If you're looking into PSA testing, you probably have two questions in mind: "Is a PSA test free?" and"Where can I get it?"
This page answers those questions for you.
For more information and individual advice, call us on 1800 22 00 99 or email telenurse@pcfa.org.au.
Is a PSA test free in Australia?
For most Australians, yes — a PSA test can be completely free. PSA testing is funded through Medicare, and if your doctor sends your test to a pathology provider that bulk bills, you won't pay anything out of pocket.
Even where a provider doesn't bulk bill, Medicare still pays a substantial rebate towards the cost, so a PSA test is rarely an expensive item even when it isn't free.
How does Medicare cover PSA testing?
Medicare has specific rules about how often a PSA test is funded, based on your individual situation. As of the most recent update to these rules (November 2023):
- Routine PSA testing — most men can have one Medicare-funded PSA test every 23 months.
- High-risk monitoring — men with a first-degree relative (father or brother) who has had prostate cancer can access a Medicare-funded PSA test more frequently, every 11 months, reflecting their higher risk.
- Monitoring an existing diagnosis — men already diagnosed with prostate cancer, prostatitis, or a related condition can have their PSA monitored under a separate Medicare item, without the same time restriction.
- Follow-up testing after an elevated result — if an initial PSA result comes back above a certain threshold, Medicare also funds a follow-up test (a "free-to-total PSA" test) to help interpret that result further, within set frequency limits.
These rules were updated by the Australian Government in 2023 specifically so that testing schedules better match a person's individual risk level, rather than applying one rule to everyone.
How do I get a free PSA test?
- Talk to your GP. They'll assess whether a PSA test is appropriate for you and can request one under the correct Medicare item.
- Ask about bulk billing. Many pathology collection centres bulk bill routine blood tests, including PSA — ask your GP's practice or the collection centre directly.
- Check your eligibility interval. If you've had a PSA test recently, Medicare's funding may depend on how long it's been since your last one — your GP can check this for you.
What if I don't have a Medicare card?
If you're not eligible for Medicare, speak with your GP or a community health centre about low-cost testing options in your area. Our Prostate Cancer Specialist Nurses can also help point you toward support services if cost is a barrier.
Click here to download the Medicare fact sheet and item numbers for PSA testing.
Not sure if a PSA test is right for you?
Whether and when to have a PSA test is a decision to make in consultation with your doctor, taking into account your age, family history, and overall health. If you have questions about your own situation, our Prostate Cancer Specialist Nurses are available for a free, confidential conversation.
