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South African Veterinary Council
Guideline of Tariffs1 January 2010- 31 December 2010
Promoting quality veterinary
services to all communities
Bevorder kwaliteit veterinredienste aan alle gemeenskappe
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LAKATO
AD
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Cont ent sCont ent sontentsIntroduction
General Notes
Avian Practitioners
Small Animal Practitioners
Production Animal
Equine Practitioners
Pig Practitioners
Wildlife Practitioners
Practitioners
1
2
3-4
5-12
13-15
16-22
23
24
Dr I SouthernSAVA representative
Vacant
Dr D OdendaalVeterinary Consultant
874 Church Street,Lisdogan Park,
Telephone: 012 342 1612
Facsimile: 012 342 4354
E-mail: [email protected]: www.savc.org.za
Commitee on FeesCommitee on Fees
Dr J R AdamChairperson
Private practitioner, Cape town
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1 Januar y 2010 - 31 DECEMBER 2010
1
Introduction to the Guideline of Tariffs : 1 January 2010 - 31 December 2010
The South African Veterinary Council earnestly requests that all veterinary professionals read this in troduction andthe general notes thoroughly as they contain concepts that are very important to the interpretation of the guidelinesthat follow.
The Council and the Committee on Fees wish to take this opportunity to thank the various role-players that made input to Councilfor consideration. The constructive comments and ideas are much appreciated.
Council does not intend to inhibit price competition between veterinary professionals and the purpose of listing the tariffs herein isto indicate what Council will use as a basis when investigating complaints relating to overcharging lodged by clients or touting bycolleagues.
It must be stressed that the listed tariffs, despite the recommended minimum and maximum range, will only be used as a guideline.Other factors will still be taken into consideration that may affect the decision on whether the fees charged by a veterinaryprofessional in the particular circumstances were indeed excessive and the client overcharged (fees in excess of the maximumtariff or that the discount given for services rendered, (fees less than the minimum tariff) amounted to touting.
Such factors would include the:
Geographical area of the practice;
Community serviced by the practice;
Equipment and standard of facilities;
Experience of the veterinarian concerned; and
Commercial value of the patient.
Should veterinarians charge fees in excess of the maximum recommended tariff it is strongly advised that written consent isobtained from the client/ the person who requested the veterinary services indicating that the actual fees were discussed andagreed to, as this will obviate the need for Council to investigate a complaint of overcharging. It is not required to tell the client
that the written consent is requested because the maximum guideline fee is to be exceeded but the written consent is apractice management tool that can protect the professional should a complaint arise.
It is the experience of Council that many complaints from the public are fees related. It is therefore strongly recommended thatthe client is kept fully up to date and informed as to the cost implications of a particular case. This is especially important if theoriginal estimate is going to be exceeded in any way.
In terms of the current Rule 14 a veterinary professional is obliged to inform the person in charge of an animal in respect ofwhich a service is to be rendered beforehand of the approximate fee, which he/she intends to charge for such service whensuch fee exceeds the fee usually charged for such service.
In compiling this Guideline of Tariffs the Council is acutely aware that it may not dictate to veterinarians what they may charge anddoes not seek to do so. However, in the preamble to the Veterinary and Para-Veterinary Professions Act, 1982, under which statute
the Council fulfils its mandate, one of the purposes is stated as:
To exercise effective control over the professional conduct of persons practising the veterinary professions and para-veterinaryprofessions
This impacts on the interest of the public, as clients of veterinary services, the intra-professional relationship of veterinarians andthe dignity of the profession itself. It is therefore incumbent on Council, while not being prescriptive, to have a guideline tariff thatcan be used when there is a complaint regarding fees, from whatever source, against the profession in general or against anindividual veterinarian.
The guideline needs to be seen in this light only.
Lastly the Council pertinently draws to the attention of veterinarians that any form of price fixing is prohibited in terms of theCompetition Act, 1998 and price collusion between veterinarians is not acceptable.
December 2009South African Veterinary Council
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Gener al Not es
2
The following notes should be taken into account when referring to the listed tariffs:
The minimum and maximum range is wide enough to cater for the full economic and specie spectrum of
veterinary practice as it exists in South Africa. The minimum tariff represents a reasonable return for
modest practices that operate in poor areas, while still ensuring these practices are economically able to
maintain the minimum standards of practice as required, and gives a reasonable financial return to the
veterinarians and their staff. This minimum range could also be used for newer graduates. Themaximum tariff represents a reasonable return for higher quality facilities with substantial capital
investment in infrastructure, equipment and personnel.
1. Due to the vast range of circumstances under which veterinary professionals practice in South Africa
provision has been made for a recommended minimum and maximum tariff. However, ultimately the
decision to set a particular fee appropriate to the circumstances of the individual, the client and the specie
to be dealt with, remains the prerogative of the veterinary professional.
2. It is strongly advised that veterinary professionals obtain written consent from clients with regard to the
fees that they intend charging, in particular, when charging in excess of the recommended maximum
tariff. It is not required to advise the client that written consent is requested because the maximum tariff is
to be exceeded The Council recognises that it may not dictate to veterinary professionals what they maycharge. However, written consent is a practice management tool that can be used when a client queries
the fee charged and can protect the professional should a complaint arise.
3. All tariffs EXCLUDE the costs o f medicines, materials and VAT.
The retail price of medicines and materials should cover the wholesale price, markup, dispensing and
packaging costs.
