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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Where stated, CT with 3D reconstruction for surgical planning and the specialist report are included within the displayed tier. See CT inclusions.
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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 and additional recheck examinations at no extra charge for up to 6 months
- Reduced second-side package pricing if the opposite knee later requires staged TPLO
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
Factors considered before surgery
- Concurrent patellar luxation correction
- Internal brace augmentation
- Bilateral TPLO
- Angular limb deformity correction
- Additional articular reconstruction
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
Factors considered before surgery
- Higher-grade luxation
- Abnormal femoral or tibial alignment on radiographs
- CT to assess suspected 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
Factors considered before surgery
- Higher-grade luxation
- Abnormal femoral or tibial alignment on radiographs
- CT to assess suspected 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. CT, 3D reconstruction for surgical planning and the specialist report are included within the listed tier.
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
- CT with 3D reconstruction for surgical planning and specialist report included
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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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. CT, 3D reconstruction for surgical planning and the specialist report are included within the listed tier.
What is included
- Surgery
- Joint reconstruction or fusion-level fixation when required
- Healing radiographs
- Routine rechecks for 6 months
- CT with 3D reconstruction for surgical planning and specialist report included
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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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 radiographic assessment
- 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
Factors considered before surgery
- Bilateral procedure
- Large breed with increased post-operative support needs
- Concurrent orthopedic procedures
- Chronic luxation with severe fibrosis
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 radiographic assessment
- 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
Factors considered before surgery
- 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 2 / $4,500-6,000 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
Factors considered before surgery
- 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
Factors considered before surgery
- Bilateral TPLO
- Concurrent MPL repair
- Angular limb deformity correction
- Additional articular reconstruction
- Revision cruciate surgery
TPLO with MPL Correction (CCL + MPL)Tier 3 / $5,800-8,000 pre-tax
Combined cruciate and medial patellar luxation surgery on one stifle. The package covers TPLO with tibial tuberosity transposition and trochlear recession when required, or use of a dedicated MPL TPLO plate.
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
Factors considered before surgery
- 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, using CT planning and patient-specific surgical guides. CT, 3D reconstruction for surgical planning and the specialist report are included within the listed tier.
What is included
- 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
- CT with 3D reconstruction for surgical planning and specialist report included
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
Factors considered before surgery
- Multi-site osteotomy on the same limb
- Bilateral deformity correction
- Complex rotational deformity
- Revision or prior failed deformity correction
- Concurrent joint or fracture reconstruction
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
Factors considered before surgery
- 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
- Digit mass requiring amputation
- Tail mass removal
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- Separate-field lymph node removal
- Major additional operative field
- Multiple reconstructive sites
- Poor local tissue availability
- Revision surgery
- Concurrent abdominal or orthopedic procedure
Cryptorchid Castration (Abdominal)Tier 2 / $4,500-6,000 pre-tax
Castration requiring abdominal retrieval of one or both retained testicles.
What is included
- Surgery
- Histopathology of submitted tissues
- Routine recheck examinations for 12 months
Common examples
- Unilateral retained abdominal testicle
- Bilateral cryptorchid castration
- Abdominal cryptorchid testicle
- Retained testicle with concern for neoplasia
Factors considered before surgery
- Concurrent abdominal pathology
- Concurrent mass removal
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. Staged first-side Tier 2 and second-side Tier 1 total $7,500–10,700; single-session bilateral Tier 4 is $7,800–10,500. Pricing is deliberately comparable so it does not discourage the preferred staged 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
- 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
Factors considered before surgery
- 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. Staged first-side Tier 2 and second-side Tier 1 total $7,500–10,700; single-session bilateral Tier 4 is $7,800–10,500. Pricing is deliberately comparable so it does not discourage the preferred staged approach.
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
Factors considered before surgery
- 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. Staged first-side Tier 2 and second-side Tier 1 total $7,500–10,700; single-session bilateral Tier 4 is $7,800–10,500. Pricing is deliberately comparable so it does not discourage the preferred staged approach.
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
Factors considered before surgery
- 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 2 / $4,500-6,000 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
Factors considered before surgery
- 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 3 / $5,800-8,000 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- Vena cava or central hilar involvement
- Multiple organs involved
- Transfusion requirement
- Unstable patient
- Concurrent abdominal procedure
- Difficult vascular control
Forelimb AmputationTier 2 / $4,500-6,000 pre-tax
Surgical removal of one front limb, with routine aftercare for the described procedure.
