Tarrifs SAVC for Web V4

8/8/2019 Tarrifs SAVC for Web V4

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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

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P

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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


- Calculated to nearest 15 minutes




Surgical fee per hour R 961 R 2,302

Travelling in client's vehicle per hour R 588 R 1,548


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


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


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


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






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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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


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


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


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


EXCLUDING VAT



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16

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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17

Eq

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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


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


Carpal check ligament transection:- Unilateral R 1,278 R 2,149


Medial patella desmotomy:- Unilateral R 852 R 1,433


Navicular suspensory desmotomy:- Unilateral R 2,343 R 3,941


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


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


EXCLUDING VAT



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20

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


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


EXCLUDING VAT



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22

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


EXCLUDING VAT



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23

Pigs

Minimum Maximum

1.1 Consultation

Consultation fee per clinical case R 147 R 387

or





General fee clinical cases per hour R 588 R 1,548

Herd health consultancy fee per hour R 588 R 1,548



3. Travel ling


Per kilometer R 6 R 19

4. Surgery including obstetrical cases

Surgical fee per case R 252 R 422


5. Post mortem


EXCLUDING VAT


General Notes


General Notes

Pig

Practitioners



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24

Wdi

Pa

io

rs

ill

fe

rcttin

e

Wildlife

Minimum Maximum

1.1 Consultation R 147 R 387

or






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


General Notes


General Notes



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Notes

PLEASE FAX COMMENTS TO: (012) 342 4352PLEASE EMAIL COMMENTS TO: [email protected]


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Notes


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Notes


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Not es/COMMENTS


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