4. After-hours surcharge: An after-hours surcharge may be levied after normal consulting hours. The
determination of what normal consulting hours constitute are at the discretion of each veterinary
professional. Veterinary professionals should clearly communicate to clients during which hours an after-
hours surcharge will apply. In particular veterinary practices that offer a 24 hour consulting service to the
public should ensure that they do not mislead the public that a uniform consulting fee is charged if that is
not the case. At the discretion of the veterinary professional the surcharge levied could either be asrecommended in the guideline, alternatively a value of 25% of the normal professional fees for procedures
performed on the patient during the after-hour period, could be added as a surcharge. This will especially
apply to cases that require extensive treatment and surgery during an after-hours period.
5. Professional time: In the listed tariffs there are broad guidelines of the time needed for various
procedures and these have been included only for reference. All procedures that are time related could be
charged on an actual time basis. The range based structure could be used to make allowances for the
varying experience of the veterinary professionals performing the procedures, the complexity of the
procedures and the commercial value of the specific patient.
6. Referrals and interpretation of tests: Time taken by veterinary professionals for interpretation of
referred laboratory tests etc., and other referrals of whatever nature, can be charged to clients on a general
time basis.
7. Travel costs: Veterinary professionals may use the listed kilometer rate in the guidelines alternatively,
they may elect to charge the standard AA rate for their vehicles and then use the actual time spent in
vehicle charged at the general hourly rate, which could be added to the AA rate.
8. Specialists: It is recommended that registered veterinary specialists charge for their specialist services
at a rate of 1.5 times the fees charged by general veterinary professionals.
9. Supportive therapy and in tensive care: It is recommended that the cost of the professional time of
the person/s involved in the monitoring of the patient be itemised and reflected in the account.
10. Lecture and witness fees: It is recommended that veterinary professionals charge in accordance
with the general listed hourly rates. However, as neither overcharging or touting plays any role in thesefees, veterinary professionals are entitled to set their own fees.
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SAVC, Guideline of Tariffs 2010
3
Avian
Minimum Maximum
1.1 Consultation
Birds, valuable R 147 R 387
Birds, common smaller species at own discretion
or
1.2 Professional time
- Calculated to the nearest 15 minutes
- Includes waiting time
- Serves as a basis for fee setting when no specific tariff is listed
General fee per hour R 588 R 1,548
R 961 R 2,302Surgical fee per hour
2. After - hours surcharge
3. Travel ling
4. Hosp ital isat ion
Per day R 38 R 73
Incubator per day R 74 R 142
5. Cl in ical procedures
Blood sampling:
- With General Anaesthesia (GA) R 227 R 382
- Without GA R 69 R 117Blood smear R 77 R 130
Clipping nails and beak (depending on time spent and size of bird) R 53 R 387
Choanal/Faecal smears R 77 R 130
Crop feeding:
- Once R 35 R 59
- Per day R 85 R 142
Deworming per crop tube R 37 R 63
Faecal flotation R 78 R 133
Haematocrit R 45 R 76
Intramuscular (IM) injection fee R 32 R 55
Intraveneous (IV) injection fee R 62 R 106
Nebulisation R 83 R 141
Urine test (dipstix) R 40 R 65
Wet preparation: faecal, pharynx and crop R 49 R 83
6. Anaesthes ia
Induction with Halothane R 227 R 382
Inhalation maintenance fee per 10 minutes R 38 R 64
Induction with Isoflurane R 252 R 422
Inhalation maintenance fee per 10 minutes R 52 R 86
EXCLUDING VAT
Refer to point 2 under Small
Animal Practitioners OR
point 4 of the General Notes
Refer to point 7of the General
Notes
AvianPractition
ers
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Av
ian
P
a
ttin
e
s
r
ci
o
r
4
7. SurgerySurgical fee per hour (excluding anaesthesia) R 961 R 2,302
Diagnostic endoscopy(depending on time spent and size of bird) R 99 R 320
Identipet implantation excluding transponder R 79 R 133
Removal of egg plus consultation fee R 76 R 307Removal of egg with GA plus consultation and GA fee R 76 R 307
Pinioning:(depending on time spent and size of bird)- Digit amputation including local anaesthetic R 51 R 346(preferred age 1 - 3 weeks old and terrestrial birds only)- Elastrator method (recommended for young birds only) R 40 R69
Theatre fee R 105 R174
8. General8.1 Post-mortem
- Individual bird R 147 R387- Group of birds
8.2 OtherAirsac cannulation plus GA fee R 136 R 230Euthanasia(depending on time spent and size of bird) R 45 R 387Intra-osseous cannulation R 179 R 303Sinus flush (excluding GA) R 69 R 116Subcutaneous fluid therapy per day R 53 R 173(depending on time spent and size of bird)
8.2 RadiologyCost of plate, developing and contrast media extraFirst exposure R 262 R 440Subsequent exposures (each) R 108 R 184Barium meal R 55 R 93
9. SexingLarge numbers on time basisAfrican Grey R 49 R 83Finches, Lovebirds, Parakeets R 38 R 64Macaw R 59 R 98Ringneck Parakeets R 44 R 73Swans, ducks (without anaesthesia) R 44 R 73Vultures, cranes R 85 R 143
AvianMinimum Maximum
EXCLUDING VAT
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5
SmallAnima
lPractitioner
s
Small Animals
Minimum Maximum
1.1 Consultation
Consultation fee per patient R 147 R 387
Second opinion R 147 R 387
or
1.2 Professional time
- Calculated to nearest 15 minutes
- Includes waiting time
- Serves as a basis for fee setting when no specific tariff is listed
General fee per hour R 588 R 1,548
Surgical fee per hour R 961 R 2,302
Travelling in client's vehicle per hour R 588 R 1,548
2. After - hours surcharge
2.1 Consultation during elected weekend consulting hours R 293 R 774
(Saturday 13h00 to Monday morning & public holiday consulting hours)
2.2 Consultation during after hours at night and R 493 R 831
outside elected hours on weekends and public holidays
2.3 Consultation in hospital R 147 R 387
3. Travel li ng
A visit fee may be charged when returning to the surgery
out of normal consulting hours if one does not reside
at the surgery
3.1 Visits within 8km of surgery
consultation fee plus surcharge R 184 R 354
3.2 Night time, weekend or public holiday visits
consultation fee as in 2.2 plus surcharge R 184 R 354
3.3 Ambulance fee: collection or delivery within 8 km of surgery R 184 R 354
3.4 Kilometer fee charged for all travel outside an R 6 R 19
8 kilometer radius of the veterinary facility: per kilometer
EXCLUDING VAT
In certain circumstances the time spent on the case daily does not justify a full consultation fee. A reduced fee
may be charged for follow up examinations in these instances as well as in instances of monitoring an outpatient.
