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Cùmath Pet Surgeons, black and white collie

Pricing

At Cùmath Pet Surgeons we believe in accurate quoting wherever possible. We have created a series of fixed price packages to include the most common procedures and investigations, in an effort to make budgeting and decision making easier. If you are offered a fixed price package for a procedure that is what you will pay.

Some problems will require investigation prior to determining what package is indicated; in these situations we will provide you with a quote for the investigation and a separate series of quotes for the most likely differential diagnoses so you have an indication as to whether you wish to proceed with the initial investigations.

We understand that every pet and owner is individual and that not all cases will fall into the category of these packages. In these unusual situations we may need to quote differently for the procedure.

Cruciate Surgery

TPLO/CCWO

£3650

Lateral suture

£2600

We adapt our cruciate surgical technique to suit individual pet anatomy. Tibial Plateau Levelling Osteotomy (TPLO) is our most common procedure, though for certain anatomies a Cranial Closing Wedge Ostectomy (CCWO) will be more appropriate. The cost of these procedures are the same and include consultation, pre-operative imaging, surgery, 2 weeks post-operative analgesia, hospitalisation and the 4-6 week post-operative imaging if required.

We also offer a fixed price package for the occasions a lateral fabello-tibial suture is required.

Patella Luxation

Standard: Tibial Tuberosity Transposition + Block Recession trochleoplasty

£3100

Standard plus femoral ostectomy

£5000

Fixed prices includes consultation, radiographs or CT, surgery, implants, analgesia as required up to 2 weeks, hospitalisation and radiographs at 4-6 weeks if required.

On rare occasions when significant femoral deformity occurs we may need to do a femoral ostectomy in addition to the standard procedure.

Joint Luxations

Hip toggle

£3900

Femoral head and neck excision

£2500

Elbow luxation (open repair)

£4600

Tarsal luxation (non-arthrodesis)

£4700

Stifle luxation

£4500

Includes consultation, radiography, surgery, up to 3 days hospitalisation, up to 2 weeks analgesia, 6 weeks post-op radiographs if required.

Lameness Investigations and Treatments

Lameness Investigation 1

£1000

Lameness Investigation 2

£1900

Lameness Investigation 3

£3200

Lameness Investigation 4

£3600

Consultation, anaesthesia, radiography (as many as are needed). Joint taps (as many as needed). Discharge with up to 2 weeks NSAIDs.

Consultation, anaesthesia, radiography, joint taps, CT (as many sites as are indicated). Discharge with up to 2 weeks NSAIDs.

Consultation, anaesthesia, radiography, joint taps, CT (as many sites as are indicated). Diagnostic arthroscopy/Arthrotomy (one joint). Discharge with up to 2 weeks NSAIDs.

Consultation, anaesthesia, radiography, joint taps, CT (as many sites as are indicated). Arthroscopy/Arthrotomy (two joints). Discharge with up to 2 weeks NSAIDs.

Follow up surgery after lameness investigations packages:

HIF Transcondylar screw – Unilateral

£2300

HIF Transcondylar screw – Bilateral

£3500

Ulnar osteotomy/ ostectomy

£2100

Therapeutic Arthroscopy/ Arthrotomy

Pancarpal/ pantarsal arthrodesis

£2000

£3800

Partial tarsal/partial carpal arthrodesis 

£3950

Shoulder arthrodesis

£4000

Angular limb correction (single stage)

£4000

Triple Pelvic Osteotomy

£4000

Bone biopsy

£520

£2500

Amputation - dependent on size of animal

£1800-3600

Implant removal for surgery performed elsewhere

£1500-2500

Add ons include: patient specific 3d printed surgical guides if needed, surgery, hospitalisation up to 5 days, 6 week post-operative radiographs.

One joint

Two joints

Fractures

Fracture Repair 1 Pins/wires

£2900

Fracture Repair 2 Plate, Plate-Rod, Ex Fix

£3950

Fracture Repair 3a Pelvis, double plate, articular fracture (unicondylar)

£4550

Fracture repair 3b Pelvis 2 sites

£5100

Fracture Repair 4 Y-T elbows, spinal

£5000

£2600

Mandibular fracture repair (BEARD)

Mandibular fracture repair (acrylic and wire)

£3100

All repairs include consultation, radiographs/CT, surgery, implants, up to 2 weeks analgesia, hospitalisation as needed up to 5 days and radiographs at 6 weeks.

Spinal Treatment

Add-ons procedures after Spinal investigation package:

Spinal investigation

£2000

Hemilaminectomy or Ventral slot

£4850

Consultation, CT , +/- CSF tap +/- myelogram. Discharge with up to 2 weeks analgesia (+bladder meds) if needed.

Includes spinal investigation as detailed above, surgery, up to 7 days hospitalisation,  up to 2 weeks analgesia (+bladder meds) if needed and post-op check up if required.