What is included
- Single front limb amputation
- Routine aftercare for the described procedure
Common examples
- Cases requiring removal of one front limb
Factors considered before surgery
- Additional substantive procedures
- Physiologic instability
- Increased monitoring or repeated procedural aftercare
Hindlimb AmputationTier 3 / $5,800-8,000 pre-tax
Surgical removal of one hind limb, with routine aftercare for the described procedure.
What is included
- Single hind limb amputation
- Routine aftercare for the described procedure
Common examples
- Cases requiring removal of one hind limb
Factors considered before surgery
- Additional substantive procedures
- Physiologic instability
- Increased monitoring or repeated procedural aftercare
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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- 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
Factors considered before surgery
- Urethral tear or severe urethral trauma
- Revision PU
- Severe inflammation or friable tissue
- Additional urinary reconstruction
- Unstable patient or advanced medical support needs
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
Factors considered before surgery
- 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 — Standard)Tier 2 / $4,500-6,000 pre-tax
Airway correction with a care plan chosen before surgery using clinical assessment and BRisk findings. Both packages usually involve two to three hours of staffed recovery. BRisk informs the assessment; it does not automatically assign a pricing tier.
What is included
- Specialist-led perioperative anaesthesia protocol
- Correction of stenotic nares and elongated soft palate when indicated
- Thoracic radiographs
- Usually two to three hours of staffed recovery
- 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
- Stable brachycephalic airway surgery candidate
Factors considered before surgery
- Airway assessment and BRisk findings
- Additional airway work anticipated before surgery
- Planned respiratory support and overall care needs
Brachycephalic Airway Surgery (BOAS — Enhanced)Tier 3 / $5,800-8,000 pre-tax
Airway correction with a care plan chosen before surgery using clinical assessment and BRisk findings. Both packages usually involve two to three hours of staffed recovery. The enhanced package accounts for greater anticipated perioperative work. High-flow nasal oxygen is reserved for selected very-high-risk cases, planned near the upper end of this range. BRisk informs the assessment; it does not automatically assign a pricing tier.
What is included
- Specialist-led perioperative anaesthesia protocol
- Correction of stenotic nares and elongated soft palate when indicated
- Thoracic radiographs
- Usually two to three hours of staffed recovery
- 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
- Brachycephalic patient requiring enhanced airway support
Factors considered before surgery
- Airway assessment and BRisk findings
- Additional airway work anticipated before surgery
- Planned respiratory support and overall care needs
Salivary Sialocele (CT Already Completed)Tier 2 / $4,500-6,000 pre-tax
Surgical treatment of salivary sialocele, typically involving mandibular-sublingual gland removal and regional dissection. Preoperative CT is required. This package applies when CT has already been completed elsewhere or as prior diagnostics; CT and its report are not charged again within this package.
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
Factors considered before surgery
- 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
Factors considered before surgery
- Concurrent abdominal procedure
- Large or deep-chested patient requiring additional support
- Abnormal reproductive anatomy
Perineal Hernia Repair (Unilateral)Tier 2 / $4,500-6,000 pre-tax
Unilateral perineal hernia repair using internal obturator muscle transposition.
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
Factors considered before surgery
- Anticipated alternative muscle flap or fascia graft reconstruction
- Known organ displacement or compromise and planned additional surgery
- Patient condition and anticipated support needs
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
Factors considered before surgery
- 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)Tier 3 / $5,800-8,000 pre-tax
Repair of both sides with routine internal obturator muscle transposition. A recurrent hernia is assessed according to the reconstruction anticipated, rather than automatically assigned this bilateral package.
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
- Definitive repair following colopexy and/or cystopexy
- Second stage of staged complicated perineal hernia repair
Factors considered before surgery
- Anticipated alternative muscle flap or fascia graft reconstruction
- Known organ displacement or compromise and planned additional surgery
- Patient condition and anticipated support needs
Laparoscopic Liver BiopsiesTier 2 / $4,500-6,000 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
Factors considered before surgery
- Concurrent abdominal procedures
- Significant bleeding risk or instability
- Need for additional organ biopsy
Salivary Sialocele (CT and Specialist Report Included)Tier 3 / $5,800-8,000 pre-tax
Surgical treatment of salivary sialocele, typically involving mandibular-sublingual gland removal and regional dissection. Preoperative CT is required. CT, 3D reconstruction for surgical planning and the specialist report are included within the listed tier.