The time spent in relation to an "average" consultation should be used to determine the amount of reduction.
Practitioners should not neglect to use the total of the time taken for each examination during the course of a
day to calculate a daily examination fee.
Refer to point 4 of the
General Notes
Refer to point 7 of the
General Notes
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6
SmallA
nimalPractitioners
4. Additional4.1 Injections
Intramuscular (IM) & Subcutaneous (SC) R 32 R 56
Intravenous (IV) R 64 R 109Intra-articular (per joint) R 120 R 201Subconjunctival R 83 R 141
4.2 Collection of specimensBlood by venipuncture R 71 R 121Blood smear including examination R 81 R 135Catheterisation: female R 102 R 172Catheterisation: male R 53 R 88Lumbar/cisternal punctures R 191 R 322Skin and ear scrapings R 71 R 121Swabs for culture R 71 R 121Woods lamp examination R 33 R 56
4.3 Electro-cardiography R 285 R 481
4.4 Endoscopy
Bronchoscopy R 452 R 760Cystoscopy R 452 R 760Fibre-optic endoscopy R 452 R 760Oesophagoscopy R 332 R 558Proctoscopy R 248 R 420
4.5 Enema and stomach washEnema, simple R 76 R 128Faecal manipulation R 248 R 420Stomach tube pass R 69 R 116Stomach wash R 248 R 420
4.6 Ultrasound imagingAbdominal R 382 R 642Cardiac R 452 R 760Cardiac and Doppler R 539 R 907
Pregnancy R 276 R 465Photograph extra R 32 R 55
5. Specific tar iffs
5.1 Certif icatesHealth certificate R 161 R 273SAVA vaccination certificate R 18 R 31Copies of certificates R 36 R 60
5.2 Innoculations
5.3 Radiology and f luoroscopy
Cost of plate, developing and contrast media extraFirst exposure R 262 R 440Subsequent exposures (each) R 109 R 183Barium meal R 55 R 93Myelogram R 850 R 1,430
Should be charged at consultation fee, injection fee and retail price of vaccine. If a full health examination is
impossible (eg vicious/feral animals), and the animal is already suitably restrained the consultation fee may be
reduced at the discretion of the practitioner. The mark-up o f vaccine price depends on individual practice policy.
Small Animals
Minimum Maximum
EXCLUDING VAT
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6.5 Ear, nose and throat Minutes
Amputation of ears per ear 17Aural resection (Zepps) 39Chordectomy:- Oral 22- Ventral 45Othaematoma: drainage and suture 13Pharyngostomy tube insertion 11Soft palate resection 28Tonsillectomy 22
6.6 Genital, obstetric and rectal surgerySterilisations: see 6.4 aboveAnal sac resection per side 22Caesarian section:- Bitch 65- Queen 39Caesar and panhysterectomy:- Bitch 83- Queen 50Cryptorchidectomy: abdominal 39Panhysterectomy: uterine pathology- Bitch 50- Queen 28Rectal prolapse simple 11Urethrostomy dog including suturing 40Urethrostomy dog emergency - no suturing 18Urethrostomy tom, perineal 55
6.7 Ophthalmic surgeryEctropion/Entropion per eye 17Enucleation 40Globe proptosis correction 17Nict gland prolapse correction 17Surgical reflection of membrane nictitans 6
6.8 Orthopaedic surgeryAmputation hind limb 85Amputation forelimb 65Elbow surgery:Ununited anconeal process 40Fractures:Cerclage wiring per wire 9Intramedullary pinning 50
Fracture reduction with POP/Robert Jones 17Mandibular symphysis external wire 14Luxations:Reduction hip luxation 14Hipsurgery:Hip excision arthroplasty 50Stifle surgery:Cruciate ligament extra-articular 50Cruciate ligament intra-articular 65Femoropatellar ligament re-inforcement plus Stader 50Tibial crest transplant 60
A list of average surgical times for certain procedures follows. The surgeon should use the surgical fee per hour
to charge out the procedure. Surgical times are based on those of a surgeon of average experience and a
patient of "average" size. Individual cases may require a longer surgical time due to particular complicating
factors for which the surgeon is entitled to charge. Surgeons of more limited experience should use this list as a
guide to appropriate charging.
