There is no unique fee schedule. South African Medical Association provides and updates CPT codes with fees to specialists for their billing purposes. Some voluntary medical schemes are negotiating with specialists and hospital groups but the fee schedules vary. In the public sector, Uniform Patient Fee Schedule is determined by the government for patients above the means test (and members of medical schemes, foreigners etc.) and acts as fee schedule although it is not clear whether it is based on reource based relative value scale.