Surgical Price Guide
These pre-tax ranges are provided to help owners and referring teams plan before consultation. A final written estimate is prepared after the patient has been assessed and the surgical plan is confirmed.
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Orthopedic
TPLOTier 2 / $4,500-6,000 pre-tax
Standard tibial plateau leveling osteotomy for routine cranial cruciate ligament rupture or CCL instability.
What is included
- Surgery with muscle sparing approach
- TPLO plate and screws
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Cranial cruciate ligament rupture
- CCL tear
- ACL-type knee injury in a dog
- Chronic hindlimb lameness with stifle instability
- Acute non-weight-bearing lameness due to cruciate injury
What moves it up a tier
- Concurrent patellar luxation correction
- Internal brace augmentation
- Bilateral TPLO
- Angular limb deformity correction
- Additional articular reconstruction
- Unexpected aftercare burden
MPL / Luxating Patella Repair (Unilateral)Tier 2 / $4,500-6,000 pre-tax
Standard surgical stabilization of one stifle affected by medial patellar luxation when major angular limb deformity is not expected.
What is included
- Surgery on one stifle
- Routine implants and fixation
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- One knee affected by luxating patella
- Unilateral medial patellar luxation
- Grade I-II medial patellar luxation without major alignment concern
- Intermittent skipping lameness affecting one hindlimb
- Toy breed with one unstable kneecap
What moves it up a tier
- Higher-grade luxation
- Abnormal femoral or tibial alignment on radiographs
- CT recommended to assess angular limb deformity
- Confirmed angular or rotational deformity
- Concurrent cruciate disease
- Revision patellar luxation surgery
MPL / Luxating Patella Repair (Bilateral)Tier 3 / $5,800-8,000 pre-tax
Surgical stabilization of both stifles affected by medial patellar luxation in a single anesthetic session when major angular limb deformity is not expected.
What is included
- Surgery on both stifles
- Routine implants and fixation
- Two-night hospitalization
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Both knees affected by luxating patella
- Bilateral medial patellar luxation
- Alternating hindlimb skipping lameness
- Toy breed with luxating patellas in both knees
- Bilateral patellar instability without major alignment concern
What moves it up a tier
- Higher-grade luxation
- Abnormal femoral or tibial alignment on radiographs
- CT recommended to assess angular limb deformity
- Confirmed angular or rotational deformity
- Concurrent cruciate disease
- Revision patellar luxation surgery
MPL / Luxating Patella With Deformity CorrectionTier 4 / $7,800-10,500 pre-tax
Patellar luxation surgery for cases with CT-confirmed angular or rotational limb deformity requiring corrective osteotomy in addition to standard MPL stabilization. If both limbs require deformity correction, surgery is staged one limb at a time.
What is included
- Surgery on one limb
- Patient-specific 3D-printed surgical guide
- Corrective osteotomy
- Trochleoplasty
- Tibial tuberosity transposition when indicated
- Soft tissue balancing
- Implants and fixation
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Patellar luxation with CT-confirmed distal femoral varus or valgus deformity
- Patellar luxation requiring femoral osteotomy
- Patellar luxation requiring tibial osteotomy
- Complex patellar luxation with angular or rotational limb deformity
- High-grade MPL where deformity correction is required in addition to trochleoplasty and TTT
What moves it up a tier
- Bilateral deformity requiring staged surgery
- Multi-site osteotomy
- Concurrent cruciate disease
- Revision surgery
- Complex rotational deformity
- Additional orthopedic reconstruction
- Need for more extensive implant fixation
Simple Fracture RepairTier 2 / $4,500-6,000 pre-tax
Stabilization of straightforward fractures, including displaced but repairable physeal fractures, requiring open reduction, fracture exposure, or standard implant fixation.
What is included
- Surgery
- Implants and fixation
- Healing radiographs
- Routine rechecks for 6 months
Common examples
- Simple diaphyseal transverse or short oblique fracture
- Radius and ulna fracture in a non-toy breed dog
- Open reduction and internal fixation of a simple fracture
- Displaced Salter-Harris I or II fracture requiring open reduction
- Displaced physeal fracture requiring standard fixation
What moves it up a tier
- Open fracture
- Comminution
- Distal radius/ulna fracture in a toy breed
- Articular involvement
- Multi-implant fixation
- Revision fracture repair
Complex Fracture RepairTier 3 / $5,800-8,000 pre-tax
Higher-complexity fracture repair with increased fixation burden, delayed or difficult reduction, open or contaminated injury, or greater monitoring needs.