What is included
- Surgery
- Histopathology of submitted tissues
- Culture and sensitivity when indicated
- Typical discharge total after referral
- Routine recheck examinations for 3 months
- CT with 3D reconstruction for surgical planning and specialist report included
Common examples
- Cervical swelling from saliva accumulation
- Recurrent salivary leakage
- Mandibular-sublingual salivary gland removal
- Salivary mucocele
- Ranula requiring salivary surgery
Factors considered before surgery
- Concurrent mass removal
- Revision salivary surgery
- Large or chronic sialocele
- Difficult regional dissection
- Airway or swallowing concern
Non-Septic Intestinal Resection and AnastomosisTier 3 / $5,800-8,000 pre-tax
Removal of an intestinal segment with surgical reconnection, for a nonseptic patient undergoing a single abdominal procedure with routine aftercare.
What is included
- Intestinal resection and anastomosis
- Routine aftercare for the described procedure
Common examples
- Nonseptic intestinal segment removal with continuity restored
Factors considered before surgery
- Septic peritonitis or physiologic instability
- Additional substantive procedures
- Increased monitoring or repeated procedural aftercare
Soft Tissue Surgery
Septic Abdomen SurgeryTier 3 / $5,800-8,000 pre-tax
Dr Wood selects the package before surgery using presentation, available blood results, response to initial treatment and anticipated care needs. The operation may be similar between packages; the enhanced package allows for greater anticipated care needs.
What is included
- Surgical source control for septic peritonitis
- Culture and sensitivity
- Feeding tube placement when indicated
- 2 nights of hospital care under the surgical service
Factors considered before surgery
- Planned operation and support needs
TECA-LBO (Unilateral — CT Already Completed)Tier 2 / $4,500-6,000 pre-tax
Unilateral total ear canal ablation with lateral bulla osteotomy. Preoperative CT is required. This pathway applies when the required CT has already been completed.
What is included
- Unilateral TECA-LBO
- Culture and sensitivity
- Histopathology of submitted tissues
- Routine recheck examinations for 3 months
Factors considered before surgery
- Planned operation and support needs
Laryngeal Tie-Back (Unilateral Arytenoid Lateralisation)Tier 2 / $4,500-6,000 pre-tax
Unilateral arytenoid lateralisation with planned airway recovery and follow-up.
What is included
- Unilateral tie-back surgery
- Thoracic radiographs
- Routine airway recovery and follow-up
Factors considered before surgery
- Planned operation and support needs
Gastrointestinal Biopsies (Open, Full-Thickness)Tier 2 / $4,500-6,000 pre-tax
Open abdominal surgery to collect full-thickness gastrointestinal biopsies.
What is included
- Open full-thickness gastrointestinal biopsy sampling
- Routine postoperative care
Factors considered before surgery
- Planned operation and support needs
Radical Pinnectomy (One Ear)Tier 2 / $4,500-6,000 pre-tax
Removal of one ear pinna with deeper dissection at the ear base and planned primary closure.
What is included
- Surgery on one ear
- Primary closure
- Routine aftercare
Factors considered before surgery
- Planned operation and support needs
Anal Sacculectomy (Bilateral)Tier 3 / $5,800-8,000 pre-tax
Removal of both anal sacs for mass or infection indications. Additional abdominal lymph-node surgery is planned separately.
What is included
- Removal of both anal sacs
- Routine postoperative care
Factors considered before surgery
- Planned operation and support needs
Anal Sacculectomy (Unilateral)Tier 2 / $4,500-6,000 pre-tax
Removal of one anal sac for mass or infection indications. Additional abdominal lymph-node surgery is planned separately.
What is included
- Removal of one anal sac
- Routine postoperative care
Factors considered before surgery
- Planned operation and support needs
VulvoplastyTier 1 / $3,000-4,700 pre-tax
Routine superficial reconstruction for a recessed or hooded vulva.
