A veterinary blog for pet lovers, vet voyeurs and the medically curious...
Support Dolittler: Subscribe!
Search

What a question! I’ll bet you didn’t know that we vets think as long and hard about our prices as you do when confronted with an estimate for your pet’s care. How much should we charge for an ear hematoma, unblocking a cat, a dental cleaning, a bloat?

It’s not easy to figure it all out. But I reckon it’s even tougher on your side. We know exactly how much it costs us to bring you our services—while you have no clear way of knowing unless we tell you and you trust our information.

It’s even rougher when you don’t trust us or when you simply can’t afford our prices. That’ll find you scouring your locale for evidence that you’re not being fleeced or for less expensive options, respectively.

I know you feel compelled to research these things. You’ve emailed me your estimates (nicely scanned in some cases—kudos to the high-tech among you), called our hospital begging for a baseline estimate on X, Y or Z procedure (hard to do when we haven’t even seen your pet), and submitted comments on this blog requesting comparable pricing information.

In response to your obvious concern, I’m working on a whole new series of posts dealing with this specific topic. For those of you begging me to use my MBA-grad’s currently indolent brain on your behalf, I’ll do my best to bring you the latest on what vet services typically cost and why your estimate might be higher or lower than the average.

Because this kind of information and its explanation is so crucial to what we vets do on a daily basis, I’m hoping to make things easier not only for you but, selfishly, for us too.

A well-educated client is my best friend. A mistrustful one can be my worst enemy. This new category of “Pet Economics 101” posts (which I’ll try to file once a week) is my contribution to making more of you members of the former category.

Tell me you think it’s a great idea…

Comments
I think it's an incredibly good idea.

But I'll tell you what works for me best: A respectful, trusting, long-term relationship with my primary care veterinarian. He has been with me through three generations (and many sad good-byes) of pets. When I ask him: What do YOU recommend, I know I am not hearing what a practice management consultant recommends. He is suggesting the BEST course of care, based both on years of experience and a constant dedication to continuing education.

Want to know what's funny? We never talk money. I often don't know what something costs until I check out.

Am I lucky? Yes, but also I've worked at this relationship for years. Trust and respect, on both sides of the exam table.
# Posted By Gina Spadafori | 1/22/08 3:30 PM
I think it's a great idea. I'd like to have this information just so I can pass it on to my readers (some of whom say they can't afford a vet or they think vets charge too much).

I'm fortunate that I have a vet I trust implicitly, and I know that neither she nor any of the two other vets who work at that clinic would ever try to jerk me around on prices. Here in rural Maine, vets are very cost-sensitive, and I imagine that costs for certain procedures are lower here simply because average incomes are lower and so on. I had my youngest cat spayed at 8 months (she's a midget kitty and she finally broke the 5-pound barrier at that late age); I paid $180 for the procedure plus overnight care, pain management, etc. Her incision came open--she licked at the superglue incision line until until she located one of the internal sutures and pulled it out--and they repaired it for free (another anesthesia procedure).

The only "sticker shock" experience I ever had with a vet was when I had to take one of my cats to a large clinic for an ultrasound exam. I entered the clinic parking lot, which was full of Mercedes and SUVs sporting vanity plates that indicated they belonged to the docs. The lobby was full of expensive art work and other features that looked like the result of a high-cost Feng Shui consultation. The ultrasound cost $275 or something--and that was five years ago. I paid less than that for an ultrasound of MY abdomen, for goodness' sake!

I guess the Feng Shui worked for that clinic, because it was clear nobody there was hurting for cash!
# Posted By JaneA | 1/22/08 3:58 PM
I think it is a *good* idea, but I think different parts of the country or even different parts of the same city will see vast variations in cost. Part of this is due to the cost of living, part will be due to how "fancy" your vet is.

I can tell you one thing - I would rather pay MORE for a vet (fancy or not) who knows exactly what they are doing than get a better price for a less experienced vet on the same procedure.
# Posted By Alisha | 1/22/08 5:15 PM
Amen to what Gina says. I'm now back to driving an hour away to my previous vet, because the new one closer to my house isn't working out as well as I thought. Maybe her staff thinks I'm crazy, but hopefully they feel it is a compliment.

In all that we have gone through together, I only ask the price for a procedure so that I know how to budget for it. If she thinks something is necessary, we do it. How can I expect her to treat my cats if I don't allow her to do the correct tests and gather the info she needs? Rhetorical question. I do not understand people who balk at preventative care (shots, dental cleanings) and then complain later about the price of treating the illness or kidney disease they might have avoided. I also do not understand the woman who posted her pure-bred cat up for adoption on a breed rescue site because they can't afford the tests to confirm IBD. If she could pay hundreds/thousands to buy the cat in the first place, why is she now balking at treatment when her pet needs her most? Sorry for the rant but it really made me angry.