Small Animals
8
SmallA
nimalPractitioners
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9
SmallAnima
lPractitioner
s
EXCLUDING VAT
Minimum Maximum
7. Genesiology
Laboratory fees extra
Artificial insemination (including semen collection and R 1,425 R 2,396
evaluation irrespective of number of inseminations per oestrus)
Dystocia:
- Initial pup R 246 R 414
- Subsequent pups R 155 R 262
Whelping supervision R 437 R 736
8. Hospital isat ion
Accommodation:
- Dog per night R 90 R 152- Cat per night R 69 R 116
Intensive care per 24 hours R 345 R 581
(in addition to normal examination fee and accommodation)
Isolation per night R 139 R 233
9. Post -mor tem
Disposal fees extra
Dog, cat and other small animal: basic fee R 331 R 556
Dog, cat and other small animal: special examination R 520 R 874
Chickens: first case R 67 R 112
Chickens: thereafter per case R 23 R 37
10. EuthanasiaIncluding professional time and IV injection, disposal / cremation should be charged
separately R 238 R 400
6.9 Thoracic and abdominal surgery
Cardia-achalasia correction 65
Cystotomy 35
Enterectomy 65
Enterotomy/gastrotomy 45
Gastric torsion correction 65Hernias:
- Umbilical 11
- Inguinal 33
- Perineal per side 50
- Diaphragmatic 65
Intussusception/volvulus simple 33
Laparotomy: exploratory 28
Lobectomy 55
Nephrectomy 55
Rectopexy 28
Splenectomy 45
Thoracototomy 45
Minutes
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10
SmallA
nimalPractitioners
11. Laboratory
Mark-up on laboratory fees are discouraged
Blood chemistry interpretation fee Time TimeFaeces:
- Flotation R 93 R 156
- Smear R 69 R 116
Histopathology - charge surgical time
McMaster egg count R 152 R 256
Smears,scrapings etc. for outside laboratory R 76 R 128
Urine:
- Strip test R 51 R 84
- Full urine analysis R 143 R 239
Vaginal smears:
- Initial R 152 R 256
- Repeat R 100 R 170
12. Procedure room fee R 161 R 273
(where the practitioner's premises are utilised by another
professional in performing eg. Ultrasound examinations)
No mark-up on another practitioner's fees is permissible.
Refer to point 6 o f theGeneral Notes
Indigent and disabled persons usually have their animals treated on a direct-cost basis.
Animal Welfare Guidelines are to be seen as such and exceptions can be made under certain circumstances.
Each individual practice needs to calculate it's break-even point. Charging at below this rate heavily subsidises
animal welfare organisations. The recommended rate for contract welfare work is 70% of the guideline fee.
Most practices discount fees for pensioners
Small Animals
Minimum Maximum
EXCLUDING VAT
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11
SmallAnima
lPractitioner
s
Units
Minimum Maximum
Consultation 1 R 147.00 R 387.00
Premedication R 55 .00 R 93.00
ACP 2mg/ml 2
Atropine 0.2mg/ml 2
Anaesthesia IV induction 1 R 236.00 R 395.00
Intraval 10
Anaesthetic gas/10min 2 R 124.00 R 209.00
Theatre fee 1
1
R 127.00 R 214.00
Endotracheal intubation R 41.00 R 70.00
Surgical time/10min 2 R 321.00 R 767.00
Surgical pack 1 R 127.00 R 214.00Hospitalisation dog R 90.00 R 152.00
Catgut suture materials 1
1
Nylon suture materials 1
Swabs & materials 1
SUB TOTAL EXCLUDING COSTS OF MEDICINE R 1,268.00 R 2,501.00
Less: Sterilisation subsidisation -R 196.00 -R 698.00
R 1,072.00 R 1,803.00
ADD 14 % VAT R 150.08 R 252.42
TOTAL R 1,222.08 R 2,055.42
Minimum Maximum
Consultation 1 R 147.00 R 387.00
R 236.00 R 395.00
R 160.00 R 384.00
R 127.00 R 214.00
R 32.00 R 56.00
R 90.00 R 152.00
R 55.00 R 93 .00Premedication 1
Domitor 0.5
Anaesthesia IV induction 1
Intraval 10
Surgical time/10min 1
Surgical pack 1
Swabs & Materials 1
Injection s/c 1
Clamoxyl RTU 2
Suture materials 1
Clamoxyl tabs 200mg 10
Hospitalisation dog 1SUB TOTAL EXCLUDING COSTS OF MEDICINE R 847.00 R 1,681.00
ADD 14% VAT R 118.04 R 235.34
TOTAL EXCLUDING COSTS OF MEDICINE R 965.58 R 1,916.34
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Example of an invoice layout for wound cleaning and suturing
These examples serve only to illustrate the concept that all accounts should be itemised as fully as possible to inform the client as to
how the final total was calculated and should not be seen as a recommendation as to how a case should be treated.