What is included
- Surgery
- Advanced or multi-implant fixation when required
- Healing radiographs
- Routine rechecks for 6 months
Common examples
- Comminuted femur fracture in a large-breed dog
- Distal radius/ulna fracture in a toy-breed dog
- Open fracture requiring culture or staged care
- Chronic physeal fracture with difficult reduction
- Delayed Salter-Harris fracture repair
- Fracture requiring multiple fixation methods
What moves it up a tier
- Articular involvement
- Severe contamination or soft tissue injury
- Bone loss
- Revision surgery
- Joint reconstruction
- Need for arthrodesis or salvage procedure
Articular Fracture RepairTier 4 / $7,800-10,500 pre-tax
Fracture repair requiring joint-surface reconstruction, articular alignment, fusion-level planning, or other high-load orthopedic reconstruction.
What is included
- Surgery
- Joint reconstruction or fusion-level fixation when required
- Healing radiographs
- Routine rechecks for 6 months
Common examples
- Humeral bicondylar fracture
- Acetabular fracture
- Intra-articular fracture requiring reconstruction
- Salter-Harris III or IV fracture involving the joint surface
- Physeal fracture with clinically significant articular involvement
What moves it up a tier
- Multi-joint involvement
- Concurrent deformity correction
- Severe chronicity
- Revision reconstruction
- Need for arthrodesis or salvage procedure
ArthrodesisTier 4 / $7,800-10,500 pre-tax
Fusion-level orthopedic reconstruction for severe joint instability, end-stage joint disease, failed prior repair, or injuries requiring permanent joint stabilization.
What is included
- Surgery
- Implants and fixation
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Carpal arthrodesis
- Tarsal arthrodesis
- Chronic joint instability requiring fusion
- End-stage carpal or tarsal disease
- Failed prior orthopedic repair requiring salvage
- Severe ligamentous instability not suitable for primary repair
What moves it up a tier
- Concurrent fracture repair
- Revision surgery
- Infection or implant failure
- Bone loss
- Large implant construct
- Bilateral or multi-joint disease
- Severe soft tissue compromise
Tendon RepairTier 4 / $7,800-10,500 pre-tax
High-load tendon repair for tendon rupture, avulsion, or disruption requiring surgical fixation, protection, and structured aftercare.
What is included
- Surgery
- Tendon repair or fixation
- Implant removal at 6 weeks when indicated
- Cast or splint changes for 6 weeks when indicated
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Common calcaneal tendon rupture
- Achilles tendon rupture
- Tendon avulsion injury
- Tendon disruption requiring augmentation
- Traumatic tendon laceration requiring repair
- Hock dropped due to tendon injury
What moves it up a tier
- Concurrent fracture or joint repair
- Extensive bandage care beyond 6 weeks
- Open or contaminated wound
- Revision tendon repair
- Implant or fixation support required
- Poor soft tissue coverage
Bilateral TPLO (single-session)Tier 4 / $7,800-10,500 pre-tax
Bilateral cruciate stabilization performed in a single anesthetic session, with increased surgical time, implant burden, and aftercare demands.
What is included
- Surgery on both stifles in a single session
- TPLO plates and screws
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Bilateral cranial cruciate ligament rupture
- Both knees affected by CCL disease
- Progressive contralateral cruciate disease
- Chronic hindlimb lameness affecting both stifles
- Acute non-weight-bearing lameness in both pelvic limbs
What moves it up a tier
- Concurrent patellar luxation correction
- Internal brace augmentation
- Angular limb deformity correction
- Additional articular reconstruction
- Significant post-operative mobility or nursing support needs
Femoral Head and Neck Ostectomy (Unilateral)Tier 2 / $4,500-6,000 pre-tax
Removal of one femoral head and neck to reduce hip pain and improve function when the hip joint cannot be reliably preserved.
What is included
- Surgery
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Hip luxation not amenable to reduction
- Chronic hip pain secondary to dysplasia
- Femoral head fracture
- Avascular necrosis
- Legg-Calve-Perthes disease
- Cat hip luxation
- Cat hip fracture
What moves it up a tier
- Bilateral procedure
- Large breed with increased post-operative support needs
- Concurrent orthopedic procedures
- Chronic luxation with severe fibrosis
- Unexpected rehabilitation or nursing burden
Femoral Head and Neck Ostectomy (Bilateral)Tier 3 / $5,800-8,000 pre-tax
Excision of both femoral heads and necks in a single session to address bilateral hip disease or bilateral hip pain.
What is included
- Surgery on both hips in a single session
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Bilateral hip disease in a non-obese cat
- Bilateral femoral head pathology
- Severe bilateral hip degeneration
- Bilateral hip luxation not suitable for reduction
- Bilateral hip pain affecting mobility
What moves it up a tier
- Staged procedures due to mobility concerns
- Large breed with increased aftercare needs
- Obesity or poor mobility
- Concurrent orthopedic disease
- Extended rehabilitation or nursing support
Extracapsular Lateral Suture StabilizationTier 1 / $3,000-4,700 pre-tax
Extracapsular stabilization of the stifle for cranial cruciate ligament instability, typically used in cats or select small dogs.