I wonder if people balk at prices because many people have human health insurance and usually pay co-pays instead of full price for doctor visits, surgery, etc. I wonder if prices for vet procedures were compared to actual costs for human procedures, if that would help educate them? What does a new knee cost for a dog vs. a former athlete, for example? What are anesthesia costs for surgery for pets vs. people? Just wondering. Maybe it is comparing apples and oranges, but my point was to show them that all quality care is going to cost them. And it's totally worth it.
# Posted By Debby | 1/22/08 5:27 PM
It will be interesting. I seem to have forged a relationship with my primary vet similar to what Gina describes. I think I just lucked out that he's a good guy. But, it's a teeny-tiny one-man practice. For emergency, I go to the huge regional ER hospital, and that is a bitmore pricey. But, they never close and they have been there for me when I needed them most. I think even by 'fancy' big-vet-hospital standards, it's still fairly plain and simple. It's not Alameda! But the care is top notch, and that's what matters to me.

Incidentally, if my Vet charged what you charge for a dental cleaning, I think his line would be out the door! I love him - but he charges $300.....so we make sure to brush Lottie's teeth every night! ;)
# Posted By Amy in SOmerville | 1/22/08 5:29 PM
It is a great idea! But doesn't it vary drastically? I've seen practices who don't do labwork or use pain meds and send animals home while barely out of anesthesia ...of course they cost less but I also wouldn't trust them with my pets. I think you should include info about what it costs to run a practice.
# Posted By Sarah | 1/22/08 7:07 PM
I think it is unrealistic that you can even give us an "idea" of what it should cost. It's a nice idea in premise, but in practice, I don't think it will be very useful.
First prices differ all over the country. Second there are so many factors, just as equiptment used, labs used, procedures used...third, as with any professional, there are several types of vets...those in it for the animals and those in it for the money. Those it for the importance factor (ie EGO) In my pet experience I used to be willing to go to places like AMC, but after many trips to see the head of cardiology there, I learned that What I was paying exorbitant amounts of money for, was sadly not better care.
I suppose I expect vets to be as altruistic towards pets as I am...in rescue, I often give up time, sleep, and certainly money...tons of it just to help animals. I don't mind my vet making a living, even a good living, but I am not willing to pay for ego and fancy cars, and I have found personally that the two frequently go together. I am willing to pay a fair price for good care. But like housing prices, what it's worth depends on where it is....
# Posted By LorriM | 1/23/08 12:19 AM
I agree with LorrieM and while I would be really interested in what others are charging I think it would be largely comparing apples to oranges. We will still be left with the 2 biggest problems which come down to trust and their actual ability to pay.

P.S. I was recently shocked to learn of a senior cat that was brought into a clinic for an unwell exam, no blood work or xrays have ever been done on this cat but he was sent home on ABs because "he doesn't look well". Can you believe that?
# Posted By Jules | 1/23/08 7:20 AM
I do think there would be value to writing about this topic. Some have commented that this topic is like comparing apples to oranges. YES, it is! And that's exactly the point.

Does the cost of the procedure include preanesthetic BW, IV fluids, pain medicine, etc? Will a laser be used? Does that price include radiographs? Are they digital? (I took a horse call yesterday from someone who was flat out SHOCKED that we didn't have digital radiographs to send to her veterinarian following a prepurchase exam. She asked me 'REALLY?' about 3 times.) What sort of monitoring equipment is used? Is there a licensed tech monitoring the entire procedure? What methods are used for that ACL repair?

Yes there will be a great deal of price variation, much like the housing industry, but I still think there's value to learning how vets set their prices. Do they consult books? Do they price shop other clinics for comparison?

Michelle, CVT
# Posted By Michelle Schwab | 1/23/08 7:56 AM
I think it's a rockin' idea!! And thanks for taking time to do this.
# Posted By Stephanie Masonbrink | 1/23/08 8:31 AM
Ever the MBA, in spite of its recent lapse into moderate disuse, I have built a model to discuss these issues so as to minimize the apples to oranges discrepancies. Multiple cities will be sampled, ranges will be addressed within these and the discussion will include the differences in techniques, practices and equipment that may impact these prices.

While it won't be scientific, my goal is to give you a better idea of what to look for, ask for and consider when seeking healthcare for a very specific condition.

I plan to start my series with the biggest money-maker in veterinary medicine: the cruciate repair. You'll be shocked to learn of the pricing disparity for this procedure and the skill/equipment/technique differences it often reflects--but not always.

Throughout these entries, I will continue to reiterate: there is no substitute for *trust.* Yet even if you trust your vet implicitly, I'm hoping these entries will teach you about the procedure or illness and that it'll help you make better decisions and ask better questions as you go through the process.
# Posted By Dr. Patty Khuly | 1/23/08 8:38 AM
The insurance plan I have makes reference to the reasoanble cost listed in the American Animal Hospital Association Veterinary Fee Reference Guide. I am asking my vet if she thinks it is a reasonable estimate of costs (because the sales material made no reference to reasonable cost limits).
# Posted By Erich Riesenberg | 1/23/08 10:43 AM
I think it's a great idea & I'm looking forward to this series of posts very much.

