Southern Counties Veterinary Specialists. Price Guide May 2017

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Southern Counties Veterinary Specialists Please use these prices as a guide for typical cases. All prices include VAT. Contents: Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Orthopaedics Neurology/neurosurgery Internal Medicine Soft Tissue Surgery Cardiology Dermatology & Physiotherapy Diagnostic Imaging Terms & Conditions

2 Orthopaedics Orthopaedic Consultations Price What s included? Initial 210 Follow-up 125 SURGICAL GUARANTEES* ON TPLO & THR SURGERY Emergency supplement (5pm - 9am weekdays, weekends/ 195 Cruciate Rupture Price What s included? Unilateral TPLO <15kg Unilateral TPLO 15kg - 30kg Unilateral TPLO 30kg - 50kg Unilateral TPLO >50kg Bilateral TPLO <15kg Bilateral TPLO 15kg - 30kg Bilateral TPLO 30kg - 50kg Bilateral TPLO >50kg 3100 (fixed price) 3350 (fixed price) 3600 (fixed price) 3850 (fixed price) 4600 (fixed price) 4900 (fixed price) 5200 (fixed price) 5500 (fixed price) Initial consult, x-rays, surgery, up to 2 nights hospitalisation, in-house physiotherapy, follow-up consult & follow-up x-rays. Surgical guarantee included. Joint Replacements Price What s included? Total hip replacement (THR) <15kg Total hip replacement (THR) 15kg - 30kg Total hip replacement (THR) 30kg - 50kg Total hip replacement (THR) >50kg 4000 (fixed price) 4500 (fixed price) 5000 (fixed price) 5500 (fixed price) Surgery, post-op x-rays, up to 2 hospitalisation, in-house physiotherapy, 4 & 12 week follow-up consult & follow-up x-rays. Surgical guarantee included. Total knee replacement 5000 (fixed price) Surgery, post-op x-rays, hospitalisation, in-house physiotherapy, 4 & 12 week follow-up consult & follow-up x-rays. Elbow Procedures Price What s included? Unilateral arthroscopy 2500-2950 Initial consult & x-rays, CT, surgery, up to 2 nights hospitalisation Bilateral arthroscopy 3000-3500 Proximal abducting ulnar osteotomy (PAUL) 4200-5200 Initial consult & x-rays, CT, arthroscopy, up to 2 nights hospitalisation Other Joint Surgeries Price What s included? Unilateral patella luxation (excl femoral ostectomy) 2400-2900 Bilateral patella luxation (excl femoral ostectomy) 3600-4100 Femoral ostectomy (additional to above) 1000-1500 Hip luxation 2200-2900 Pancarpal/pantarsal arthrodesis 3000-4000 Partial tarsal arthrodesis 2700-3500 Initial consult & x-rays, surgery, up to 2 nights hospitalisation Initial consult & x-rays, surgery, up to 2 nights hospitalisation Fractures Price What s included? Simple growth plate fracture 1900-2200 Long bone shaft fracture (simple) 2300-3300 Long bone shaft fracture (complex) 2600-5000 Acetabular fracture 2900-4000 Feline multiple pelvic trauma 2900-4000 Initial consult & x-rays, surgery, up to 2 nights hospitalisation Feline femoral fracture repair (with interlocking nail) 1900 (fixed price) Humeral condylar fracture 2700-5000 *Cost of all complications relating to the surgery covered under guarantee 2

