Patients are forking out more money to see the GP despite incentive payments for bulk billing being tripled.
The Royal Australian College of GPs Health of the Nation survey found one in four doctors are bulk billing more consults after the Albanese government increased funding.
But the report card reveals patients' out-of-pockets costs rose to $36.86 on average for a 20-minute consult in 2024, up from $34.91 in 2023 as inflation hits the health sector.
The findings have prompted the body representing GPs to urge Labor to rebuild Medicare after "decades of underfunding".
The bulk-billing incentive - paid on top of the standard Medicare benefit - has benefited pensioners, children and concession card holders.
RACGP President Nicole Higgins said the increased funding was only helping a fraction of the population and called for healthcare to be made affordable for all Australians.
A 20 per cent increase to all rebates for 20-minute and longer consults were needed, as well as extra increases for rural and remote communities, she said.
"This is an investment in the health of our nation and will make a big difference with cost of living for Australians," Dr Higgins said.
"Every year, more than 22 million Australians choose to see a GP for their essential health care.
"There is no substitute for the quality care you get from a GP who knows you and your history, this care needs to be affordable for everyone."
The additional Medicare funding has meant more than four million additional bulk-billed visits to the GP have taken place since November, according to health department data.
