discretion, with only a half day required in hospital.  After most shoulder operations, Dr Duke requires patients to remain in hospital for at least one night to ensure pain relief is adequate prior to discharge (which is normally at around 10AM the following morning).  This also allows time for a physiotherapist to take the patient through some exercises for them to perform at home between discharge from hospital and their first post-op appointment.

Will I need physiotherapy/hand therapy after surgery?

Yes.  Most surgical procedures will require a post-operative physiotherapy/hand therapy program.  The length/degree of rehabilitation depends on the surgery performed. 

If you have a minor shoulder procedure you may only need one or two physiotherapy sessions whereas a Total Shoulder Replacement would necessitate some six months of regular physiotherapy visits.  Likewise, after some hand surgery, a splint will need to be made for you to wear during your rehabilitation program and regular hand therapy appointments may be required for more complex hand surgery.

In general terms, the regularity of physiotherapy appointments will be determined by the surgical procedure performed, the operative findings and your post-operative progress.  The more compliant you are with the post-operative regime, the more successful your recovery is likely to be.

How much will surgery cost?

At the time of your consultation, should Dr Duke recommend surgery, we will give you an accurate estimate of surgical costs.  This will clearly outline the expected total, your expected Medicare and Health Fund rebates and your expected out of pocket cost (Gap).  We will provide the details of the Anaesthetist working with Dr Duke on the day of surgery so that you can enquire about their fees.  The Surgical Estimate will also provide relevant ‘Item Numbers’ pertaining to your procedure.  You can use these to confirm your Health Fund policy covers the procedure; if your Health Fund confirms that the Item Numbers are covered by your policy, they will pay your hospital fees and contribute to your Surgeon and Anaesthetist fees (your Health Fund can also advise if an excess is payable on admission to hospital).

If you do not have private health insurance we will obtain a quote of hospital fees on your behalf from Brisbane Private Hospital.  These fees differ dependent upon the procedure to be performed and need to be paid on admission to hospital.How soon will my appointment be?

It depends on what your clinical situation is.  Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen.

Phone Dr Duke’s friendly staff and discuss your situation and make an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required.

How much is a consultation?

Your initial consultation fee is $200; if you have a referral you will get a rebate from Medicare of $72.75.  Subsequent consultations are $100 with a Medicare rebate of $36.55.  Dr Duke does not charge out of pocket fees for any consultations attended for a period of three months post surgery.

If you have a WorkCover Queensland claim (or intend on lodging one), you will be charged the initial consultation fee of $200 and if your claim is accepted you will be reimbursed $160 from WorkCover Qld.  Any surgery or post-operative appointments will be invoiced directly to WorkCover Qld.

If you are covered by some other form of insurance, please enquire about payment arrangements with Dr Duke’s staff at the time of scheduling an appointment.

How soon can I have surgery?

We can normally offer you a surgery date within a couple of weeks from your consultation.  If you reside a long way from Brisbane we may be able to offer you surgery in the same trip to Brisbane as your consultation; this will depend on your clinical situation and should be discussed with Dr Duke’s practice staff at the time of scheduling your consultation.

Where does Dr Duke operate?

Dr Duke operates exclusively at Brisbane Private Hospital on Tuesdays and Thursdays (only).

Can I have my surgery at another hospital?

No.  Dr Duke operates two days per week at Brisbane Private Hospital.  He does not operate in the public system nor can he provide Intermediate services.

Do I have to stay in hospital overnight?

It depends on the procedure you are having.  Minor hand surgery may be performed as a Day Procedure at Dr Duke’s discretion, with only a half day required in hospital.  After most shoulder operations, Dr Duke requires patients to remain in hospital for at least one night to ensure pain relief is adequate prior to discharge (which is normally at around 10AM the following morning).  This also allows time for a physiotherapist to take the patient through some exercises for them to perform at home between discharge from hospital and their first post-op appointment.

Will I need physiotherapy/hand therapy after surgery?

Yes.  Most surgical procedures will require a post-operative physiotherapy/hand therapy program.  The length/degree of rehabilitation depends on the surgery performed. 

If you have a minor shoulder procedure you may only need one or two physiotherapy sessions whereas a Total Shoulder Replacement would necessitate some six months of regular physiotherapy visits.  Likewise, after some hand surgery, a splint will need to be made for you to wear during your rehabilitation program and regular hand therapy appointments may be required for more complex hand surgery.

In general terms, the regularity of physiotherapy appointments will be determined by the surgical procedure performed, the operative findings and your post-operative progress.  The more compliant you are with the post-operative regime, the more successful your recovery is likely to be.

How much will surgery cost?