What is included
- Surgery
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Feline cranial cruciate ligament rupture
- Cat CCL injury
- Small dog cruciate disease where TPLO is not preferred
- Mild stifle instability managed with extracapsular stabilization
- Lateral fabellar suture stabilization
What moves it up a tier
- TPLO or osteotomy-based stabilization
- Concurrent MPL repair
- Bilateral stifle surgery
- Revision cruciate surgery
TPLO with Internal BraceTier 3 / $5,800-8,000 pre-tax
TPLO with internal brace augmentation for cranial cruciate ligament rupture with clinically significant rotational instability or pivot-shift concern.
What is included
- Surgery
- TPLO plate and screws
- Internal brace augmentation
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- CCL rupture with marked rotational instability
- Pivot-shift type instability
- TPLO requiring additional anti-rotational support
- Stifle instability not adequately addressed by osteotomy alone
What moves it up a tier
- Bilateral TPLO
- Concurrent MPL repair
- Angular limb deformity correction
- Additional articular reconstruction
- Revision cruciate surgery
TPLO with Patellar Luxation CorrectionTier 3 / $5,800-8,000 pre-tax
TPLO combined with patellar luxation correction in the same stifle for patients with both cruciate disease and abnormal patellar tracking.
What is included
- Surgery
- TPLO plate and screws
- Patellar luxation correction
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- CCL rupture with concurrent medial patellar luxation
- Cruciate disease with luxating patella
- Stifle instability requiring TPLO and MPL correction
- Combined cruciate and patellar tracking abnormality
What moves it up a tier
- Angular limb deformity correction
- Bilateral surgery
- Internal brace augmentation
- High-grade patellar luxation
- Revision stifle surgery
Angular Limb Deformity CorrectionTier 4 / $7,800-10,500 pre-tax
Corrective osteotomy to realign a limb affected by angular or rotational deformity, often using CT planning and patient-specific surgical guides.
What is included
- CT planning
- 3D-printed patient-specific surgical guides
- Surgery with corrective osteotomy
- Implants and fixation
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Distal radial valgus or varus deformity
- Femoral deformity requiring corrective osteotomy
- Tibial deformity affecting limb alignment
- Multi-planar angular limb deformity
- Rotational limb deformity
- Crooked forelimb requiring realignment
What moves it up a tier
- Multi-site osteotomy on the same limb
- Bilateral deformity correction
- Complex rotational deformity
- Revision or prior failed deformity correction
- Concurrent joint or fracture reconstruction
Toggle Stabilization of Hip LuxationTier 2 / $4,500-6,000 pre-tax
Open reduction of coxofemoral luxation with toggle stabilization to restore hip stability when closed reduction is not adequate or not expected to hold.
What is included
- Surgery
- Toggle stabilization implants
- Post-operative radiographs through confirmed healing
- Routine recheck examinations for 6 months
Common examples
- Traumatic hip luxation
- Coxofemoral luxation not maintained with closed reduction
- Hip instability requiring toggle stabilization
- Recurrent hip luxation following closed reduction
- Hip dislocation in an otherwise salvageable joint
What moves it up a tier
- Concurrent acetabular fracture
- Chronic luxation with severe fibrosis
- Additional pelvic or orthopedic injury
- Revision stabilization procedure
- Poor joint integrity requiring alternative salvage procedure
Minor Fracture RepairTier 1 / $3,000-4,700 pre-tax
Minimally invasive stabilization of select simple fractures or juvenile growth-plate injuries requiring limited reduction, limited exposure, and straightforward fixation.
What is included
- Surgery with intra-operative fluoroscopy
- Implants where required
- Healing radiographs
- Routine rechecks for 6 months
Common examples
- Minimally displaced physeal fracture
- Minimally displaced Salter-Harris I or II fracture
- Tibial tuberosity avulsion fracture
- Cross pin fixation
- Tension band fixation
- Simple juvenile avulsion fracture
What moves it up a tier
- Severe displacement
- Chronic or delayed presentation
- Need for open reduction
- Open fracture repair
- Comminution
- Articular involvement
- Requirement for plating or advanced fixation
Soft Tissue Oncology
Mass Removal With Primary ClosureTier 1 / $3,000-4,700 pre-tax
Single-site mass removal with primary closure when the mass is expected to be removed without lymph node surgery, flap reconstruction, or a second major operative field.
What is included
- Surgery
- Histopathology of submitted tissues
- Routine recheck examinations for 12 months
Common examples
- Small skin mass
- Subcutaneous mass with primary closure
- Small mast cell tumor amenable to primary closure
- Small soft tissue sarcoma amenable to primary closure
- Anal sac mass without lymph node removal
- Digit mass requiring amputation
- Tail mass removal
What moves it up a tier
- Lymph node removal
- Flap or graft reconstruction
- Large defect or high-tension closure
- Multiple mass sites
- Difficult anatomic location
- Poor skin mobility or prior surgery in the area
Mass Removal + Same-Field LNTier 2 / $4,500-6,000 pre-tax
Mass removal with lymph node removal performed through the same operative field or regional approach.