3 Neurology/neurosurgery Neurology Consultations Price What s included? Initial 240 72 HOUR GUARANTEE* FOR POST-OPERATIVE COMPLICATIONS Follow-up (simple) Follow-up (routine) Follow-up (complex) 90 140 175 Emergency supplement (5pm - 9am weekdays, weekends/ 195 Spinal Surgery Price What s included? Hemilaminectomy (single site) >15 kg Hemilaminectomy (single site) 15kg - 30kg Hemilaminectomy (single site) 30kg - 50kg Hemilaminectomy (single site) >50kg 4300 (fixed price) 4700 (fixed price) 5100 (fixed price) 5500 (fixed price) Initial consult, MRI, surgery, up to 3 nights hospitalisation 72 hour guarantee. Corpectomy (additional to above) 500-750 Ventral slot (single site) >15 kg Ventral slot (single site) 15kg - 30kg Ventral slot (single site) 30kg - 50kg Ventral slot (single site) >50kg 4100 (fixed price) 4400 (fixed price) 4700 (fixed price) 5000 (fixed price) Initial consult, MRI, surgery, up to 3 nights hospitalisation 72 hour guarantee. Cervical disc replacement (single site) 5000-6000 Initial consult, MRI, surgery, up to 3 nights hospitalisation Cervical disc replacement (double site) 5500-6500 Neuromuscular disease investigation Price What s included? Including, EMG/NCV, x-rays & muscle nerve biopsy 2900-3500 Initial consult, EMG/NCV, comprehensive blood tests, thoracic chest and abdominal imaging, muscle nerve biopsy & 24 hours hospitalisation. EMG NCV 230 (fixed price) 295 (fixed price) Seizure/vestibular/brain disease investigation Price What s included? Including MRI 2700-3400 Initial consult, MRI & 24 hours hospitalisation. *Cost of all complications relating to the surgery covered for 72 hours post-surgery 3

4 Internal Medicine Medicine Consultations Price What s included? Initial 240 Follow-up (simple) Follow-up (routine) Follow-up (complex) 90 140 175 Emergency supplement (5pm - 9am weekdays, weekends/ 195 Miscellaneous medical conditions Price What s included? Pyrexia of unknown origin 1500-3250 Chronic disease i.e. weight loss 1700-2800 Initial consult and typical investigations Gastrointestinal/hepatobiliary Price What s included? Oeosphageal or gastric foreign body removal (Endoscopic) 1500-1800 Initial consult, x-rays, endoscopy & 24 hours hospitalisation. Chronic diarrhoea/vomiting 1200-2800 Jaundice/hepatic investigation 1300-2900 Initial consult, typical investigation & 24 hours hospitalisation. Azotaemia/Renal disease investigation Price What s included? Chronic renal failure 1300-2700 Acute renal failure Up to 4750 Lower urinary tract disease 1800-3000 Initial consult, typical investigation & 24 hours hospitalisation. Proteinuria 1400-1800 Polyuria/Polydipsia & endocrine disease Price What s included? Preliminary investigation 1400-2700 Imaging, hormonal tests & GFR. Management of diabetes 2100-2600 Serial glucose curves, abdominal ultrasound & hormonal tests. Anaemia/thrombocytopenia Price What s included? Preliminary investigation 2000-2900 Imaging, bone marrow biopsy & up to 1 unit of blood. Acute haematological disease (e.g. collapsed IMHA) 2100-6000 Imaging, typical treatment, hospitalisation & transfusions. Nasal Discharge Investigation Price What s included? Nasal discharge investigation - Dog 2290 (fixed price) Initial consult, CT, anaesthesia, rhinoscopy, biopsies, histopathology Nasal discharge investigation - Cat 2090 (fixed price) & 24 hours hospitalisation. Respiratory investigation Price What s included? Respiratory investigation 1900-2600 Initial consult, anaesthesia, bronchoscopy, histopathology & 24 hours hospitalisation. Chemotherapy Price What s included? CHOP Protocol for lymphoma 5000-5500 Standard CHOP protocol over 19 weeks with no complications. 4

