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.
Browse by category, or search if you know the procedure.
Browse the price list
Open a category to see procedures sorted by tier.
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
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