What is included
- Surgery
- Histopathology of submitted tissues
- Preoperative and/or intraoperative sentinel lymph node mapping
- Routine recheck examinations for 12 months
Common examples
- Mast cell tumor with popliteal lymph node removal
- Limb mass with same-field lymph node removal
- Body wall mass with same-field lymph node removal
- Tumor removal where sentinel node removal is performed through the same operative approach
- Regional lymph node removal through the same surgical field
What moves it up a tier
- Separate-field lymph node removal
- Flap or graft reconstruction
- Multiple mass sites
- Large or high-tension closure
- Deep dissection near major vessels or nerves
Reconstructive OncologyTier 3 / $5,800-8,000 pre-tax
Oncologic surgery requiring advanced closure, flap reconstruction, grafting, bilateral treatment, or larger soft tissue reconstruction.
What is included
- Surgery
- Histopathology of submitted tissues
- Preoperative and/or intraoperative sentinel lymph node mapping when lymph node removal is performed
- Routine recheck examinations for 12 months
Common examples
- Large mast cell tumor requiring flap reconstruction
- Soft tissue sarcoma requiring skin flap
- Mass removal requiring skin graft
- Bilateral anal sac mass removal without separate-field lymph node removal
- Multi-site tumor excision requiring reconstruction
- Large wound after cancer removal
What moves it up a tier
- Separate-field lymph node removal
- Major additional operative field
- Multiple reconstructive sites
- Poor local tissue availability
- Revision surgery
- Concurrent abdominal or orthopedic procedure
Separate-Field Lymph Node RemovalTier 4 / $7,800-10,500 pre-tax
Oncologic surgery requiring lymph node removal from a distinct or deeper operative field separate from the primary mass removal site.
What is included
- Surgery
- Histopathology of submitted tissues
- Preoperative and intraoperative sentinel lymph node mapping
- Routine recheck examinations for 12 months
Common examples
- Anal sac adenocarcinoma with medial iliac lymph node removal
- Medial iliac lymph node removal
- Retroperitoneal lymph node dissection
- Distant nodal metastasis requiring separate-field surgery
- Primary tumor removal with separate-field lymph node surgery
- Deep pelvic or abdominal lymph node removal
What moves it up a tier
- Multiple nodal basins
- Deep pelvic or retroperitoneal dissection
- Major vessel proximity
- Concurrent reconstructive closure
- Concurrent abdominal surgery
- Revision nodal surgery
Cryptorchid Castration (Abdominal)Tier 1 / $3,000-4,700 pre-tax
Castration requiring surgical retrieval of one or both retained testicles, including abdominal or inguinal approaches when needed.
What is included
- Surgery
- Histopathology of submitted tissues
- Routine recheck examinations for 12 months
Common examples
- Unilateral retained abdominal testicle
- Bilateral cryptorchid castration
- Inguinal retained testicle
- Abdominal cryptorchid testicle
- Retained testicle with concern for neoplasia
What moves it up a tier
- Concurrent abdominal pathology
- Concurrent mass removal
- Prolonged exploration to identify the retained testicle
Chain Mastectomy (Unilateral)Tier 2 / $4,500-6,000 pre-tax
Removal of one mammary chain for feline mammary neoplasia or regional mammary disease when unilateral surgery is appropriate.
What is included
- Surgery
- Histopathology of submitted tissues
- Preoperative and/or intraoperative sentinel lymph node mapping
- Routine recheck examinations for 12 months
Common examples
- Feline mammary mass requiring unilateral chain mastectomy
- Unilateral mammary carcinoma
- First-stage chain mastectomy in a planned staged bilateral approach
- Mammary disease where bilateral closure is not safely possible in one session
What moves it up a tier
- Bilateral chain mastectomy in a single session
- Concurrent ovariohysterectomy or spay
- Excessive closure tension
- Flap reconstruction or wound management
- Separate-field lymph node removal
Chain Mastectomy (Bilateral, Single Session)Tier 4 / $7,800-10,500 pre-tax
Removal of both mammary chains in a single session for feline mammary neoplasia when closure tension and patient factors allow single-session surgery.
What is included
- Surgery on both mammary chains
- Histopathology of submitted tissues
- Preoperative and/or intraoperative sentinel lymph node mapping
- Routine recheck examinations for 12 months
Common examples
- Bilateral feline mammary carcinoma
- Multifocal mammary disease affecting both chains
- Single-session bilateral chain mastectomy with acceptable closure tension
- Bilateral mammary masses requiring definitive surgery
What moves it up a tier
- Concurrent ovariohysterectomy or spay
- Excessive closure tension
- Flap reconstruction or wound management
- Separate-field lymph node removal
- Delayed healing risk
- Patient factors increasing recovery burden
Chain Mastectomy (Staged Second Side)Tier 1 / $3,000-4,700 pre-tax
Planned contralateral mammary chain removal performed after recovery from the first-side chain mastectomy.