I'm in Canada so I expect the prices to vary but I think having a baseline of costs is important. There's been a brouhaha in my local vet community with a group of foreign trained (but certified here) vets offering very low prices for common procedures & essentially undercutting the 'older, established' competition. There's been some mudslinging going on about gouging vs. inadequate care. It's very hard to sort out. The professional association also publishes a fee guide but it's not freely avail - you have to pay over a $100 to get a copy of it. And while the fee guide says it's just a guide, it often appears that everyone (except the troublesome immigrant vets) jacks up their prices in accordance with it the moment it comes out. I'm still undecided about whether a fee guide is a useful resource for vets & consumers or whether it's just a case of price fixing & undermining the free market......
# Posted By hornblower | 1/23/08 1:44 PM
@hornblower: I was at the North American Veterinary Conference too and I was talking with a hospital owner from Washington state who had attended a bunch of CE classes at NAVC. He said that, according to the marketing gurus that poured forth their knowledge upon the hospital managers, the most-profitable hospitals he encounters on a regular basis are the so-called "NoLow" hospitals, which are basically no-frills, get-'em-in-get-'em-out deals.

I wonder, when looked at in this context, whether a baseline cost might be skewed by NoLow hospitals?
# Posted By Alex Krooglik | 1/23/08 8:02 PM
I live in Miami where vets trained in other countries (primarily in large animal medicine in South and Central America) choose to establish their practices after taking coursework specifically designed for their small animal deficiencies. Once they pass their boards, they typically set up these "NoLow" hospitals you speak of (I'd never heard the term before, btw). In answer to Alex's query, they most definitely skew the average. While the service they provide is absolutely no-frills and often borderline negligent in some notable cases, it's not that much cheaper than what we offer. That's because the entire area's prices are skewed by their prevalence. In my investigation of vet costs, I'm determined to find these places when I reserch a specific city by asking the other hospitals I'll be polling to refer me to one. I think it's crucial to try to point out how low you can go on the scale and what you might get for the money you'd spend there.
# Posted By Dr. Patty Khuly | 1/24/08 9:32 AM
I would be very interested to know what others pay around the country. We are in a rural area in Kansas, and I know from talking to others via the web, prices vary greatly. I would like to know if for no other reason than to make me appriciate my vet even more than I do now! One example is the price of an emergency C-section, here, my vet doesn't ever charge an after hours or emergency fee, day or night, it's $110.00 for the surgery, and that's all inclusive, from the time you enter the office, to the time you leave with the mom and litter. I don't always think price is indicitave of the quality of work the vet does, I would trust my vet with any of my animals' lives, he is very thurough. I'm just very lucky that he is also not expensive, but I would be willing to pay a lot more for the great work he does(but don't tell him that!).
# Posted By Megan | 1/24/08 5:20 PM
I just had my vet print up all of my invoices for the last two years. Two dogs (from 8 weeks old), $2500. Basically $2/dog/day.

I'll blog about it and post the details when I get a moment so you can compare services and billing practices.

No major issues... an ear infection, coccidia and a thorn in a paw ... from swimming in the local pond, an exam for growing pains, a soft tissue injury that resolved, anesthesia for the thorn and a PennHip exam, and some blood draws for DNA... and all those damn puppy shots.

I have mixed feelings on some of the costs... but I can't say that it was a surprise. I've been arguing online for years that the purchase price of a dog is insignificant over the course of its lifetime, and I just proved that to myself.
# Posted By Border Wars - Christopher | 1/26/08 2:25 AM
I think its a good idea, just with heavy emphasis on the variability or each area. The SA practice I work in when not in school charges $115 for 2 view rads- the same thing at the hospital my sister goes to (in a very different of the country) is 2/3rds that. Its not uncommon for dentals to go out the door at $500-700, with extractions. An ultrasound, one cavity, with a boarded internist was $450 3 years ago (as opossed to the $275 someone mentioned above).
I'm in the metro DC area-hihg cost of living. Most of our staff lives 45 minutes away where housing is cheaper.
# Posted By Alli | 1/27/08 3:59 PM
$110 for a C-section? That's the price of my suture material and anesthetcs alone! How does he do it?
# Posted By Dr. Patty Khuly | 1/28/08 8:45 AM
VIRTUAL VET HOSPITAL
Got a sick pet? Visit our Virtual Vet Hospital and admit your own pets as patients in Dolittler's unique pet healthcare forum.
PODCASTS
New! Download our latest podcasts:
ARCHIVES
FAVORITE POSTS
RECOMMENDED
CAREERISTS
Did you always want to be a vet or vet technician? Thinking about it? Working on it? Need some Help?
VetInfo.com
AVMA
Miami Vet Specialist
Penn Vet School
DVM.com
VIN
Vet News Network
Vet Practice News
Vetstoria
"The greatness of a nation can be judged by the way its animals are treated."
- Mohandas Gandhi
This blog is running version 5.003.