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TPSG | VHA Fee Study

Aggregated survey data provided by VHA member clinics

Antitrust notice — see full disclaimer below. Fee data is for independent fee-setting reference only.
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Avg Patient Exam Charge

$105.12

across all exam types

Avg Vaccine Cost

$46.90

canine & feline combined

Avg Flea & Tick Med Cost

$44.93

per single dose

Avg Surgery Charge

$442.88

canine & feline spay/neuter

Wellness Exam Fees

8 exam types · based on filtered responses

Exam Type
Avg Fee
Low
High
After Hours Emergency Exam$259.88$210.00$312.00
Emergency Exam$169.16$145.00$190.00
New Patient Exam$75.32$55.00$90.00
Recheck Exam$57.47$45.00$72.00
Senior Pet Exam$85.42$73.96$100.00
Sick Exam$86.21$73.96$112.00
Tech Appointment$34.41$25.00$45.00
Wellness Exam$75.32$55.00$90.00
Average Exam Fee by Type
After Hours Emergency ExamEmergency ExamSick ExamSenior Pet ExamWellness ExamNew Patient ExamRecheck ExamTech Appointment$0$65$130$195$260
Canine Vaccine Pricing

8 vaccines · click row to see price range

Vaccine
Avg Price
Low
High
Bordetella$43.78$32.00$55.13
Canine Influenza$61.90$47.00$83.80
DAPP 1-year$39.57$21.85$54.00
DAPP 3-year$39.46$21.85$54.00
Leptospirosis$41.75$24.00$50.00
Lyme$59.80$42.00$90.25
Rabies 1-year$37.48$23.96$46.00
Rabies 3-year$37.39$24.85$44.00
Feline Vaccine Pricing

4 vaccines · click row to see price range

Vaccine
Avg Price
Low
High
Feline Leukemia$59.67$42.00$71.90
Feline Rabies$42.07$30.00$59.00
FVRCP 1-year$38.89$21.85$56.00
FVRCP 3-year$39.46$21.85$56.00
Avg Vaccine Price — Canine vs. Feline
Canine InfluenzaLymeFeline LeukemiaBordetellaFeline RabiesLeptospirosisDAPP 1-yearDAPP 3-yearFVRCP 3-yearFVRCP 1-yearRabies 1-yearRabies 3-year$0$20$40$60$80
  • Canine
  • Feline
Canine Flea & Tick Medications

8 products · avg across all: $44.87 · click row to see all prices

Product
Avg Price
Low
High
Bravecto Chews (4-9lb)$79.23$70.00$86.00
Credelio (4-6lb)$29.93$24.00$35.00
Nexgard (10-24lb)$27.94$23.00$33.00
Nexgard (4-10lb)$26.95$22.00$32.00
Nexgard Plus (4-8lb)$35.84$29.00$41.00
Seresto Collar (<18lb)$96.30$82.30$108.48
Simparica Trio (2-5lb)$38.87$32.00$44.00
Vectra 3D (5-10lb)$23.93$19.00$29.00
Feline Flea & Tick Medications

7 products · avg across all: $45.14 · click row to see all prices

Product
Avg Price
Low
High
Bravecto Plus (2-6lb)$54.70$48.00$60.00
Nexgard Combo (1-5lb)$30.99$25.00$36.00
Nexgard Combo (5-16lb)$36.93$30.00$42.00
Revolution Plus (11-22lb)$34.95$29.00$40.22
Revolution Plus (2-5lb)$28.95$23.00$34.00
Revolution Plus (5-11lb)$32.95$27.00$38.00
Seresto Collar (cat)$96.53$85.00$108.48
Canine Surgery Pricing

8 procedures · click row to see all prices

Procedure
Avg Fee
Low
High
Neuter 0-25lb$384.51$179.00$475.30
Neuter 100lb+$511.97$331.00$600.00
Neuter 26-50lb$412.70$179.00$500.00
Neuter 51-100lb$463.06$221.00$550.00
Spay 0-25lb$435.93$221.00$569.50
Spay 100lb+$639.40$510.00$869.00
Spay 26-50lb$469.20$221.00$576.40
Spay 51-100lb$536.69$331.00$649.50
Feline Surgery Pricing

2 procedures · click row to see all prices

Procedure
Avg Fee
Low
High
Neuter$237.50$95.00$389.45
Spay$337.85$142.00$509.50
Avg Spay / Neuter Pricing by Category
Spay 0-25lbSpay 26-50lbSpay 51-100lbSpay 100lb+Neuter 0-25lbNeuter 26-50lbNeuter 51-100lbNeuter 100lb+Feline SpayFeline Neuter$0$200$400$600$800
  • Canine
  • Feline
Canine Dental Pricing (by Grade)

4 procedures · click row to see all prices

Procedure
Avg Fee
Low
High
Dental Grade 1$344.61$165.00$771.90
Dental Grade 2$398.13$165.00$1238.38
Dental Grade 3$503.68$165.00$1978.10
Dental Grade 4$661.93$165.00$3078.10
Feline Dental Pricing (by Grade)

4 procedures · click row to see all prices

Procedure
Avg Fee
Low
High
Dental Grade 1$293.44$160.00$538.45
Dental Grade 2$340.90$165.00$538.45
Dental Grade 3$386.70$165.00$538.45
Dental Grade 4$480.51$165.00$575.00
In-House Diagnostic Tests