What is included
- Surgery
- Histopathology of submitted tissues
- Routine recheck examinations for 12 months
Common examples
- Second-stage chain mastectomy performed after the first side
- Contralateral chain removal following staged bilateral planning
- Planned completion of staged bilateral mastectomy
- Second-side mammary chain removal after healing
What moves it up a tier
- Concurrent ovariohysterectomy or spay
- Reconstruction or wound management
- Delayed healing or complications from the first-side surgery
- Separate-field lymph node removal
- Excessive closure tension
- New or progressive mammary disease
Stable SplenectomyTier 1 / $3,000-4,700 pre-tax
Splenectomy for a stable patient with a non-ruptured splenic mass or splenic disease, without major hemoabdomen or advanced support needs.
What is included
- Surgery
- Histopathology of submitted tissues
- Routine recheck examinations for 12 months
Common examples
- Incidental splenic mass
- Non-ruptured splenic mass
- Stable splenic tumor
- Splenic nodule requiring removal
- Planned splenectomy in a stable patient
What moves it up a tier
- Rupture or hemoabdomen
- Need for transfusion
- Arrhythmia or cardiovascular instability
- Concurrent abdominal mass or organ procedure
- Coagulopathy or advanced medical support needs
Ruptured Splenic MassTier 2 / $4,500-6,000 pre-tax
Splenectomy for a ruptured splenic mass or hemoabdomen case with increased complexity but stable-to-supported physiology.
What is included
- Surgery
- Histopathology of submitted tissues
- Routine recheck examinations for 12 months
Common examples
- Hemoabdomen from splenic rupture
- Ruptured splenic mass
- Acute collapse with splenic bleeding
- Bleeding splenic tumor
- Splenic mass with abdominal hemorrhage
What moves it up a tier
- Unstable physiology
- Transfusion requirement
- Coagulopathy
- Concurrent abdominal disease
- Prolonged hospitalization
- Advanced medical support needs
Left-Sided Liver LobectomyTier 2 / $4,500-6,000 pre-tax
Liver lobectomy for a left-sided or accessible hepatic mass requiring single-organ abdominal resection with routine cavity entry.
What is included
- Surgery
- Histopathology of submitted tissues
- Routine recheck examinations for 12 months
Common examples
- Solitary left liver lobe mass
- Resectable hepatic tumor
- Pedunculated liver mass
- Accessible liver nodule requiring lobectomy
- Stable patient with planned liver mass removal
What moves it up a tier
- Right-sided or central liver involvement
- Multiple liver lobes affected
- Transfusion risk
- Concurrent abdominal procedure
- Unstable patient
- Difficult vascular dissection
Right-Sided / Multi-Lobar Liver LobectomyTier 3 / $5,800-8,000 pre-tax
More complex hepatic resection involving right-sided, central, or multi-lobar liver disease with higher dissection and support needs.
What is included
- Surgery
- Histopathology of submitted tissues
- Routine recheck examinations for 12 months
Common examples
- Right-sided liver tumor
- Multi-lobar hepatic mass
- Central liver mass
- Liver mass requiring transfusion planning
- Complex hepatic lobectomy
What moves it up a tier
- Vena cava or central hilar involvement
- Multiple organs involved
- Transfusion requirement
- Unstable patient
- Concurrent abdominal procedure
- Difficult vascular control
Soft Tissue Emergency / Internal Medicine
CystotomyTier 1 / $3,000-4,700 pre-tax
Routine bladder surgery for removal of cystic calculi or other straightforward urinary bladder disease without urethrotomy, rupture, or major urinary reconstruction.
What is included
- Surgery
- Culture and sensitivity
- Stone analysis when calculi are removed
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Bladder stones causing hematuria
- Routine cystotomy for urolith removal
- Stable urinary bladder stone case
- Recurrent urinary obstruction in a female dog
- Bladder mass or material requiring simple cystotomy
What moves it up a tier
- Urethrotomy
- Bladder rupture or uroabdomen
- Additional urinary reconstruction
- Concurrent abdominal procedure
- Unstable patient or advanced medical support needs
Cystotomy With UrethrotomyTier 2 / $4,500-6,000 pre-tax
Urinary surgery requiring cystotomy plus urethrotomy or additional urethral access for obstructive uroliths or urethral disease.