Dorsal laminectomy

£3500

Spinal stabilization

£4650

Epidural steroid injections (per injection)

£550

Surgery, up to 7 days hospitalisation, up to 2 weeks medication if required, 2 and 6 week check up if required.

3D design and printing of patient specific guides, surgery, up to 7 days hospitalisation, up to 2 weeks medication if required, 2 and 6 week check-up if required.

Abdominal Soft Tissue Surgery

Septic peritonitis

£6200

GI foreign body

£4100

GDV

£5100

Cholecystectomy

£4600

£3100

Cystotomy

Extrahepatic portosystemic shunt

£6000

Prostatic abscess

£4600

Splenectomy

£3100

Abdominal fixed price packages include consultation, required blood tests, intravenous fluids, imaging (ultrasound, radiography or CT), drugs as required for 1 week and hospitalisation as required up to 5 days.

Note: If a prior medicine work up has been provided at Cùmath £1000 will be deducted from these prices.

(requires 2 visits for diagnostics and treatment)

Head and Neck Soft Tissue Surgery

BOAS

£3100

TECA (unilateral)

£4100

TECA (bilateral)

£4650

Sialocele

£3500-4000

Mandibulectomy/ maxillectomy

£3100

£3300

Thyroidectomy (adenoma)

£4000

Thyroidectomy (carcinoma)

£4650

Arytenoid lateralisation

Stick injury investigation

£4150

Head and neck surgery fixed prices include consultation, anaesthesia, required imaging (ultrasound, radiography or CT),surgery, required hospitalisation up to 5 days, up to 2 weeks medication if required.

Skin Mass Excision

Standard closure

£2050

Wide excision and local flap

£3950

Wide excision and axial pattern flap

£4650

Wide excision and free skin graft

£5650

Includes consultation, bloods, surgery, histopathology, up to 2 weeks medication, up to 5 days hospitalisation. The wide excision cases also include CT for metastases investigation. The free skin graft includes required dressing changes.

Perineal Surgery

Perineal hernia unilateral

£4000

Perineal hernia bi-lateral

£4650

Anal sacculectomy (sacculitis) unilateral

£2500

Anal sacculectomy (sacculitis) bilateral

£3600

Anal sacculectomy (carcinoma)

£3000

£4000

Perineal urethrostomy (Cat)

£4000

Urethrostomy (dog)

Includes consultation, bloods, ultrasound, surgery, histopathology, up to 2 weeks medication, up to 5 days hospitalisation. Anal sac carcinoma includes staging (CT for metastases check). Urethral cases include urinalysis and urolith analysis if indicated. £1000 add-on if colopexy required with perineal hernia or Lymphadenectomy for anal sac carcinoma.

Thoracic Surgery

Pericardectomy

£5000

Thoracic duct ligation

£5000

Lung lobectomy

£5500

Pyothorax or pneumothorax (chest drain)

£3100

Pyothorax or pneumothorax (thoracotomy)

£5500

Includes consultation, imaging (CT, radiography or ultrasound), bloods, surgery, histopathology, up to 2 weeks medication and hospitalisation up to 5 days.

Non-Surgical

Consultation only (only charged if not undergoing surgery)

£260

Follow-up consultation 

£180

Only charged if not undergoing surgery

Following non-surgical intervention if 6 months after first consult

Epidural infiltration course (3 injections)

£1650

Intra-articular stem cell (dogstem) 1 joint

£830

Intra-articular stem cell (dogstem) 2 joints

£1450

Medicine Gastrointestinal Investigation

Gastrointestinal 1 

£1000

Gastrointestinal 2

£2600

Gastrointestinal 3

£3500

Consultation and necessary blood tests.

Includes gastrointestinal 1 but with ultrasound and CT. £200 supplement if needle biopsies are taken.

Includes gastrointestinal 2 but with the addition of endoscopy, biopsies and histopathology

Medicine
Respiratory
Investigation

Respiratory 1 

£1800

Respiratory 2

£3000

Consultation, CT and necessary blood tests.

Includes gastrointestinal 1 but with ultrasound and CT. £200 supplement if needle biopsies are taken.

Cùmath’s Fixed Price Conditions

All our fixed prices include the costs to investigate and treat a single, commonly diagnosed problem. Should the problem be more complex, or should the pet have medical co-morbidities (e.g., diabetes, heart disease, hypothyroidism, etc) a supplemental charge may be applied. The financial significance of this will vary and will be discussed with owners.

We will often choose to treat infections, such as dental or skin infections, prior to performing a non-emergency surgery. The cost of treating infections prior to surgery is also not included in fixed price packages.

We will not be responsible for meeting costs or changing the price if a procedure or treatment included in the fixed price package is undertaken at another practice.

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