At the time of your consultation, should Dr Duke recommend surgery, we will give you an accurate estimate of surgical costs.  This will clearly outline the expected total, your expected Medicare and Health Fund rebates and your expected out of pocket cost (Gap).  We will provide the details of the Anaesthetist working with Dr Duke on the day of surgery so that you can enquire about their fees.  The Surgical Estimate will also provide relevant ‘Item Numbers’ pertaining to your procedure.  You can use these to confirm your Health Fund policy covers the procedure; if your Health Fund confirms that the Item Numbers are covered by your policy, they will pay your hospital fees and contribute to your Surgeon and Anaesthetist fees (your Health Fund can also advise if an excess is payable on admission to hospital).

If you do not have private health insurance we will obtain a quote of hospital fees on your behalf from Brisbane Private Hospital.  These fees differ dependent upon the procedure to be performed and need to be paid on admission to hospital.
How soon will my appointment be?

It depends on what your clinical situation is.  Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen.

Phone Dr Duke’s friendly staff and discuss your situation and make an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required.

How much is a consultation?

Your initial consultation fee is $200; if you have a referral you will get a rebate from Medicare of $72.75.  Subsequent consultations are $100 with a Medicare rebate of $36.55.  Dr Duke does not charge out of pocket fees for any consultations attended for a period of three months post surgery.

If you have a WorkCover Queensland claim (or intend on lodging one), you will be charged the initial consultation fee of $200 and if your claim is accepted you will be reimbursed $160 from WorkCover Qld.  Any surgery or post-operative appointments will be invoiced directly to WorkCover Qld.

If you are covered by some other form of insurance, please enquire about payment arrangements with Dr Duke’s staff at the time of scheduling an appointment.

How soon can I have surgery?

We can normally offer you a surgery date within a couple of weeks from your consultation.  If you reside a long way from Brisbane we may be able to offer you surgery in the same trip to Brisbane as your consultation; this will depend on your clinical situation and should be discussed with Dr Duke’s practice staff at the time of scheduling your consultation.

Where does Dr Duke operate?

Dr Duke operates exclusively at Brisbane Private Hospital on Tuesdays and Thursdays (only).

Can I have my surgery at another hospital?

No.  Dr Duke operates two days per week at Brisbane Private Hospital.  He does not operate in the public system nor can he provide Intermediate services.

Do I have to stay in hospital overnight?

It depends on the procedure you are having.  Minor hand surgery may be performed as a Day Procedure at Dr Duke’s discretion, with only a half day required in hospital.  After most shoulder operations, Dr Duke requires patients to remain in hospital for at least one night to ensure pain relief is adequate prior to discharge (which is normally at around 10AM the following morning).  This also allows time for a physiotherapist to take the patient through some exercises for them to perform at home between discharge from hospital and their first post-op appointment.

Will I need physiotherapy/hand therapy after surgery?

Yes.  Most surgical procedures will require a post-operative physiotherapy/hand therapy program.  The length/degree of rehabilitation depends on the surgery performed. 

If you have a minor shoulder procedure you may only need one or two physiotherapy sessions whereas a Total Shoulder Replacement would necessitate some six months of regular physiotherapy visits.  Likewise, after some hand surgery, a splint will need to be made for you to wear during your rehabilitation program and regular hand therapy appointments may be required for more complex hand surgery.

In general terms, the regularity of physiotherapy appointments will be determined by the surgical procedure performed, the operative findings and your post-operative progress.  The more compliant you are with the post-operative regime, the more successful your recovery is likely to be.

How much will surgery cost?

At the time of your consultation, should Dr Duke recommend surgery, we will give you an accurate estimate of surgical costs.  This will clearly outline the expected total, your expected Medicare and Health Fund rebates and your expected out of pocket cost (Gap).  We will provide the details of the Anaesthetist working with Dr Duke on the day of surgery so that you can enquire about their fees.  The Surgical Estimate will also provide relevant ‘Item Numbers’ pertaining to your procedure.  You can use these to confirm your Health Fund policy covers the procedure; if your Health Fund confirms that the Item Numbers are covered by your policy, they will pay your hospital fees and contribute to your Surgeon and Anaesthetist fees (your Health Fund can also advise if an excess is payable on admission to hospital).

If you do not have private health insurance we will obtain a quote of hospital fees on your behalf from Brisbane Private Hospital.  These fees differ dependent upon the procedure to be performed and need to be paid on admission to hospital.You may make an appointment to see Dr Duke without having first received a referral.  However, generally your GP (or another treating specialist) will refer you to see Dr Duke once a probable diagnosis has been made by way of radiological imaging (usually in the form of x-ray or ultrasound).
is highly recommended that you obtain a referral prior to your appointment with Dr Duke; without a referral, you will NOT receive a rebate from Medicare for your appointment and if surgery is required, your health fund will NOT cover your hospital fees nor contribute to your surgeon’s and anaesthetist’s fees.  A referral also assists in giving Dr Duke a clear picture of injuries sustained and any treatment you have received between the time of injury and the initial consultatWhat do I need to make an appointment?

