Enucleation

Re: Enucleation

Claire Cameron — Wed, 28 Apr 2010 09:36:04 GMT

[quote user="SmegSlayer"]

[quote user="Claire 'Duke' York RVN MBVNA"]

[quote user="Kim Blowing RVN"]

[quote user="SmegSlayer"]

i work for a corporate company and if the vets priced up for a nail clip/ express anal glands correctly (as per company policy) they would be £37.96 and £32.43 repectively coz the vets are supposed to charge a consult fee (£24.15) as well as the procedure. We have no nurse clinics so clients have to see the vet. They have yelled and screamed at the regional directors about how bad this is until they are blue in the face and the RD's still think they above pricing is reasonable. The vets have effectively stuck 2 fingers up at head office and just charge the nail clip or expression as long as there are no other problems.

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How do they expect to get away with that?!?! That's so wrong! ( I mean what they are expected to charge, not what the vets are doing!)

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What corporate do you work for? CVS? i worked for CVS and never had such pricing structure. When I started at my CVS practice there was no nurse clinics but I was given full permission to set these up

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i'm not going to say which corporate but we want nurse clinics but have a problem with only having 2 consult rooms, 1 of which is also dirty ops (dentals etc) and xray

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Note of caution, your practice and corporate details are on your profile

Re: Enucleation

SmegSlayer — Wed, 28 Apr 2010 08:45:25 GMT

[quote user="Claire 'Duke' York RVN MBVNA"]

[quote user="Kim Blowing RVN"]

[quote user="SmegSlayer"]

[/quote]

How do they expect to get away with that?!?! That's so wrong! ( I mean what they are expected to charge, not what the vets are doing!)

[/quote]

i'm not going to say which corporate but we want nurse clinics but have a problem with only having 2 consult rooms, 1 of which is also dirty ops (dentals etc) and xray

Re: Enucleation

Claire Cameron — Wed, 28 Apr 2010 08:35:09 GMT

[quote user="Kim Blowing RVN"]

[quote user="SmegSlayer"]

[/quote]

How do they expect to get away with that?!?! That's so wrong! ( I mean what they are expected to charge, not what the vets are doing!)

[/quote]

Re: Enucleation

Phrin Vernon RVN — Tue, 27 Apr 2010 19:26:22 GMT

we charge out ops as follows;

ga -initial charge includes induction, ivft if required & 30 mins maintenance, charged in 20min increments thereafter

drugs

consumables fee

surgical kit fee - have standard and orthopeadic charges

surgical time in 10 min increments - also have standard and orthopeadic charges - can't remember how much they are off the top of my head though...

also can't remember the cost of the last unilateral enucleation we did? if i remember tomorrow i'll try pricing it up and let you know

also normal blood tests have the fee for the actual test, and a fee of around a tenner for the sampling. on pre op bloods we waive the sampling fee, as we will be performing venepuncture anyway.

Re: Enucleation

Kim Buckley — Tue, 27 Apr 2010 18:02:41 GMT

[quote user="SmegSlayer"]

[/quote]

How do they expect to get away with that?!?! That's so wrong! ( I mean what they are expected to charge, not what the vets are doing!)

Re: Enucleation

SmegSlayer — Tue, 27 Apr 2010 17:59:01 GMT

Re: Enucleation

Sal the 1st — Sun, 25 Apr 2010 16:20:06 GMT

I agree pricing can differ quite a bit depending on the area of the country but dont really think being part of a corporate or not will make too much difference - unless you mean that corporate tend to bill for every little thing consumable wise and the smaller stand alone practices tend to add an amount for consumables.

I have worked in a number of practices where the boss although doing an excellent job really doesnt charge what the job is worth - there are various reasons for this ; maybe there is the fear that another practice will undercut on prices, the fear that clients will think the practice too expensive especially if based in a poor economic area, the need to 'steal' clients away from other neighbouring practices or it might just be that the boss is happy with the income, has good client base and isnt in the business to make millions.

I think it is easier for corporates to charge more because when the complaints come in re fees it is possible to say 'not our fault - blame head office'.

If you think about it the corporates should in theory be cheaper than the independant surgeries. They are mostly buying in bulk with huge product discounts small stand alone practices could only dream of, in saying that they can dictate what medications are used and what will be charged for them - it is true they usually have a higher profit margin than independant practices but they can only charge what people are prepared to pay in an area and if they get too greedy clients vote with their feet and find somewhere else

Re: Enucleation

Gillian Mostyn — Sun, 25 Apr 2010 15:03:54 GMT

All charges should really be based on costing it first, then adding a reasonable mark-up. (It is pretty easy to cost an op - surgical time, consumables used etc.). I find that makes it easier to look the client in the eye when you ask for your fee - you know it is reasonable.

I am baffled as to why someone would say 'it depends on whether you are a corporate or a private practice.' I honestly can't see why - the overheads are the same so I can only assume the profit margins must be different - but how??

Ours is £147.57 including the anaesthetic. Owners might percevie them to be a big, invasive op but they don't actually take that long, do they? Certainly shorter than a bitch spay, and with similar use of consumables. So unless you're running bitch spays as a loss leader and making up the shortfall with other ops (maybe this is the difference with corporates?) then the cost would be similar.

Re: Enucleation

Claire Cameron — Sun, 25 Apr 2010 13:05:40 GMT

[quote user="SmegSlayer"]

it's all dependant on the area your in and if you're a part of a conglomerate or privately owned practice

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I know but I just wanted a rough average

Re: Enucleation

albatross — Sun, 25 Apr 2010 09:27:55 GMT

our low income clinic charges are about £100-120 and we are normally about 1/2 to 1/3 of non charity vets in the area. That includes everything for the op, and post op checks, meds etc.

One place I worked in costed it at around £300 when doing the op on a stray kitten, but didn't charge the full amount.

Re: Enucleation

Anonymous — Sat, 24 Apr 2010 13:57:49 GMT

[quote user="Vicky SVN"]

[quote user="Claire 'Duke' York RVN MBVNA"]

[quote user="Emily Hibbs"]

£153.23

[/quote]

That's cheap

[/quote]

I thought that too!

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That makes our charge seem really really cheap! as the one we did last week (including GA and meds) was £148

Re: Enucleation

Vicky RVN — Sat, 24 Apr 2010 13:18:37 GMT

[quote user="Claire 'Duke' York RVN MBVNA"]

[quote user="Emily Hibbs"]

£153.23

[/quote]

That's cheap

[/quote]

I thought that too!

Re: Enucleation

SmegSlayer — Sat, 24 Apr 2010 13:10:50 GMT

it's all dependant on the area your in and if you're a part of a conglomerate or privately owned practice

Re: Enucleation

Claire Cameron — Sat, 24 Apr 2010 11:49:25 GMT

[quote user="Emily Hibbs"]

£153.23

[/quote]

That's cheap

Re: Enucleation

Emily Hibbs — Sat, 24 Apr 2010 10:54:10 GMT

£153.23

Re: Enucleation

Claire Cameron — Sat, 24 Apr 2010 10:03:52 GMT

[quote user="SmegSlayer"]

£270.38

[/quote]

Brill thanks SmegSlayer x

Re: Enucleation

SmegSlayer — Sat, 24 Apr 2010 09:52:20 GMT

£270.38