|
|
|
|
|
A veterinary blog for pet lovers, vet voyeurs and the medically curious...
|
|
|
|
|
|
|
|
|
|
|
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…
|
|
|
|
|
 |
|
|
|
|
|
|
|
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?
|
|
|
|
|
|
 |
|
"The greatness of a nation can be judged by the way its animals are treated."
|
|
- Mohandas Gandhi
|
|
|
|
|
|
|
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.
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!
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.
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.
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! ;)
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....
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?
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
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.
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......
I wonder, when looked at in this context, whether a baseline cost might be skewed by NoLow hospitals?
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.
I'm in the metro DC area-hihg cost of living. Most of our staff lives 45 minutes away where housing is cheaper.