Guideline of Tariffs
1 January 2010- 31 December 2010
Dr J R Adam
Chairperson
Private practitioner, Cape town Production Animal Practitioners 13-15
Dr I Southern
SAVA representative
Vacant
Pig Practitioners 23
Wildlife Practitioners 24
1 January 2010 - 31 DECEMBER 2010
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 introduction and
the general notes thoroughly as they contain concepts that are very important to the interpretation of the guidelines
that follow.
The Council and the Committee on Fees wish to take this opportunity to thank the various role-players that made input to Council
for 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 is
to indicate what Council will use as a basis when investigating complaints relating to overcharging lodged by clients or touting by
colleagues.
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 veterinary
professional in the particular circumstances were indeed excessive and the client overcharged (fees in excess of the maximum
tariff or that the discount given for services rendered, (fees less than the minimum tariff) amounted to touting.
Should veterinarians charge fees in excess of the maximum recommended tariff it is strongly advised that written consent is
obtained from the client/ the person who requested the veterinary services indicating that the actual fees were discussed and
agreed 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 a
practice 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 that
the client is kept fully up to date and informed as to the cost implications of a particular case. This is especially important if the
original 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 of
which a service is to be rendered beforehand of the approximate fee, which he/she intends to charge for such service when
such 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 and
does 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-veterinary
professions “
This impacts on the interest of the public, as clients of veterinary services, the intra-professional relationship of veterinarians and
the dignity of the profession itself. It is therefore incumbent on Council, while not being prescriptive, to have a guideline tariff that
can be used when there is a complaint regarding fees, from whatever source, against the profession in general or against an
individual veterinarian.
Lastly the Council pertinently draws to the attention of veterinarians that any form of price fixing is prohibited in terms of the
Competition Act, 1998 and price collusion between veterinarians is not acceptable.
December 2009
1
South African Veterinary Council
General Notes
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. The
maximum 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 may
charge. 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 of 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 as
recommended 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 intensive 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 these
fees, veterinary professionals are entitled to set their own fees.
2
Avian
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Avian Practitioners
1.1 Consultation
Birds, valuable R 147 R 387
Birds, common smaller species at own discretion
or
3. Travelling
Refer to point 7of the General
Notes
4. Hospitalisation
Per day R 38 R 73
Incubator per day R 74 R 142
5. Clinical procedures
Blood sampling:
- With General Anaesthesia (GA) R 227 R 382
- Without GA R 69 R 117
Blood 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. Anaesthesia
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
3
Avian
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Avian Practitioners
7. Surgery
Surgical fee per hour (excluding anaesthesia) R 961 R 2,302
8. General
8.1 Post-mortem
- Individual bird R 147 R387
- Group of birds
8.2 Other
Airsac cannulation plus GA fee R 136 R 230
Euthanasia(depending on time spent and size of bird) R 45 R 387
Intra-osseous cannulation R 179 R 303
Sinus flush (excluding GA
) R 69 R 116
Subcutaneous fluid therapy per day R 53 R 173
(depending on time spent and size of bird)
8.2 Radiology
Cost of plate, developing and contrast media extra
First exposure R 262 R 440
Subsequent exposures (each) R 108 R 184
Barium meal R 55 R 93
9. Sexing
Large numbers on time basis
African Grey R 49 R 83
Finches, Lovebirds, Parakeets R 38 R 64
Macaw R 59 R 98
Ringneck Parakeets R 44 R 73
Swans, ducks (without anaesthesia) R 44 R 73
Vultures, cranes R 85 R 143
4
Small Animals
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
1.1 Consultation
Consultation fee per patient R 147 R 387
5
Small Animals
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
4. Additional
4.1 Injections
Intramuscular (IM) & Subcutaneous (SC) R 32 R 56
Small Animal Practitioners
4.4 Endoscopy
Bronchoscopy R 452 R 760
Cystoscopy R 452 R 760
Fibre-optic endoscopy R 452 R 760
Oesophagoscopy R 332 R 558
Proctoscopy R 248 R 420
5. Specific tariffs
5.1 Certificates
Health certificate R 161 R 273
SAVA vaccination certificate R 18 R 31
Copies of certificates R 36 R 60
5.2 Innoculations
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 of vaccine price depends on individual practice policy.
6
Small Animals
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
5.4 Supportive therapy
Setting up IV infusion including catheter placement R 276 R 465
5.5 Tranquillisation/Sedation/Anaesthesia
Endotracheal intubation R 41 R 70
General anaesthesia IV R 236 R 395
Inhalation anaesthesia induction R 261 R 437
Inhalation maintenance per 10 minutes R 62 R 105
IM/SC tranquillisation/sedation R 55 R 93
IV tranquillisation/sedation R 109 R 183
Local anaesthesia R 69 R 116
Premedication R 55 R 93
6. Surgery
Surgical fee per hour R 961 R 2,302
Surgical pack R 127 R 214
Theatre fee R 127 R 214
6.1 Caudectomy (As from June 2008 for therapeutic reasons only)
< 5 days old
- First pup R 127 R 233
- Each additional pup R 76 R 128
Older pups including local anaesthetic
- First pup R 193 R 326
- Each additional pup R 139 R 233
6.4 Sterilisation/neutering
Castration dog R 650 R 1,093
Castration tom R 397 R 667
Panhysterectomy
- Immature bitch R 975 R 1,640
- Mature bitch R 1,072 R 1,803
- On heat bitch R 1,286 R 2,164
- Queen R 63 R 1,070
7
Small Animals
SAVC, Guideline of Tariffs
2010
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
Small Animal Practitioners
factors for which the surgeon is entitled to charge. Surgeons of more limited experience should use this list as a
guide to appropriate charging.