What is included
- Vulvoplasty
- Routine postoperative care
Factors considered before surgery
- Planned operation and support needs
GDV SurgeryTier 3 / $5,800-8,000 pre-tax
Dr Wood selects the package before surgery using presentation, available blood results, response to initial treatment and anticipated care needs. Partial gastrectomy is an inclusion in the enhanced package, not an automatic price trigger.
What is included
- Correction of gastric dilatation-volvulus
- Gastropexy
- Splenectomy if needed
- 2 nights of hospital care under the surgical service
Factors considered before surgery
- Planned operation and support needs
GDV Surgery — Enhanced CareTier 4 / $7,800-10,500 pre-tax
Dr Wood selects the package before surgery using presentation, available blood results, response to initial treatment and anticipated care needs. Partial gastrectomy is an inclusion in the enhanced package, not an automatic price trigger.
What is included
- Correction of gastric dilatation-volvulus
- Gastropexy
- Splenectomy if needed
- Partial gastrectomy if needed
- 4 nights of hospital care under the surgical service
Factors considered before surgery
- Planned operation and support needs
Septic Abdomen Surgery — Enhanced CareTier 4 / $7,800-10,500 pre-tax
Dr Wood selects the package before surgery using presentation, available blood results, response to initial treatment and anticipated care needs. The operation may be similar between packages; the enhanced package allows for greater anticipated care needs.
What is included
- Surgical source control for septic peritonitis
- Culture and sensitivity
- Feeding tube placement when indicated
- 4 nights of hospital care under the surgical service
Factors considered before surgery
- Planned operation and support needs
Pyometra SurgeryTier 2 / $4,500-6,000 pre-tax
Ovariohysterectomy for uterine infection. The preoperative assessment determines the operation and support anticipated. Urine culture checks for concurrent bacteriuria and is interpreted with clinical findings.
What is included
- Pyometra surgery
- Urine culture
- Postoperative care under the surgical service
Factors considered before surgery
- Planned operation and support needs
Pyometra Surgery — Increased SupportTier 3 / $5,800-8,000 pre-tax
Ovariohysterectomy for uterine infection. The preoperative assessment determines the operation and support anticipated. Urine culture checks for concurrent bacteriuria and is interpreted with clinical findings.
What is included
- Pyometra surgery
- Urine culture
- Postoperative care under the surgical service
Factors considered before surgery
- Planned operation and support needs
TECA-LBO (Unilateral — CT and Report Included)Tier 3 / $5,800-8,000 pre-tax
Unilateral total ear canal ablation with lateral bulla osteotomy. Preoperative CT is required. CT, 3D reconstruction for surgical planning and the specialist report are included within the listed tier.
What is included
- Unilateral TECA-LBO
- Culture and sensitivity
- Histopathology of submitted tissues
- Routine recheck examinations for 3 months
- CT with 3D reconstruction for surgical planning and specialist report included
Factors considered before surgery
- Planned operation and support needs
VBO (Unilateral — CT Already Completed)Tier 2 / $4,500-6,000 pre-tax
Unilateral ventral bulla osteotomy. Preoperative CT is required. This pathway applies when the required CT has already been completed.
What is included
- Unilateral VBO
- Culture and sensitivity
- Histopathology of submitted tissues
- Routine recheck examinations for 3 months
Factors considered before surgery
- Planned operation and support needs
VBO (Unilateral — CT and Report Included)Tier 3 / $5,800-8,000 pre-tax
Unilateral ventral bulla osteotomy. Preoperative CT is required. CT, 3D reconstruction for surgical planning and the specialist report are included within the listed tier.
What is included
- Unilateral VBO
- Culture and sensitivity
- Histopathology of submitted tissues
- Routine recheck examinations for 3 months
- CT with 3D reconstruction for surgical planning and specialist report included
Factors considered before surgery
- Planned operation and support needs
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.
Understanding your estimate
Estimates are confirmed before surgery. All emergency department care is billed separately.
Pricing method and combined procedures · BOAS / BRisk assessment and body condition guide · GDV, septic abdomen and pyometra
For referring vets: HeLP score for owner counselling (independent of pricing).
Inguinal hernia and PPDH estimates · Separate-field lymph-node surgery