What is included
- Surgery
- Culture and sensitivity
- Stone analysis
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Cystotomy with urethrotomy
- Urolith lodged in the urethra
- Urethral obstruction requiring surgical access
- Bladder stones with urethral stones
- Urinary obstruction requiring more than cystotomy alone
What moves it up a tier
- Bladder rupture or uroabdomen
- Urethral tear or stricture
- Additional urinary reconstruction
- Concurrent abdominal procedure
- Unstable patient or advanced medical support needs
UroabdomenTier 3 / $5,800-8,000 pre-tax
Surgical repair of urinary leakage into the abdomen, most commonly from bladder rupture, bladder tear, or traumatic urinary tract injury.
What is included
- Surgery
- Culture and sensitivity when indicated
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Traumatic bladder rupture
- Bladder tear following obstruction
- Urine leakage into the abdomen
- Uroabdomen after trauma
- Urinary tract rupture requiring repair
What moves it up a tier
- Ureteral involvement
- Urethral involvement
- Diversion or rerouting procedure
- Septic or contaminated abdomen
- Concurrent abdominal organ injury
- Unstable patient or advanced medical support needs
Simple Foreign BodyTier 1 / $3,000-4,700 pre-tax
Routine single-site gastrointestinal foreign body surgery without linear foreign body, bowel devitalization, perforation, or septic abdomen.
What is included
- Surgery
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Simple gastric foreign body
- Simple intestinal foreign body
- Dog ate a toy or ball
- Bone obstruction without perforation
- Single gastrotomy or enterotomy in a stable patient
What moves it up a tier
- Linear foreign body
- Multiple enterotomies
- Resection and anastomosis
- Bowel perforation
- Septic abdomen
- Unstable patient or advanced medical support needs
Linear Foreign BodyTier 2 / $4,500-6,000 pre-tax
Gastrointestinal surgery for a linear foreign body or plicated bowel, with increased operative complexity but without established septic abdomen or major diversion.
What is included
- Surgery
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- String under the tongue
- Thread ingestion in a cat
- Linear foreign body with plicated intestines
- Ribbon or fabric foreign body
- Foreign body requiring careful bowel evaluation
What moves it up a tier
- Bowel perforation
- Devitalized bowel
- Resection and anastomosis
- Septic abdomen
- Multiple enterotomies
- Unstable patient or advanced medical support needs
Non-Ruptured Gallbladder MucoceleTier 2 / $4,500-6,000 pre-tax
Gallbladder surgery for stable gallbladder disease or non-ruptured mucocele without bile peritonitis or diversion/rerouting.
What is included
- Surgery
- Post-operative abdominal drain when indicated
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Non-ruptured gallbladder mucocele
- Stable cholecystectomy
- Incidental gallbladder mucocele
- Stable gallbladder disease
- Gallbladder removal before rupture
What moves it up a tier
- Gallbladder rupture
- Bile peritonitis
- Diversion or rerouting required
- Concurrent liver procedure
- Unstable patient or advanced medical support needs
- Difficult biliary dissection
Ruptured Gall BladderTier 3 / $5,800-8,000 pre-tax
Gallbladder surgery for rupture or bile peritonitis without diversion/rerouting, with increased contamination and medical support needs.
What is included
- Surgery
- Post-operative abdominal drain when indicated
- Culture and sensitivity when indicated
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Ruptured gallbladder mucocele
- Gallbladder rupture
- Bile peritonitis
- Biliary leakage into the abdomen
- Emergency cholecystectomy for rupture
What moves it up a tier
- Diversion or rerouting required
- Severe septic peritonitis
- Concurrent liver or abdominal procedure
- Unstable patient
- Prolonged hospitalization or advanced support
- Difficult biliary dissection
Gall Bladder Diversion / ReroutingTier 4 / $7,800-10,500 pre-tax
Gallbladder or biliary surgery requiring diversion, rerouting, or bypass because routine cholecystectomy alone is not sufficient.
What is included
- Surgery
- Post-operative abdominal drain when indicated
- Culture and sensitivity when indicated
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Cholecystoduodenostomy
- Biliary diversion
- Gallbladder outflow obstruction requiring rerouting
- Bile duct obstruction requiring bypass
- Complex biliary rerouting surgery
What moves it up a tier
- Severe septic peritonitis
- Concurrent liver or abdominal procedure
- Unstable patient
- Major biliary reconstruction
- Revision biliary surgery
- Advanced medical support needs
Perineal UrethrostomyTier 3 / $5,800-8,000 pre-tax
Perineal urethrostomy for recurrent or severe urethral obstruction, typically with concurrent cystotomy, stone management, and higher urinary surgery monitoring needs.