It is important that the public are made aware that, as a profession, we are subsidisingcertain procedures for the welfare of the animal population in general
Example of an invoice layout for an ovariohysterectomy (mature bitch)
Cost plus mark up
Cost plus mark up
Cost plus mark up
Small Animals
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12
SmallA
nimalPractitioners
Units
Minimum Maximum
Consultation 1 R 147.00 R 387.00
Premedication 1 R 55.00 R 93.00
ACP 2mg/ml 2
Atropine 0.2mg/ml 2
Anaesthesia IV induction 1 R 236.00 R 395.00
Intraval 10
Endotracheal intubation 1 R 41.00 R 70.00
Anaesthesia gas (per 10 m in) 6 R 373.00 R 628.00
R 721.00 R 1,727.00Surgical time (per 10 mins) 45 m in
Theatre Fee 1 R 127.00 R 214.00
Surgical pack 1 R 127.00 R 214.00
IV infusion setup 1 R 276.00 R 269.00
Ringers Lactate 1
Insyte catheter 20G 1
Fluid admin. set-15 drops/ml 1
Hospitalisation dog 1 R 90.00 R 152.00
Swabs & Materials 1
Catgut suture material 1
Nylon suture material 1
Injection s/c 1 R 32.00 R 56.00
R 32.00 R 56.00
Clamoxyl RTU 2
Injection i/m 1 R 32.00 R 56.00
Morphine 1
Consultation in hospital 1 R 147.00 R 387.00
Injection s/c 1
Clamoxyl RTU 2
Clamoxyl tabs 200mg 10
SUB TOTAL EXCLUDING COSTS OF MEDICINE R 2,436.00 R 4,704.00
ADD 14% VAT R341.04 R 658.56
TOTAL EXCLUDING COSTS OF MEDICINE R 2,777.04 R 5,362.56
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Cost plus mark up
Example of an invoice layout for a splenectomy
EXCLUDING VATSmall Animals
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ProductionAnimalPractitio
ners
13
Production AnimalsMinimum Maximum
1.1 Consultation R 147 R 387
or
1.2 Profess ional t ime
- Calculated to the nearest 15 minutes
- Includes waiting time
- Serves as a basis for fee setting when no specific tariff is listed
General fee per hour R 588 R 1,548
Surgical fee per hour R 961 R 2,302
2. After - hour s surc harge
3. Trav el li ng
Kilometer fee charged for all travel inclusive of professional time R 6 R 19
4. Br eed in g So un dn es s
Bulls
Collection and macroscopic R 412 R 692
Laboratory fee:morphology R 72 R 123
Sheathwash R 120 R 201
Certificate R 46 R 77
Rams
1st R 192 R 323
Thereafter per hour R 1,222 R 1,628
5. Injections
Intravenous (IV) R 60 R 100
Intramuscular (IM) & Subcutaneous (SC)R 51 R 84
6. Laboratory
Blood smear R 72 R 121
Brain smear R 72 R 121
Blood collection R 99 R 167
Faecal egg count R 115 R 193
7. Ob st etrics
Dystocia cow per hour R 145 R 1,405
Dystocia ewe R 238 R 400
Fetotomy fee per hour R 960 R 1,615
Ceasarian cowsR 1,279 R 2,152
Ceasarian sheep R 417 R 702
Prolapse uterus cow R 573 R 920
Prolapse cervix cow R 405 R 680
EXCLUDING VAT
Ref er to p oint 4 of th eGeneral Notes
Ref er to p oint 7 of th eGeneral Notes
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14
Po
uctinAnm
a
rctin
r
d
o
i
lPa
ito
ers
8. Post- mortem
Large stock R 417 R 702
Small stock R 228 R 384
9. SheepArtificial Insemination (AI)
1 - 120 per sheep R 41 R 70
>120 per sheep R 33 R 56
Sonar
Per sheep R 5 R 9
Per hour R 804 R 1,355
10. Surgery
Rumenotomy R 1,005 R 1,693
Vasectomy:
- Per ram or per hour R 201 R 388
- Per bull or per hour R 543 R 912
11. Anaesthesia: General
Epidural R 153 R 257
Local infiltration R 109 R 184
IV R 67 R 110
Paravertebral R 153 R 257
12. General guidelines Units
Units per hour
Sonar 100-160
Breeding soundness: bull 3
Breeding soundness: ram 12-16
Vasectomy 10
Time Minutes
Rumenotomy 45
Ceasarian 60
Production AnimalsMinimum Maximum
EXCLUDING VAT
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ProductionAnimalPractitio
ners
15
Units
Minimum Maximum
Surgery 1 hour 1 R 961.00 R 2,302.00
Injection local (Lokal infiltration) 1 R 51.00 R 84.00
Medicine 1
Travelling @ R5.00 - R17.00 (40km) R 230.00 R 741.00
Surgical pack 1 R 127.00 R 214.00
SUB TOTAL R 1,369.00 R3,341.00
PLUS 14% VAT R 191.66 R 467.74TOTAL EXCLUDING COST OF MEDICINES R 1,560.66 R 3,808.74
Surgery 1.2h 1.2 R 1,282.00 R 3,069.00
Injection local (Local infiltration) 1 R 51.00 R 84.00
Medicine
Travelling @ R5.00 - R17.00 (40km) R 230.00 R 741.00
Surgical pack 1 R 127.00 R 214.00
Injection intramuscular 1 R 51.00 R 84.00
SUB TOTAL R 1,741.00 R4,192.00PLUS 14% VAT R 243.74 R 586.88
TOTAL EXCLUDING COST OF MEDICINES R 1,984.74 R 4,778.88
Collection and evaluation 4 1,647.00 2,769.00
Laboratory fee 4 290.00 484.00
Sheathwash 4 478.00 802.00
Certificate 4 184.00 310.00
Travelling @ R5.00 - R17.00 (40km) 230.00 741.00
SUB TOTAL 2,829.00 5,106.00
PLUS 14% VAT R 396.06 R 714.84
TOTAL 3,225.06 5,820.84
Example of an invoice layout for the determination of breeding soundness( 4 bulls)
These examples serve only to illustrate the concept that allaccounts should be itemised as fully as possible to inform the client as to how
the final total was calculated and should not be seen as a recommendation as to how a case should be treated.