5 Soft Tissue Surgery Soft Tissue Surgery Consultations Price What s included? Initial 210 Follow-up (routine) 125 Follow-up (simple) 70 ALL OF OUR SOFT TISSUE PRICES INCLUDE INITIAL CONSULT & TYPICAL INVESTIGATIONS Emergency supplement (5pm - 9am weekdays, weekends/ 195 Abdominal procedures Price What s included? Enterectomy 3000-4500 Perineal rupture 3000-4500 Bilary tract surgery 3000-5500 Hepatic surgery 4000-6000 Portosystemic shunt 3500-5000 Septic peritonitis 6000-15000 Anal sacculectomy 1500-2500 Laparoscopy/Thoracoscopy Price What s included? Laparoscopic ovariectomy/orchidectomy Laparascopy/thoracoscopy for biopsy or procedures 790 (fixed price) 2000-4000 Thoracic Price What s included? Lung lobectomy 3500-5000 PDA/vascular ring anomanly 3000-4000 Pyothorax 4000-6000 Pericardectomy 3000-5000 Acute diaphragmatic rupture 2500-3500 ENT Price What s included? Laryngeal tie back 3000-4000 Brachycephalic airway surgery 1800-2900 TECA/LBO unilateral 3000-3500 TECA/LBO bilateral 4500-5000 Salivary mucocoele 3500-4000 Urinary Price What s included? Ectopic ureteric surgery 4500-5500 Urinary incontinence surgery 3500-4500 Perineal urethrostomy 3500-4500 Oncosurgery Price What s included? Mandibulectomy/maxillectomy 4000-5000 Mass resection with primary closure 2000-4000 Mass resection with reconstructive surgery 3500-5000 Thyroidectomy/parathyroidectomy 3500-5000 Anal sac tumour resection & lymphadenectomy 3000-5000 5

6 Cardiology NEW Cardiology Consultations Price What s included? Initial 210 Follow-up 140 Consultation & echocardiography 560 Pacemaker clinic recheck 180-490 Emergency supplement (5pm - 9am weekdays, weekends/ 195 NEW - Mitral Valve Clinic Price What s included? NEW - Mitral valve clinic (1st echo) 200 (fixed price) NEW - Mitral valve clinic (recheck) 150 (fixed price) Echo and written report Mitral Valve Clinic Investigations Price What s included? Heart murmur 560-1000 Arrhythmia 650-1800 Syncope/collapse/exercise intolerance 650-2600 Initial consult, typical investigation & typical hospitalisation Cough/dyspnoea 650-3000 Treatments and Procedures Price What s included? Stabilisation of congestive heart failure 1000-2000 Aortic thromboembolism 1000-2000 Initial consult, typical investigation, treatment & typical hospitalisation Pericardial effusion 1000-2000 Cardiac surgery/interventions Pacemaker - single chamber Pacemaker - dual chamber Pacemaker - reconditioned PDA closure - surgical closure PDA closure - coil PDA closure - amplatzer plug/acdo Balloon valvoplasty for pulmonic stenosis Implant event recorder 4000 (fixed price) 4500 (fixed price) 3500 (fixed price) 3000 (fixed price) 3500 (fixed price) 4000 (fixed price) 4000 (fixed price) 1000 (fixed price) Surgery & hospitalisation 6

7 Dermatology & Physiotherapy Dermatology Consultations Price What s included? Initial 280 Follow-up 140 Procedures Price What s included? Sample investigation 20-150 Intradermal allergy skin test 350-400 Sedation Ear flushing 1500-2000 Initial consult, CT, sampling under general anaesthetic. Skin biopsy 150 Physiotherapy & Hydrotherapy Price What s included? Initial physiotherapy consultation 89 Physio/hydro assessment & home exercise plan Physiotherapy session 49 Physio/hydro review & home exercise plan review Hydrotherapy session 39 Session in the under-water treadmill with hydrotherapist assessment Physiotherapy & hydrotherapy session 55 Physio/hydro review & session in the under-water treadmill Physiotherapy modality and hydrotherapy session 60 Physio review, home exercise plan review, use of modalities and physio assessment in treadmill Set up treatment plan (incl 24hrs initial treatment) 120 Physiotherapy assessment, home exercise plan, 3 session of physiotherapy physiotherapy in-patient - 24hours - routine 59 Min 2 sessions of physiotherapy physiotherapy in-patient - 24hours - intensive / large 99 Min 2 sessions of physiotherapy 7