What is included
- Surgery
- Concurrent cystotomy
- Culture and sensitivity when indicated
- Stone analysis when calculi are removed
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Recurrent urethral obstruction in a cat
- Blocked cat requiring surgical urethrostomy
- Obstructive uroliths requiring PU and cystotomy
- Urethral stricture
- Perineal urethrostomy following repeated obstruction
What moves it up a tier
- Urethral tear or severe urethral trauma
- Revision PU
- Severe inflammation or friable tissue
- Additional urinary reconstruction
- Unstable patient or advanced medical support needs
Septic AbdomenTier 3 / $5,800-8,000 pre-tax
Contaminated abdominal surgery for septic peritonitis, intestinal perforation, devitalized bowel, or other abdominal infection requiring source control.
What is included
- Surgery
- Culture and sensitivity
- Feeding tube placement when indicated
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Intestinal perforation
- Devitalized bowel from obstruction
- Septic peritonitis
- Foreign body with perforation
- Resection and anastomosis for compromised bowel
- Contaminated abdominal surgery
What moves it up a tier
- Multiple abdominal organs involved
- Diversion or rerouting procedure
- Severe physiologic instability
- Transfusion or advanced medical support
- Open abdomen or staged abdominal management
- Concurrent urinary or biliary leakage
Urethral Prolapse Repair (Male)Tier 1 / $3,000-4,700 pre-tax
Surgery to correct a prolapsed urethra in a male dog, typically by removing the affected tissue and securing the urethral mucosa, often combined with castration.
What is included
- Surgery
- Urethropexy
- Urethral resection and anastomosis (if required)
- Castration when indicated
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Urethral prolapse in a young male dog
- Recurrent urethral bleeding associated with prolapse
- Prolapsed urethral tissue at the penile tip
- Male dog with urethral swelling or bleeding
- Brachycephalic dog with urethral prolapse
What moves it up a tier
- Significant inflammation or friable tissue
- Revision surgery
- Concurrent urinary tract procedures
- Ongoing hemorrhage
- Urethral stricture concern
- Unstable patient or advanced support needs
Brachycephalic Airway Surgery (BOAS – Low Risk)Tier 1 / $3,000-4,700 pre-tax
Upper airway surgery for a brachycephalic patient with low anesthetic and airway risk, typically including stenotic nares resection and soft palate shortening.
What is included
- Specialist-led peri-operative anesthesia protocol
- Surgical correction of stenotic nares and elongated soft palate
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Mild BOAS with exercise intolerance
- Stenotic nares with elongated soft palate in a stable patient
- Young otherwise healthy brachycephalic dog with mild airway compromise
- Low BRisk score patient (<3)
- Stable brachycephalic airway surgery candidate
What moves it up a tier
- Increasing airway compromise or instability
- Higher BRisk score (≥ 5)
- Need for additional airway procedures
- Laryngeal collapse
- Revision BOAS surgery
- Prolonged post-operative airway support
Brachycephalic Airway Surgery (BOAS – High Risk)Tier 2 / $4,500-6,000 pre-tax
Upper airway surgery for a brachycephalic patient with elevated anesthetic or airway risk, requiring increased peri-operative monitoring and respiratory support.
What is included
- Specialist-led peri-operative anesthesia protocol
- Surgical correction of stenotic nares and elongated soft palate when indicated
- Post-operative high-flow nasal cannula oxygen therapy
- Enhanced peri-operative monitoring and airway support
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Severe BOAS with marked respiratory distress
- Patient with cyanosis, collapse, or heat intolerance
- Advanced airway obstruction with increased anesthetic risk
- Higher BRisk score patient (≥ 5)
- Brachycephalic patient requiring enhanced airway support
What moves it up a tier
- Laryngeal collapse requiring additional procedures
- Revision BOAS surgery
- Requirement for advanced airway management
- Prolonged oxygen support
- Aspiration risk or significant regurgitation
- Unstable respiratory status
TECA-LBO / VBOTier 3 / $5,800-8,000 pre-tax
Total ear canal ablation with lateral bulla osteotomy or ventral bulla osteotomy for end-stage ear disease, chronic infection, inflammatory polyp, or other ear canal pathology.
What is included
- Pre-operative CT scan
- Surgery
- Culture and sensitivity
- Histopathology of submitted tissues
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- End-stage otitis externa
- Mineralized ear canal
- Chronic ear pain with discharge
- Ear canal ablation for chronic infection
- Feline inflammatory polyp requiring bulla surgery
- Middle ear disease requiring bulla osteotomy
What moves it up a tier
- Neurologic signs
- Abscess or severe regional infection
- Revision ear surgery
- Concurrent mass or polyp removal
- Bilateral disease
- Severe tissue fibrosis or difficult dissection
Salivary SialoceleTier 2 / $4,500-6,000 pre-tax
Surgical treatment of salivary sialocele, typically involving mandibular-sublingual gland removal and regional dissection.
