MBS item

73306
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EndoPredict gene expression profiling of ER-positive, HER2-negative breast cancer tissue to assess 10-year distant recurrence risk in patients with intermediate-risk disease suitable for adjuvant chemotherapy (node-negative or up to 3 positive nodes,…

Category 6 · Pathology services[Group P7](/groups/P7)

Schedule fee$1,200.00

100% benefitGP, out of hospital—

85% benefitOut of hospital$1,095.50

75% benefitIn hospital$900.00

The schedule fee for MBS item 73306 is $1,200.00. Medicare pays $1,095.50 (85%) out of hospital, or $900.00 (75%) for a privately admitted patient in hospital. Fee effective 1 November 2023.

Gap for what you charge
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Your fee$

Out of hospitalIn hospital (private)

Medicare pays$1,095.50

Patient gap$104.50

Bulk billing means accepting $1,095.50 as full payment, with no gap and no extra charges. [Add incentives](/bulk-billing?item=73306)

Item descriptor
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Gene expression profiling testing using EndoPredict, for the purpose of profiling gene expression in formalin‑fixed, paraffin‑embedded primary breast cancer tissue from core needle biopsy or surgical tumour sample to estimate the risk of distant recurrence of breast cancer within 10 years, if: (a) the sample is from a new primary breast cancer, which is suitable for adjuvant chemotherapy; and (b) the sample has been determined to be oestrogen receptor positive and HER2 negative by IHC and ISH respectively on surgically removed tumour; and (c) the sample is axillary node negative or positive (up to 3 nodes) with a tumour size of at least 1 cm and no more than 5 cm determined by histopathology on surgically removed tumour; and (d) the sample has no evidence of distal metastasis; and (e) pre‑testing of intermediate risk of distant metastases has shown that the tumour is defined by at least one of the following characteristics: (i) histopathological grade 2 or 3; (ii) one to 3 lymph nodes involved in metastatic disease (including micrometastases but not isolated tumour cells); and (f) the service is not administered for the purpose of altering treatment decisions Applicable once per new primary breast cancer diagnosis for any particular patient

[Explanatory notes and rules on MBS Online ↗](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=73306)

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

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Guides
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- [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=73306) before billing. This is a reference tool, not billing or financial advice.
