Pre-tax referral ranges

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
Estimate notes

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.