For bookings and enquiries, please call 02 9899 6800 (Dr Dev Samarasinghe) or 02 9899 6828 (Dr Stephen Oh, Dr Calvin Chan)

Open endoscopy access e-Referral

Open access endoscopy e-referral

Open access endoscopy e-referral

    Please fill in the below fields to create a referral request for your patient for an open access endoscopy. We will contact your patient shortly.

    Referral forGastroscopyColonoscopy

    Campsie Day Surgery, CampsieLakeview Private Hospital, Baulkham HillsNorwest Private Hospital, Bella VistaSydney Adventist Hospital, WahroongaSomerset Private Hospital, Kingswood

    Abdominal painRefluxDysphagiaWeight lossPositive FOBTPolyp surveillancePR bleedingChange in bowel habitsConstipationDiarrhoeaWeight lossFamily history of oesophageal cancerFamily history of gastric cancerFamily history of bowel cancer

    Referring Doctor Details:-

    Patient Details:-

    MrMrsMsMasterMissOther

    YesNoUnsure

    Fee schedule for patients WITHOUT private health fund (Medicare only)

    Note: All prices are subject to change and should be confirmed with the hospital at admission

      Campsie Day Surgery Lakeview Private Hospital Somerset Private Hospital
    Gastroscopy $450 $615 $550
    Colonoscopy $490 $750 $700
    Gastroscopy/colonoscopy $650 $825 $900
    Haemorrhoid banding $200    
    Iron infusion $150 (or $50 if part of gastroscopy/colonoscopy and patient provides iron)    
    Sigmoidoscopy $300    

    Additional fees

      Campsie Day Surgery Lakeview Private Hospital Somerset Private Hospital
    Polypectomy $50 $105 $250-300
    Haemorrhoid banding (part of procedure) $50 $52
    Interventions e.g. clip placement, oesophageal dilation, etc $50 $60 – 85

    Fee schedule for patients WITH private health fund and hospital cover

      Campsie Day Surgery Lakeview Private Hospital Norwest Private Hospital Sydney Adventist Hospital Somerset Specialist Centre
    GastroscopyColonoscopy+/ polypectomy+/- haemorrhoid banding *Excess payable to the health fund *Excess payable to the health fund *Excess payable to the health fund *Excess payable to the health fund *Excess payable to the health fund

    *Strictly NO GAP for doctors, pathology service and hospital