What is included
- Surgery
- Histopathology of submitted tissues
- Culture and sensitivity when indicated
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Cervical swelling from saliva accumulation
- Recurrent salivary leakage
- Mandibular-sublingual salivary gland removal
- Salivary mucocele
- Ranula requiring salivary surgery
What moves it up a tier
- CT imaging for surgical planning
- Concurrent mass removal
- Revision salivary surgery
- Large or chronic sialocele
- Difficult regional dissection
- Airway or swallowing concern
Laparoscopic Ovariectomy ± GastropexyTier 1 / $3,000-4,700 pre-tax
Fully laparoscopic ovariectomy performed using minimally invasive techniques, with optional laparoscopic gastropexy when indicated.
What is included
- Fully laparoscopic surgery
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Fully laparoscopic spay
- Laparoscopic ovariectomy
- Laparoscopic ovariectomy with gastropexy
- Minimally invasive sterilization in an active dog
- Prophylactic gastropexy performed with laparoscopic spay
What moves it up a tier
- Concurrent abdominal procedure
- Conversion to open surgery
- Large or deep-chested patient requiring additional support
- Abnormal reproductive anatomy
- Unexpected bleeding or complication
Perineal Hernia Repair (Unilateral)Tier 2 / $4,500-6,000 pre-tax
Unilateral perineal hernia repair using internal obturator muscle transposition or similar pelvic diaphragm reconstruction.
What is included
- Surgery
- Internal obturator muscle flap
- Castration if intact
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Unilateral perineal hernia
- Reducible perineal hernia without significant rectal sacculation
- First-time uncomplicated perineal hernia repair
- Perineal swelling on one side
- Pelvic diaphragm reconstruction on one side
What moves it up a tier
- Bilateral disease
- Retroflexed urinary bladder
- Significant rectal dilatation or sacculation
- Concurrent surgical prostatic disease
- Recurrent perineal hernia
- Severe tissue weakness or organ compromise
- Need for alternative reconstruction
- Superficial gluteal muscle flap
- Semitendinosus muscle flap
- Fascia lata graft or other reconstructive technique
Colopexy ± Cystopexy (Perineal Hernia Stabilization)Tier 1 / $3,000-4,700 pre-tax
Abdominal stabilization procedure performed as the initial stage of complicated or staged perineal hernia management, using colopexy and/or cystopexy when indicated.
What is included
- Laparotomy
- Colopexy and/or cystopexy
- Reduction of herniated abdominal organs
- Castration if intact
- Typical discharge total after referral
Common examples
- Retroflexed urinary bladder associated with perineal hernia
- Significant rectal sacculation or deviation
- Initial stabilization stage prior to definitive bilateral perineal hernia repair
- Complicated perineal hernia requiring abdominal organ stabilization
- Bladder retroflexion requiring cystopexy
What moves it up a tier
- Additional abdominal procedures
- Severe organ compromise
- Concurrent bowel surgery
- Unstable urinary obstruction
- Need for definitive hernia repair in the same session
Perineal Hernia Repair (Bilateral / Recurrent)Tier 3 / $5,800-8,000 pre-tax
Definitive repair of bilateral or recurrent perineal hernia, typically using internal obturator muscle transposition and more complex pelvic diaphragm reconstruction.
What is included
- Surgery
- Bilateral internal obturator muscle flaps
- Castration if intact
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Bilateral perineal hernia
- Recurrent perineal hernia
- Definitive repair following colopexy and/or cystopexy
- Second stage of staged complicated perineal hernia repair
- Revision perineal hernia repair
What moves it up a tier
- Severe tissue compromise
- Additional abdominal procedures
- Concurrent bowel or urinary surgery
- Revision requiring alternative reconstruction
- Superficial gluteal muscle flap
- Semitendinosus muscle flap
- Fascia lata graft or other reconstructive technique
- Retroflexed urinary bladder
- Severe rectal sacculation or deviation
Laparoscopic Liver BiopsiesTier 1 / $3,000-4,700 pre-tax
Minimally invasive laparoscopic collection of liver biopsies for diagnostic evaluation of liver disease.
What is included
- Pre-operative coagulation testing
- Fully laparoscopic surgery
- Liver biopsy sampling
- Typical discharge total after referral
- Routine recheck examinations for 3 months
Common examples
- Diagnostic liver biopsies
- Suspected chronic hepatitis
- Increased liver enzymes requiring biopsy
- Hepatopathy workup
- Minimally invasive liver sampling
What moves it up a tier
- Concurrent abdominal procedures
- Significant bleeding risk or instability
- Conversion to open surgery
- Need for additional organ biopsy
- Unexpected abdominal findings
What can change a range
Additional diagnostics may include cytology, thoracic radiographs, ultrasound, labwork, pre-operative radiographs, CT planning, staging, or repeat staging. Orthopedic and oncology procedures may also include procedure-specific follow-up, histopathology, mapping, or radiographs when indicated.
Use the search tool as a planning guide only. The written estimate after consultation is the estimate that should be used for decision-making.