Pregnancy Care Fees
Clear, transparent information to help you plan pregnancy care with confidence
Choosing your obstetrician is an important decision, and understanding the financial aspects of your care is an essential part of that process.
Dr Michael Silagy believes in providing clear, upfront information about fees, Medicare rebates and payment arrangements, so that you can make informed decisions about your pregnancy care without unexpected financial surprises.
We understand that every family's circumstances are different. Whether you have Medicare, private health insurance, overseas health insurance or are funding your pregnancy care independently, our team can help explain the options available to you.
Investing in Your Pregnancy Care
Personalised care, continuity and support throughout your pregnancy.
We understand that choosing private obstetric care is a significant decision, both personally and financially. Welcoming a baby is an exciting time, but it can also bring uncertainty, and we believe that understanding the costs of your care should be straightforward and transparent.
Our obstetric fees have been carefully structured to allow us to provide comprehensive, high-quality pregnancy care, with an emphasis on continuity, accessibility and personalised support. Our aim is for you to feel informed, reassured and supported at every stage, knowing that experienced specialist care is available when you need it.
As a private obstetrician based in Toorak, Melbourne, Dr Michael Silagy provides care from early pregnancy through to birth and postnatal recovery, working closely with a dedicated midwifery team.
What's Included in Your Pregnancy Care?
Our approach to private obstetric care extends well beyond your scheduled antenatal appointments. Your care is designed to include:
Routine antenatal appointments: All scheduled pregnancy consultations following your initial appointment,.
Additional and urgent appointments: Extra antenatal reviews whenever concerns arise, including unscheduled or emergency assessments when required.
24/7 specialist obstetric cover: Around-the-clock access to specialist obstetric care for urgent pregnancy concerns, including appropriate after-hours and on-call arrangements.
Direct communication and guidance: Access to medical advice and support by telephone and email throughout your pregnancy, including arrangements for urgent after-hours concerns.
Ultrasound examinations: Routine antenatal ultrasound assessments performed personally by Michael in the consulting rooms, allowing you to see your baby's progress throughout pregnancy.
Hospital reviews: Specialist obstetric assessment and management if you require review or admission to hospital during your pregnancy.
Labour and birth care: Specialist management throughout labour and delivery, whether you are planning a vaginal birth, VBAC or caesarean section, with appropriate specialist cover arrangements.
Postnatal hospital care: Ongoing obstetric review and support during your hospital admission following birth.
Postnatal follow-up: A comprehensive postnatal consultation to review your physical recovery, emotional wellbeing, pelvic floor health and future reproductive needs.
Dedicated midwifery support: Additional education, reassurance and practical guidance throughout pregnancy and the postnatal period, including preparation for birth, breastfeeding and early parenthood.
Coordinated multidisciplinary care: Referrals and communication with other specialists, pelvic health physiotherapists and allied health professionals when additional care is needed.
Care That Goes Beyond Your Appointments
One of the greatest benefits of private obstetric care is the opportunity to develop an ongoing relationship with the specialist looking after you and your baby.
By seeing Michael throughout your pregnancy, you have the opportunity to build trust, discuss your preferences and make informed decisions together. This continuity is particularly valuable when unexpected concerns arise or your pregnancy requires additional monitoring.
Our goal is simple: to provide the kind of thoughtful, individualised pregnancy care that helps you feel confident, supported and never alone in navigating your pregnancy.
Below, you'll find a transparent breakdown of our private obstetric fees, Medicare rebates and expected out-of-pocket expenses.
Fees and inclusions vary according to Medicare eligibility, insurance arrangements and your chosen care pathway. Hospital fees, external investigations and services provided by other practitioners may incur additional charges. An individualised financial consent document will be provided to explain the costs applicable to your care.
Private Obstetric Care Fees
For patients undertaking private pregnancy care with Dr Michael Silagy, who are Medicare eligible, and have private health insurance with obstetric cover, our standard fees are outlined below.
