The Extra Service Fee is an additional fee, which only applies to an Extra Service facility. A good analogy used to be, an Extra Service facility was like a “private Hospital” whereas a Nursing Home was more like a Public Hospital. However, since July 2014, all aged care facilities can now charge an Accommodation Payment, & so there are aged care facilities that are newly built that do not charge an extra service fee, but still offer single rooms & very nice surroundings