Our GPs and nurses offer a range of services including aged care, mental health services, skin cancer checks and sports medicine.
28 Smith Street, Charlestown 2290
We are committed to clear, honest pricing. Explore consultation types, Medicare rebates, and how we support pensioners and concession card holders.
Our fees reflect the true cost of safe, high-quality care. Learn how Medicare rebates and government levies impact your final payment.
Our friendly team is here to help. If you’re unsure about billing, rebates, or eligibility for discounts, just reach out — we’re happy to explain.
Smith Street Medical Centre is a private billing practice. Pension and healthcare card holders may be entitled to a discounted fee. The fees are what you will be charged according to your concession status and the rebate is what you will receive back from Medicare.
Today Medicare rebates do not cover the full cost of providing you with medical care.
This is because the rate at which successive governments have indexed the Medicare Schedule fees has been substantially lower than increases in the Consumer Price Index (CPI) and average weekly earnings.
This means:
The fees charged by this practice have to cover all of our practice costs including employing receptionists and practice nurses, and meeting our operating expenses such as rent, medical equipment, electricity, computers and insurance. This results in an out of pocket cost to the patient, as per our fees policy.
| APPOINTMENT TYPE | MEDICARE REBATE | FULL FEE | HEALTHCARE & SENIORS CARD HOLDERS | PENSION CARD HOLDER | SATURDAYS AND AFTER HOURS |
|---|---|---|---|---|---|
| Short Consultation / Telehealth | $19.60 | $65.00 GAP $45.40 | $55.00 GAP $35.40 | $40.00 GAP $20.40 | $80.00 GAP $60.40 |
| Regular Consultation / Telehealth | $42.85 | $100.00 GAP $57.15 | $85.00 GAP $42.15 | $65.00 GAP $22.15 | $115.00 GAP $72.20 |
| Long Consultation | $82.90 | $150.00 GAP $67.10 | $130.00 GAP $47.10 | $110.00 GAP $27.10 | $165.00 GAP $82.10 |
| Prolonged Consultation | $122.15 | $195.00 GAP $72.85 | $170.00 GAP $47.85 | $150.00 GAP $27.85 | $200.00 GAP $77.90 |
Standard Consultation Fees as of 1 May 2025
The fees listed below are before Medicare rebates, so your out of pocket cost will be lower.
If you are unsure about the cost of your visit, please discuss with the GP at the time of your appointment.
All discounts and billing is at the discretion of the individual GP.
We aim to offer timely appointments so patients who need care can be seen as quickly as possible. Missed appointments reduce availability for other patients and affect our ability to provide care.
If you are unable to attend a booked appointment, please notify the surgery at least 2 hours in advance so the appointment can be offered to another patient.
Appointments missed without at least 2 hours’ notice will be recorded as a Did Not Attend (DNA) and will incur a DNA fee, in line with our practice policy.
Been going to this practice for over 60 year's. OK, all my life, just different doctor's as times goes by. Dr. Charlton, Dr. Lightfoot, Dr. North and Dr. Keyworth, until his current retirement. Thank you. So who will be my next Dr? No need to change practice, even if I now travel over 150km to the practice these day's compared to 5 minutes away for the first 50 year's. So that should tell you what I think on this practice.Posted on David Martin Excellent doctor. It's a shame (for his patients, but great for him) that Andrew Keyworth is retiring. Enjoy your retirement.!Posted on Peter Steigler Always professional and prompt. I’ve been going here for over 49 years. Highly recommend this service. Always great service.Posted on Jennifer Page Great team of both reception and medical staff. Always well looked after. ThanksPosted on PHIL PRINCEHORN Been going there all my life ... to date ... Lol. Dr Keyworth is great and his staff are lovely. Thanks guys. Happy retirement Andrew. Cheers Mike WPosted on Mike Warland (WALDO) Went to see the nurse I got straight in and out.Posted on Helen Millard
Dr Gurung is a UK-qualified General Practitioner with over 13 years of experience working in the NHS.

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