Please note, for patients without Medicare, or without private insurance, please contact our rooms to discuss your individual situation and for a quotation of fees.
| Service | MBS Item Number | Fee | Medicare Rebate | Out of Pocket Cost |
|---|---|---|---|---|
| Initial consultation | 16401 | $320 | $87 | $233 |
| Subsequent antenatal consultations | 16500 | Bulk Billed | - | - |
| Obstetric Management Fee | 16590 | $6000 (paid in 2x $3000 instalments) | $656.45* *with EMSN |
$5343.55* |
| Delivery Fee | 16519 or 16522 | No Gap (Health fund) | Health fund | Health fund |
| Postnatal Consultation | 16407 | Bulk Billed | - | - |
Additional Costs to Consider
Some services are provided by hospitals and healthcare professionals outside our practice and are not included in Michael's obstetric fees.
Depending on your circumstances, these may include:
Private hospital accommodation, admission fees and excesses
Anaesthetist and paediatrician fees
Additional surgical or assisting practitioners
External ultrasound examinations and specialist imaging
Blood tests, genetic screening and non-invasive prenatal testing (NIPT)
Other specialist appointments or investigations
These services may attract separate charges and, where eligible, Medicare or private health insurance benefits.
We encourage you to obtain estimates directly from the relevant providers.
Medicare Rebates and the Medicare Safety Net
Patients eligible for Medicare may receive rebates towards eligible obstetric consultations and pregnancy management fees, provided relevant Medicare requirements are met.
The Extended Medicare Safety Net may provide additional benefits for eligible out-of-hospital services once your applicable threshold has been reached. The amount rebated depends on the Medicare item billed, your eligibility and your individual circumstances.
Our team can provide more information about anticipated rebates as part of your informed financial consent.
Why Choose Dr Michael Silagy
Michael offers maternity care at Cabrini Malvern and Jessie McPherson Private Hospital, with shared care available through Sandringham Hospital or Peninsula Health. His training across both tertiary and peripheral hospital sites means that even straightforward, low-risk pregnancies are cared for by a specialist equipped to recognise and respond quickly should anything change. Above all, Michael's approach is collaborative - you'll see the same obstetrician at every visit, with a birth plan built around your preferences from the outset.
Frequently Asked Questions
How much does it cost to see a private obstetrician in Melbourne?
Private obstetric fees vary between specialists. With Dr Michael Silagy, an initial pregnancy consultation is $320, subsequent routine antenatal visits are bulk billed for Medicare Card holders, and the pregnancy planning and management fee is $6,000. Medicare rebates may reduce out-of-pocket expenses for eligible patients.
Do I need private health insurance to see Michael?
No. Michael provides care to patients with and without private health insurance. The available hospital and birth arrangements, and your out-of-pocket expenses, depend on your circumstances.
When do I pay the pregnancy management fee?
The $6,000 pregnancy management fee is divided into two instalments of $3,000, generally payable at approximately 20 and 28 weeks of pregnancy.
Does the pregnancy management fee include hospital costs?
No. Hospital accommodation, theatre fees, anaesthetic services, paediatric care and other services provided outside the practice are charged separately. For patients with private health insurance, the hospital accommodation costs are typically covered by private health funds. It is important to check your level of cover prior to confirming your booking.
Is ultrasound included at my appointments?
Yes. An ultrasound examination is included as part of your routine antenatal appointments with Michael, at no additional practice charge. Detailed external diagnostic ultrasound examinations may incur separate costs.
Can I receive Medicare rebates for private obstetric care?
Yes, if you are Medicare eligible and the relevant item requirements are met. A valid referral is generally required for specialist consultation rebates. Our team will explain applicable rebates and payment arrangements.
Do you offer payment instalments?
The pregnancy management fee is divided into two instalments during pregnancy. Other payment arrangements can be discussed with our team.
Personalised Pregnancy Care & Birthing Toorak, Melbourne
Michael welcomes the opportunity to discuss your pregnancy care needs and help you plan for this special time in your life. Contact the practice to schedule your initial consultation and begin your personalised pregnancy care journey.