Example of an invoice layout for a rumenotomy
Example of an invoice layout for a ceasarean
Cost plus mark up
Cost plus mark up
Production AnimalsMinimum Maximum
EXCLUDING VAT
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1.1 Co nsu lt at ionBasic consultation (15 minute duration) R 147 R 387or
1.2 Pr ofes si onal t i me- Calculated to the nearest 15 minutes- Includes waiting time- Serves as a basis for fee setting when no specific tariff is listed
Travelling in clients car - per hour R 588 R 1,548General fee per hour R 588 R 1,548General fee per day/ 8 hours R 4,698 R 12,381
2. After- hours surcharge
Monday to Friday 19:00 - 23:00; Sat 12:00 - 18:00; Sun 06.00 - 18.00 R 457 R 767Including consultation
Monday to Friday 23:00 - 06:00; Sat 18:00 - 06:00; Sun 18.00 - 06.00 R 592 R 998
Including consultationNurse after hours per hour R 167 R 281Grooms after hours per hour R 69 R 116
3. Travell ing
Kilometer fee charged for al l travel inclusive of professional time R 6 R 19
4. Veter inary inspect ion at SANEF shows
Per day(discuss with show organiser) R 1,461 R 2,457
Re-inspection(discuss with show organiser) Time Time
Medication control R 730 R 1,228
Travelling per kilometer (discuss with show organiser)
5. General clinical work
5.1 In ject ion sIntramuscular/subcutaneous (IM/SC) R 21 R 35
Intravenous (IV) R 52 R 87
Intra-articular - see local anaesthesia
5.2 Inoculat ions /vacc inat ions p lus cer ti fi cate R 30 R 51
(Excluding consultation)
6.1 Labo rato ryPer venipuncture: laboratory test plus test fee R 43 R 72
Blood typing plus test fee R 43 R 72
Blood smear evaluation R 43 R 72Chromosome testing plus test fee R 43 R 72
PCV and serum protein R 43 R 72
Faecal collection and flotation R 95 R 161
Ref er t o p oint 4 o f t he Gen eralNotes
Refer to po in t 7o f the General
Notes
Refer to po in t 7o f the General
Notes
EquinesMinimum Maximum
EXCLUDING VAT
Equine
Practition
ers
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Eq
uine
Practiti
oners
6.2 Miscel lan eo us p ro cedu resBandage application R 45 R 77
Freeze branding R 104 R 173
R 104 R 173
R 104 R 173Rectal examination
Tubing
7.1 Di ag nos ti c Im ag in gRadiology and fluoroscopy including film and developing1st exposure distal limb R 518 R 870Thereafter per exposure R 95 R 1611st exposure -non portable machines/ difficult areas R 1,041.00 R 1,751Thereafter per exposure R 191 R 320
R 191 R 320
7.3 Ul tr ason og rap hyThoracic/abdominal scan R 852 R 1,433
R 881 R 2,322
Tendon (including both tendons) R 852 R 1,433Other scans Time Time
7.4 EndoscopyExamination of upper respiratory tract R 597 R 1,003Uterine R 597 R 1,003Multiple by arrangement
7.5 ECG ex am inati on R 444 R 748
8. Local anaesthesiaDiagnostic and otherLocal area infiltration R 152 R 256Regional nerve block:
- First block R 274 R 460- Thereafter per block R 274 R 460Epidural block R 343 R 577Intra-articular block - coffin joint
- Fetlocks R 274 R 460- Carpus R 274 R 460- Pastern R 343 R 577- Tarso-metatarsal/prox intertarsal R 343 R 577- Femoro-patellar R 243 R 577- Femoro-tibial R 343 R 577- Shoulder/elbow R 343 R 577
9. Certi ficatesHeight and identity certificate/ National Horseracing Authority (NHA) R 228 R 384Insurance certificate: death only R 350 R 589Movement certificate for multiple horses or on time R 228 R 384Pregnancy certificate R 228 R 384Prepurchase certificate on time/ minimum fee R 913 R 1,536SANEF / SAHEIC excluding NHA fee or FEI passport R 228 R 384(identification completion only)Scratching certificate R 228 R 384Yearling examination at the sales R 343 R 577Written report excluding consultation R 228 R 384
EquinesMinimum Maximum
EXCLUDING VAT
7.2 Myelogram (per hour) Radiographs should be charged at
follow up fees (usually 9-12 radiographs)General anaesthetic costs and all drugs disposableequipment used are extra
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Equine
Practition
ers10. Post- mortemAdult minimum or time R 562 R 946
Foal minimum or time R 350 R 589
Euthanasia/humane destruction R 228 R 384
11. Hospi tal isat ionStabling foals R 91 R 153
Stabling half day R 85 R 143
Stabling per night R 170 R 287
12. Support ive TherapyHigh care: per day R 408 R 1,357High care: per night R 1,596 R 2,687
Intensive care: per day R 1,596 R 2,687Intensive care: per night R 3,225 R 5, 425
Blood transfusion Time Time
IV fluid administration R 669 R 1,126
minimum, including catheter placement or timePlacing IV catheter R 94 R 158