8
6.9 Thoracic and abdominal surgery
SAVC, Guideline of Tariffs
Minutes
2010
Cardia-achalasia correction 65
Cystotomy 35
Enterectomy 65
Enterotomy/gastrotomy 45
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. Hospitalisation
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-mortem
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. Euthanasia
Including professional time and IV injection, disposal / cremation should be charged
separately R 238 R 400
9
Small Animals
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
11. Laboratory Refer to point 6 of the
Mark-up on laboratory fees are discouraged General Notes
Small Animal Practitioners
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.
Indigent and disabled persons usually have their animals treated on a direct-cost basis.
10
SAVC, Guideline of Tariffs
2010
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.
Small Animals
Units
Example of an invoice layout for wound cleaning and suturing Minimum Maximum
11
Small Animals
SAVC, Guideline of Tariffs
Units
2010
EXCLUDING VAT
Example of an invoice layout for a splenectomy Minimum Maximum
12
Production Animals
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
1.1 Consultation R 147 R 387
4. Breeding Soundness
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. Obstetrics
Dystocia cow per hour R 145 R 1,405
Dystocia ewe R 238 R 400
13
Production Animals
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
8. Post- mortem
Production Animal Practitioners
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
Time Minutes
Rumenotomy 45
Ceasarian 60
14
Production Animals
SAVC, Guideline of Tariffs
EXCLUDING VAT
2010
Minimum Maximum
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
Units
Example of an invoice layout for a rumenotomy Minimum Maximum
15
Equines
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Equine Practitioners
1.1 Consultation
Basic consultation (15 minute duration) R 147 R 387
or
Monday to Friday 19:00 - 23:00; Sat 12:00 - 18:00; Sun 06.00 - 18.00 R 457 R 767
Including consultation
Monday to Friday 23:00 - 06:00; Sat 18:00 - 06:00; Sun 18.00 - 06.00 R 592 R 998
Including consultation
Nurse after hours per hour R 167 R 281
Grooms after hours per hour R 69 R 116
5.1 Injections
Intramuscular/subcutaneous (IM/SC) R 21 R 35
Intravenous (IV) R 52 R 87
Intra-articular - see local anaesthesia
6.1 Laboratory
Per 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 72
Chromosome testing plus test fee R 43 R 72
PCV and serum protein R 43 R 72
16
Equines
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Equine Practitioners
6.2 Miscellaneous procedures
Bandage application R 45 R 77
Freeze branding R 104 R 173
Rectal examination R 104 R 173
Tubing R 104 R 173
7.3 Ultrasonography
Thoracic/abdominal scan R 852 R 1,433
Tendon (including both tendons) R 852 R 1,433
Other scans Time Time
7.4 Endoscopy
Examination of upper respiratory tract R 597 R 1,003
Uterine R 597 R 1,003
Multiple by arrangement
8. Local anaesthesia
Diagnostic and other
Local area infiltration R 152 R 256
Regional nerve block:
- First block R 274 R 460
- Thereafter per block R 274 R 460
Epidural block R 343 R 577
Intra-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. Certificates
Height and identity certificate/ National Horseracing
hority (NHA)
Aut R 228 R 384
Insurance certificate: death only R 350 R 589
Movement certificate for multiple horses or on time R 228 R 384
Pregnancy certificate R 228 R 384
Prepurchase certificate on time/ minimum fee R 913 R 1,536
SANEF / SAHEIC excluding NHA fee or FEI passport R 228 R 384
(identification completion only)
Scratching certificate R 228 R 384
Yearling examination at the sales R 343 R 577
Written report excluding consultation R 228 R 384
17
Equines
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Equine Practitioners
11. Hospitalisation
Stabling foals R 91 R 153
Stabling half day R 85 R 143
Stabling per night R 170 R 287
14. Surgery
Surgical time per hour: superficial suturing R 961 R 2,303
Surgical time per hour: advanced procedures R 2,555 R 4,300
15. Gastro-Intestinal
15.1 Gastro-Intestinal: General
Abdominocentesis and examination R 323 R 543
Complete dental examination and abnormality correction R 380 R 639
Teeth-simple: rasping only R 133 R 226
Trocarisation of the caecum R 597 R 1,003
18
Equines
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Equine Practitioners
16. Musculo-skeletal system
16.1 Musculo-skeletal system: General
Lameness Workup Time Time
Splint surgery
Exostosis 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
Arthroscopy R 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
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 joint
Arthroscopy R 5,962 R 10,032
Arthroscopy diagnostic only R 3,498 R 5,886
Fetlock surgery
Arthroscopy: dorsal fetlock R 4,441 R 7,473
Arthroscopy:palmar/plantar fetlock R 5,292 R 8,905
Arthroscopy diagnostic only R 3,498 R 5,886
Arthroscopy plus lag screw of condyle R 6,813 R 11,466
19
Equines
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Equine Practitioners
Hock surgery
Arthroscopy 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. Ophthalmology
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
20
Equines
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Equine Practitioners
19. Urogenital
19.1 Urogenital: 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
21
Equines
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Equine Practitioners
22
Pigs
SAVC, Guideline of Tariffs
EXCLUDING VAT
2010
Minimum Maximum
Pig Practitioners
1.1 Consultation
Consultation fee per clinical case R 147 R 387
or
5. Post mortem
Per hour R 920 R 1,549
23
Wildlife
SAVC, Guideline of Tariffs
2010
EXCLUDING VAT
Minimum Maximum
Wildlife Practitioners
24
Notes