From what I've heard, $4,600 for just the surgeon's fee alone is actually on the lower-to-mid range for a private gynae at Mt Alvernia, someone in my mum group mentioned their doctor's fee was closer to $6,000, $8,000, so yours doesn't sound too far off when you consider the total bill can easily hit $12,000, $15,000 all-in once you add hospital stay, anaesthetist, and medication. The trade-off with Mt Alvernia is that the nursing care and overall experience tend to get good feedback, so some mums feel the higher cost is worth it, though a few do note it's pricier than public hospitals where the total package starts around $4,000, $5,000. If budget is a priority, it might be worth checking whether your doctor offers Class B1 ward rates or if there's a more junior but well-reviewed gynae at the same hospital who charges less, the doctor's fee and the hospital package are separate, so there's sometimes room to adjust one without switching the other.