13. Anaesthesia: GeneralAnaesthetist fee: veterinarian per hour R 913 R 1,536
Anaesthetist fee: nurse per hour R 440 R 742Anaesthetic monitoring cost: R 343 R 577
use of ECG, blood pressure, CO2 and O2 monitorsGas machine R 213 R 639
(depending on purchase and maintenance cost)Intubation R 191 R 320
Knockdown (IV) GA R 327 R 550
14. SurgerySurgical time per hour: superficial suturing R 961 R 2,303
Surgical time per hour: advanced procedures R 2,555 R 4,300
Assistant fee: veterinarian per hour R 913 R 1,536
Assistant fee: nurse per hour R 440 R 742
Surgical pack: stitch up set R 114 R 194
Surgical pack: advanced R 114 R 266
(depending on purchase, maintenance and sterilisation costs)Theatre fee R 852 R 1,433
15. Gastro-Intestinal15.1 Gastro-Intestinal: General
Abdominocentesis and examination R 323 R 543
Complete dental examination and abnormality correction R 380 R 639Teeth-simple: rasping only R 133 R 226Trocarisation of the caecum R 597 R 1,003
15.2 Gastro-Intestinal: SurgeryColic surgery Time Time
Hernia repair: simple umbilical R 1,369 R 2,325
Hernia repair: scrotal (foal) Time Time
Minimum Maximum
EXCLUDING VATEquines
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Eq
uine
Practiti
oners
16. Musculo-skeletal sys tem
16.1 Musculo-skeletal system: GeneralLameness Workup Time Time
16.2 Musculo-skeletal system: SurgeryAngular limb dev: periosteal elevation and ulnar transection:
- Unilateral R 1,278 R 2,149
- Bilateral R 1,924 R 3,237
Annular ligament transection:- Unilateral R 1,413 R 2,379
- Bilateral R 2,099 R 3,352
Carpal check ligament transection:- Unilateral R 1,278 R 2,149
- Bilateral R 1,901 R 3,199
Medial patella desmotomy:- Unilateral R 852 R 1,433
- Bilateral R 1,278 R 2,149
Navicular suspensory desmotomy:- Unilateral R 2,343 R 3,941
- Bilateral R 3,498 R 5,886
Neurectomy digital:-1st leg lateral and medial R 1,634 R 2,751
-2nd leg lateral and medial R 2,471 R 4,158
Radial check ligament transection:- Unilateral R 3,406 R 6,765
- Bilateral R 5,111 R 8,598
Tendon surgery Time Time
Tenoraphy Time Time
Splint surgeryExostosis removal R 2,130 R 3,583
Partial removal without screwing R 2,130 R 3,583
Partial removal with fixation R 3,741 R 6,296
Splint plating Time Time
Carpal surgery
ArthroscopyR 4,441 R 7,473
Arthroscopy plus lag screw insertion R 6,813 R 11,466
Arthroscopy diagnostic only R 3,498 R 5,886
Arthroscopy additional joints - Applies to al l j ointsArthroscopy: 2nd joint plus 25% surchargeArthroscopy: 3rd joint plus 40% surchargeArthroscopy: 4th joint p lus 50 % surcharge
Arthrotomy:-1st joint simple chip fracture R 3,498 R 5,886- 2nd joint R 5,292 R 8,905- Other joint surgery Time Time
Coffin jointArthroscopy R 5,962 R 10,032Arthroscopy diagnostic only R 3,498 R 5,886
Fetlock surgeryArthroscopy: dorsal fetlock R 4,441 R 7,473Arthroscopy:palmar/plantar fetlock R 5,292 R 8,905Arthroscopy diagnostic only R 3,498 R 5,886Arthroscopy plus lag screw of condyle R 6,813 R 11,466
EquinesMinimum Maximum
EXCLUDING VAT
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Equine
Practition
ers Hock surgeryArthroscopy R 4,943 R 8,317
Arthroscopy diagnostic only R 3,498 R 5,886
Stifle surgery
Arthroscopy R 6,311 R 10,620
Diagnostic only arthroscopy R 5,292 R 8,905
17. Ophthalmo logy
17.1 Ophthalmology: General
Entropion or ectropion: non-surgical R 274 R 460
Naso-lacrimal flush R 228 R 384
Sub-conjunctival injection R 191 R 320
17.2 Ophthalmology: Surgery
Conjunctival flap R 760 R 1,280
Corneal debriding R 106 R 179Corneal suturing Time Time
Entropion surgical R 518 R 870
Entropion tacking R 274 R 460
Enucleation R 1,413 R 2,379
Keratectomy R 760 R 1,280
Nictitans flap plus tarsoraphy R 343 R 577
Striate keratotomy R 486 R 820
Third eyelid removal R 486 R 820
18. Respi ratory sys tem
18.1 Respiratory system: General
Broncho-alveolar lavage R 882 R 1,485
Trans tracheal wash R 592 R 988
18.2 Respiratory system: Surgery
Dorsal displacement of soft palate:
- Staphylectomy R 2,312 R 3,889
- Myectomy R 1,413 R 2,379
Entrapped epiglottis - axial division R 1,278 R 2,149
Laryngeal hemiplegia:
- Prosthetic laryngoplasty R 6,540 R 11,005
- Ventriculectomy R 1,400 R 2,355
Laryngotomy R 1,187 R 1,996
Sinus trephine R 943 R 1,587
Sub-epiglottic cyst R 2,312 R 3,889
Tracheotomy R 1,400 R 2,355Windsucker:
- Neurectomy R 1,413 R 2,379
- Neurectomy and myectomy R 3,269 R 5,502
EquinesMinimum Maximum
EXCLUDING VAT