17 tests · click row to see all prices

Test / Panel
Avg Fee
Low
High
Canine HW Test$53.20$30.00$88.00
Canine HW/Tick Screen$83.10$58.00$111.00
CBC$84.09$19.50$161.00
cPL$77.03$36.33$130.00
Culture & Sensitivity$184.47$166.05$289.50
Cystocentesis$43.78$27.30$117.00
Cytology$73.20$29.64$153.60
Ear Smear$50.99$27.91$68.00
Fecal Float$51.49$39.00$80.49
Feline Leuk/FIV Test$62.88$49.50$72.63
Fine Needle Aspirate$61.03$48.00$85.00
fPL$77.74$65.00$130.00
Fungal Culture$137.21$85.00$250.00
Giardia$56.28$44.00$81.00
Impression Smear$50.95$29.64$65.00
Parvo Virus$83.20$59.69$135.00
Urinalysis$79.18$63.69$179.50
In-House Chemistry Panels

11 tests · click row to see all prices

Test / Panel
Avg Fee
Low
High
Bile Acids$139.20$126.00$219.50
Coagulation$128.58$116.00$177.00
Cortisol$88.09$37.73$140.00
Electrolytes$62.98$32.78$107.00
Full Chemistry Panel$172.61$129.50$188.00
Kidney Panel$93.28$79.00$132.00
Liver Panel$88.27$76.00$118.00
Pre-Surgical Chemistry Panel$123.02$109.48$145.00
SDMA$45.93$31.72$59.69
T4$107.28$95.00$126.00
Total T4$68.09$56.00$83.30
In-House Diagnostic Test Fee Distribution
$184$137$84$83$83$79$78$77$73$63$61$56$53$51$51$51$44
  • Culture & Sensitivity
  • Fungal Culture
  • CBC
  • Parvo Virus
  • Canine HW/Tick Screen
  • Urinalysis
  • fPL
  • cPL
  • Cytology
  • Feline Leuk/FIV Test
  • Fine Needle Aspirate
  • Giardia
  • Canine HW Test
  • Fecal Float
  • Ear Smear
  • Impression Smear
  • Cystocentesis
Send-Out Lab Panels & Tests

Reference lab panels, histopath, cytology & culture fees

Panel / Test
Avg Fee
Low
High
Culture & Sensitivity$178.12$148.00$252.49
Cytology$252.78$179.00$285.00
FeLV/FIV$71.83$65.00$84.00
Full Chem CBC, T4$189.55$174.00$215.00
Full Chem, CBC$160.05$142.40$204.00
Full Chem, CBC, T4, UA$243.47$219.00$278.00
Full Chem, CBC, UA$212.46$195.00$240.00
Heartworm/Tick Screen$81.87$71.00$98.00
Histopath$251.12$208.40$294.28
Necropsy$477.57$119.50$734.50
Urine C&S$190.68$26.45$277.99
Wellness Plans

Annual plan pricing for canine, feline, kitten & puppy

Plan
Avg Fee
Low
High
Clinics Reporting
Canine Basic Plan$640.06$580.00$719.4055
Enrollment Fee$52.04$42.00$60.0055
Feline Basic Plan$601.15$545.00$719.4055
Kitten Plan$703.38$448.00$839.4056
Puppy Plan$732.01$478.00$839.4056
Additional Services Fees

Nail trims, anal glands, microchipping, laser therapy & more

Service
Avg Fee
Low
High
Acupuncture$89.98$78.00$100.00
Anal Gland Expression$40.95$20.00$50.00
Blood Draw$17.89$11.00$37.00
Ear Cleaning$40.25$20.00$50.00
Laser Therapy (per session)$55.38$45.00$64.00
Laser Therapy Package$457.35$400.00$600.00
Microchipping$77.74$61.00$115.00
Nail Trim$31.99$15.00$50.00
SQ Fluids$49.19$41.50$58.00
Technician Exam$34.62$17.00$44.00
Hospitalization, Imaging & Dental Procedures

Daily hospitalization, x-ray, ultrasound, dental x-rays, extractions & add-ons

Service
Avg Fee
Low
High
Additional Gas Anesthesia$53.96$45.00$62.00
Extractions (per tooth)$59.93$48.00$70.00
Full Mouth X-Rays$186.92$83.50$374.85
Hospitalization Canine$74.89$41.00$150.00
Hospitalization Feline$70.06$41.00$150.00
Local Block$38.55$30.00$56.90
Ultrasound Diagnostic$355.65$225.00$429.00
Ultrasound Scan$252.00$83.00$520.00
X-Ray (per view)$131.47$75.44$161.00
X-Ray Radiologist Reading$214.40$116.00$262.00
Euthanasia Fees

By species and weight category

Service
Avg Fee
Low
High
Euthanasia Canine 0-25lb$145.24$83.00$259.50
Euthanasia Canine 100lb+$182.25$83.00$259.50
Euthanasia Canine 26-50lb$154.38$83.00$259.50
Euthanasia Canine 50-100lb$166.89$83.00$259.50
Euthanasia Feline$140.65$73.00$259.50
Client Discounts

Average discount rates offered by responding clinics

Discount TypeAvg DiscountLowHigh
Military10%10%15%
Senior6%5%15%
Multi-Pet5%5%10%
Employee23%20%40%

The purpose of the VHA Fee Study is to provide price data that clinics may choose to consider as they independently determine their fees. To comply with the antitrust laws, clinics must independently determine their fees. The exchange of fee information among clinics is unlawful. Any agreement among clinics to adhere to the fees shown in the VHA Fee Study, or to coordinate and agree upon fees, is unlawful. The VHA Fee Study must not be used to facilitate any agreement, understanding, coordination, or exchange of fee information among clinics. The information contained in the VHA Fee Study is presented on an aggregated basis and no recipient should attempt to de-anonymize the VHA Fee Study data. These principles must be strictly followed to avoid antitrust liability, which can be severe.