8 Diagnostic Imaging Computed Tomography (CT) Price What s included? Single area 950-1020 Additional areas 200 Sedation/anaesthesia and report Single area plus contrast 1150 Magnetic Resonance Imaging Price What s included? Single area 1690-1990 Anaesthesia and report Additional area 430 Imaging Reports Price What s included? Interpretation of radiographs - verbal* FREE Interpretation of radiographs - written* 59 Ultrasound Initial abdominal scan (outpatients) 425 Initial abdominal scan (inpatients) 390 Follow-up abdominal scan 290 Musculoskeletal scan 210 Ultrasound guided FNA 90 Ultrasound guided trucut biopsy 190 *Available for veterinary surgeons only 8

9 Terms & Conditions We have been treating pets for many years and we understand very well how important finances can become in making decisions for your pet. On the one hand, you want to do all you can for a member of your family, but you also have to keep the bank manager happy. We feel the important thing is that you have as much information as possible to allow you to make the best decision, and we will help you as much as we can with this. You and your pet will be treated by a recognised specialists in their field, or those in their final stages of study for these qualifications overseen by a recognised specialist. We have a very high nurse to patient ratio, we have the most advanced facilities & diagnostic equipment, which you will not find in your local general practitioner vets, as well as qualified vets on site for 24 hours a day. This means that we will be near the top end of the price range for your pet s treatment, and you may well be able to find vets who can do work for less cost, but they will not be able to provide the same infrastructure and support for you and your pet. We recognise that it can be difficult for you to budget for treatment which may be necessary, with no prior warning. Therefore, we will undertake to: 1) Provide you with an estimate of costs As you can imagine, this can be very difficult to do accurately when we do not know what results we are going to get, and therefore what further tests or treatment may be necessary. Also, many of the pets we see are in a critical condition, and we do not know how much work is going to be needed to try to pull them through. We want you to have as much information as possible to help you with potentially difficult decisions about your pet s treatment. However, we will give you our best estimate of the costs to get to a certain point and will then discuss where we go from there with you in person or by phone. This price guide gives an indication of the range of prices for common procedures. These estimates do not include complications, unless specifically stated (i.e. surgical guarantee). Please remember that these can only be estimates they are not quotes. But be assured we will never do anything for your pet without consulting you, unless we feel that it is important that we do so in their interests. 2) Make direct insurance claims We will agree to claim directly from your insurance company*, for bills over 100, so that you have to find as little cash as possible, and they pay us directly. To do this, we need you to help us by: a) Giving your insurance company permission to talk to us to verify your cover, and its extent. b) Providing us with signed claim forms as necessary (we will often make several claims during a course of treatment in order to help with our cash flow). c) Paying us any excess on your policy at the time of treatment of your pet. (We do not charge a fixed deposit or an admin fee, unlike many other referral practices). Please note that the consent form that you sign when you leave your pet with us includes a paragraph which states that you agree to cover any unpaid fees if your insurance refuses to pay, for whatever reason. Therefore, it is in your interest to ensure you are happy that your pet s treatment is covered by the policy (we will do all we can to help, of course). *Unfortunately there are some insurance companies we can not offer direct claims with, please contact our admin department for more details. 3) Help with standard insurance claims. Many people prefer to deal with their insurance companies themselves (you pay us and then claim the money from the insurance company), or you may be with a company we do not do direct claims for. - Our insurance claim team work full time on all claims and we will process any claim form within 5 working days of receipt. The admin team are a mine of information on all policies and will be happy to help you with any advice on claim completion. Payments We accept cash, cheques and credit cards for all the major types (we cannot take American Express). We can take credit card payments over the phone. We are also happy to accept BACS payments please ask us for a reference, so that we can identify your payment. CarefreeCredit We are able to offer the option of interest free loans provided by CarefreeCredit, so that pets can be given the best possible treatment without delay, and without worry over the costs. If you would like to investigate this option further, please let us know. 9