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Eq
uine
Practiti
oners
19. Urogen it al
19.1 Urogeni tal : General
Rectal palpation:
- Ovaries R 85 R 143
- Pregnancy examination test in foal (tif) R 122 R 205- Tif plus certificate R 205 R 346
- Pregnancy examination not in foal R 106 R 179
- Pregnancy examination non stud farm R 261 R 437
Ultrasound:
- Diagnostic R 114 R 192
- Individual/pregnancy including rectal R 228 R 384
- Pregnancy examination not in foal R 114 R 192
- Pregnancy examination plus certificate R 289 R 486
- Use of scanner for season exluding rectal R 852 R 1,433
Green certificate R 426 716
Including dourine, rectal, smear and swab, exluding material and scan
Speculum examination R 61 R 102
Uterine/cervical swab R 104 R 173
Uterine/cervical smear R 104 R 173
Uterine instillation R 104 R 173
Uterine lavage R 205 R 346
Uterine endoscopy R 592 R 998
Reduction to singleton foetus R 547 R 921
Post foaling check:
- Including rectal, vaginal and perineal examination R 152 R 256
- Afterbirth evaluation R 106 R 179
Dystocia: minimum per hour R 1,369 R 2,303
Seasonal breeding package: R 1,673 R 2,815
(specific items included at practice discretion)
Artificial insemination: fresh chilled R 319 R 537
Artificial insemination: frozen semen R 319 R 537
Semen collection R 547 R 919
(including evaluation of motility and sperm count)
Semen evaluation: comprehensive R 852 R 1,433
Cryopreservation: includes ejaculate processed and report R 2,738 R 4,606
Embryo transfer: per flush cycle including consumables and time R 11,922 R 20,064
(excluding travel and scans)
Endometrial biopsy R 343 R 577
Endometrial biopsy evaluation and report R 343 R 577
EquinesMinimum Maximum
EXCLUDING VAT
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Equine
Practition
ers19.2 Urogenital: SurgeryAblation urachus R 2,555 R 4,300
Caslicks: open R 114 R 179Caslicks: quarter R 152 R 256
Caslicks: half R 228 R 384
Caslicks: three quarters R 305 R 512
Caslicks: full R 380 R 639
Castration R 1,400 R 2,355
Caesarean section R 4,684 R 7,882
Clitoridectomy Time Time
Cryptorchid: high flanker R 1,400 R 2,355Cryptorchid: inguinal approach R 4,258 R 7,166
Cryptorchid: abdominal approach R 6,054 R 10,185
Oophorectomy: simple (bilat 50% more) R 8,136 R 13,691
Oophorectomy: abnormal ovary R 9,657 R 16,250
Perineal body repair (0.5 hrs superficial suturing) R 608 R1,024
Recto-vaginal fistula or laceration Time
Ruptured bladder Time
Uterine biopsy (laboratory fee excluded) R 426 R 716
Urethroplasty Time Time
20. Other Su rgery
Laparoscopy
Abdominal exploration R 6,843 R 11,517
Cryptorchidectomy (bilateral 50% more) R 8,090 R 13,614
Oophorectomy: simple (bilateral 50% more) R 8,090 R 13,614
EquinesMinimum Maximum
EXCLUDING VAT
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Pigs
Minimum Maximum
1.1 Consultation
Consultation fee per clinical case R 147 R 387
or
1.2 Professional time
- Calculated to the nearest 15 minutes
- Includes waiting time
- Serves as a basis for fee setting when no specific tariff is listed
General fee clinical cases per hour R 588 R 1,548
Herd health consultancy fee per hour R 588 R 1,548
Surgical fee per hour R 961 R 2,302
2. After - hours surcharge
3. Travel ling
Per hour R 588 R 1,548
Per kilometer R 6 R 19
4. Surgery including obstetrical cases
Surgical fee per case R 252 R 422
Surgical fee per hour R 961 R 2,302
5. Post mortem
Per hour R 920 R 1,549
EXCLUDING VAT
Refer to point 4 of the
General Notes
Refer to point 7 of the
General Notes
Pig
Practitioners
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Wdi
Pa
io
rs
ill
fe
rcttin
e
Wildlife
Minimum Maximum
1.1 Consultation R 147 R 387
or
1.2 Professional time
- Calculated to the nearest 15 minutes
- Includes waiting time
- Serves as a basis for fee setting when no specific tariff is listed
General fee per hour R 588 R 1,548
General fee per day/ 8 hours R 4,698 R 12,381
Clinical work: surgery, darting etc. per hour R 961 R 2,302
2. A fter - hours surcharge
3. Travel li ng
Per kilometer R 6 R 19
4. Post mortem R 497 R 929
5. Ultrasound per animal R 368 R 564
EXCLUDING VAT
Refer to point 4 of the
General Notes
Refer to point 7 of the
General Notes
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Notes
PLEASE FAX COMMENTS TO: (012) 342 4352PLEASE EMAIL COMMENTS TO: [email protected]
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Not es/COMMENTS
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