MBS item

61528
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Whole body PSMA PET scan to assess eligibility for Lutetium 177 PSMA therapy in metastatic castrate-resistant prostate cancer patients who have progressed on prior taxane chemotherapy and androgen receptor signalling inhibitor.

Category 5 · Diagnostic imaging services[Group I4 · subgroup 2](/groups/I4)

Schedule fee$1,300.00

100% benefitGP, out of hospital—

85% benefitOut of hospital$1,195.50

75% benefitIn hospital$975.00

The schedule fee for MBS item 61528 is $1,300.00. Medicare pays $1,195.50 (85%) out of hospital, or $975.00 (75%) for a privately admitted patient in hospital. Fee effective 1 July 2025.

Gap for what you charge
-----------------------

Your fee$

Out of hospitalIn hospital (private)

Medicare pays$1,195.50

Patient gap$104.50

Bulk billing means accepting $1,195.50 as full payment, with no gap and no extra charges. [Add incentives](/bulk-billing?item=61528)

Item descriptor
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Whole body PSMA PET study, performed for the assessment of suitability for Lutetium 177 PSMA therapy in a patient with metastatic castrate resistant prostate cancer, after progressive disease has developed while undergoing prior treatment with at least one taxane chemotherapy and at least one androgen receptor signalling inhibitor. (R) (Anaes.)

[Explanatory notes and rules on MBS Online ↗](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=61528)

Health fund and DVA rates
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Total fee each scheme recognises for this item in hospital.

StateNSWVICQLDSAWATASACTNT

Guides
------

- [How Medicare benefits work: schedule fees, 75%, 85% and 100%](/guides/how-medicare-benefits-work)
- [Medicare safety nets explained: original and extended (EMSN) thresholds for 2026](/guides/medicare-safety-nets)
- [In-hospital billing: the 75% benefit, the 25% fund benefit, and no-gap and known-gap schemes](/guides/in-hospital-billing-and-gap-cover)
- [Bulk billing incentives and BBPIP explained: 2026 amounts by MM area](/guides/bulk-billing-incentives)
- [The MBS multiple operation rule and surgical assistant fees](/guides/multiple-operation-rule)
- [Assignment of benefit for bulk billing: the changes from 1 July 2026](/guides/assignment-of-benefit-2026)
- [MBS telehealth rules: the eligible telehealth practitioner and phone items](/guides/mbs-telehealth-rules)
- [GP chronic condition management plans: items 965 and 967 explained](/guides/chronic-condition-management-plans)
- [Medicare billing compliance: claim time limits, records and the 80/20 rule](/guides/medicare-billing-compliance)

Data source: [Australian Government Medicare Benefits Schedule](https://www.mbsonline.gov.au/) · Record updated 1 September 2026. Health fund rates come from each fund's published schedule. Verify item descriptors, rules and fees on [MBS Online](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=61528) before billing. This is a reference tool, not billing or financial advice.