Usually, your GP (or another treating specialist) will refer you to see Dr Duke once a probable diagnosis has been made by way of radiological imaging (commonly in the form of x-ray or ultrasound).

Phone Dr Duke's practice staff on 07 3839 1366. The knowledgeable team will ask appropriate questions to determine the timeframe with which you need to be seen and schedule an appointment accordingly. 

Do I need a referral?

It is highly recommended that you obtain a referral prior to your appointment with Dr Duke. Without a referral, you will NOT receive a rebate from Medicare for your appointment and if surgery is required, your health fund will NOT cover your hospital fees nor contribute to your surgeon’s and anaesthetist’s fees. A referral also assists in giving Dr Duke a clear picture of injuries sustained and any treatment you have received between the time of injury and the initial consultation with Dr Duke.

How soon can I see Dr Duke?

It depends on your clinical situation. Different injuries require treatment within different timeframes, so whether you have a fracture, a rotator cuff (tendon) tear, arthritis, shoulder instability or a frozen shoulder, Dr Duke’s practice staff are experienced in asking the questions required to determine the urgency with which you need to be seen. Likewise, the length of time you have had the injury and any treatment to date will also be taken into account when determining when you can be seen.

The professional yet friendly staff will discuss your situation and make you an appointment.  If necessary, you may be given a tentative appointment date until Dr Duke has had the opportunity to review your referral and radiology reports to determine if an earlier appointment is required.

How much is a consultation?

Your initial consultation fee is $200; if you have a referral you will get a rebate from Medicare of $72.75.  Subsequent consultations are $100 with a Medicare rebate of $36.55.  If you have surgery, we provide a predetermined Aftercare period, during which you will not be charged consultation fees.

If you have a WorkCover Queensland claim (or intend on lodging one), you will be charged the initial consultation fee of $200 and if your claim is accepted you will be reimbursed $160 from WorkCover Qld.  Any surgery or post-operative appointments will be invoiced directly to WorkCover Qld.

If you are covered by some other form of insurance, please enquire about payment arrangements with Dr Duke’s staff at the time of scheduling an appointment.

Can I have my surgery at another hospital?

No. Dr Duke operates two days per week at Brisbane Private Hospital. He does not operate in the public system nor can he provide Intermediate services.

Do I have to stay in hospital overnight?

It depends on the procedure you are having. Minor hand surgery may be performed as a Day Procedure, at Dr Duke’s discretion, with only a half day required in hospital. After most shoulder operations, Dr Duke requires patients to remain in hospital for at least one night to ensure pain relief is adequate prior to discharge (which is normally at around 10AM the following morning). This also allows time for a physiotherapist to take the patient through some exercises for them to perform at home between discharge from hospital and their first post-op appointment.

Will I need physiotherapy/hand therapy after surgery?

Yes. Most surgical procedures will require a post-operative physiotherapy/hand therapy program. The length/degree of rehabilitation depends on the surgery performed. 

If you have a minor shoulder procedure you may only need one or two physiotherapy sessions whereas a Total Shoulder Replacement would require some six months of regular physiotherapy visits. Likewise, after some hand surgery, a splint will need to be made for you to wear during your rehabilitation program and regular hand therapy appointments may be required for more complex hand surgery.

In general terms, the regularity of physiotherapy appointments will be determined by the surgical procedure performed, the operative findings and your post-operative progress.  The more compliant you are with the post-operative regime, the more successful your recovery is likely to be.

How much will surgery cost?

At the time of your consultation, should Dr Duke recommend surgery, we will give you an accurate estimate of surgical costs. This will clearly outline the expected total, your expected Medicare and Health Fund rebates and your expected out of pocket cost (Gap). We will provide the details of the Anaesthetist working with Dr Duke on the day of surgery so that you can enquire about their fees. The Surgical Estimate will also provide relevant ‘Item Numbers’ pertaining to your procedure. You can use these Item Numbers to confirm your Health Fund policy covers the procedure; if your Health Fund confirms that the Item Numbers are covered by your policy, they will pay your hospital fees and contribute to your Surgeon and Anaesthetist fees (your Health Fund can also advise if an excess is payable on admission to hospital).

If you do not have private health insurance, we will obtain a quote of hospital fees on your behalf from Brisbane Private Hospital. These fees differ dependent upon the procedure to be performed and need to be paid on admission to hospital.