Our price list is below these comments. What follows is Dr Sutton’s pricing philosophy that has developed over 26 years. Our goal is to provide exceptional medicine at an reasonable price.
Practicing medicine is more fun and far more satisfying when clients can afford the medications and procedures we recommend for their pets! We have an amazing staff of high quality employees and the latest veterinary high tech equipment, but we are more economical than many of the vet clinics in the area. Dr Sutton knows—She did relief work in many of the local clinics. We believe our prices are extremely reasonable considering the high level of care we provide. Remember, Dr Sutton is a former ER/critical care vet and some of her “Type A” personality traits persist. There are several nonprofit organizations in town that receive millions of dollars in donations each year. We are not one of those clinics but we do strive to be affordable. Our greatest goal is to be THE BEST MEDICINE!
Don't be fooled by the "cottage appearance" of our clinic!! Dr Sutton has a weakness for technology and doesn't suffer outdated equipment. We have top end digital xray and digital dental xray machines. We have the same fancy model Phillips ultrasound unit that 2 of the cardiologists in town use. We have many fluid pumps. We have an oxygen cage. We have a TonoVet and slit lamp. We have end tidal CO machines and most every anesthetic monitoring gadget. (Dr Sutton is very type A about anesthesia.) We have the Cadillac of dental machines. We have a Cutting Edge class 4 therapy laser (the same type that many chiropractors use). We send much of our labwork out to reference labs (to save clients money), but when we have a sick pet we have the same suite of IDEXX laboratory equipment that both the local specialty/ER hospitals have. There may be big hospitals in the area who pay large rent or mortgage, but DR SUTTON OWNS HER BUILDING OUTRIGHT. This gives her the ability to have high end medical equipment and pay her staff well (which has resulted in staff retention and attaining the best nursing team of any general practice in the area). Additionally, her current awesome team of veterinarians has a combined total of over a century of "years in practice". She bought the building in 2013 when it was run down (when the Florida commercial real estate market was still "on sale"), and she transformed it into a lovely hospital with fabulous flow. All those years that she would set up veterinary clinics in 3rd world countries gave her an "eye" for this. She saw what great bones the little 2,200 square feet cottage building had back in 2012. It was a sad little building in need of some serious TLC. Today it is a smooth running medical center but maintains it's cottage charm. Ultimately this means to YOU that you aren't paying for a mortgage. When you bring Fluffy to our hospital, you are paying for our experienced staff, the medications and our state of the art medical equipment. When you understand this bigger financial picture, our beloved hospital building becomes very attractive.
We try to keep charging for hospitalization simple and reasonable. For ill pets requiring hospitalization, we do not nickel and dime and count every injection given. Hospitalization on IV fluids with injections at Tequesta VetClinic typically runs $375 per day. For pets not requiring iv fluids the daily hospitalization (medication/evaluation/nursing care) is $175 per day. If it is 3 injections or 8 injections (such as anti-nausea meds, antibiotics, narcotics, stomach protectants, etc) life is too short to try to keep clients abreast of their mounting daily bill. We don’t charge for each additional bag of fluids each day. If a pet chews out the IV catheter we won’t charge you for another. We will simply replace it and proceed with our day. A few injectable meds are so expensive that they don’t count in this price. If a pet is particularly ill she will encourage clients to take the pet to one of the fine local 24 hour critical care facilities. If they are unable or unwilling, if she keeps a pet overnight and goes back to the hospital to check on the pet during the night, there may be an overnight fee. She chose a clinic location a mile from her home so that she could do this when needed. Blood work, X-rays, and procedures will be discussed with the client before performed as they must be charged for separately from hospitalization.
All pain medications are reasonably priced. All procedures and hospitalized patients on IV fluids will receive local anesthesia as part of the procedure a NO CHARGE. We charge minimally for the injections of anti-inflammatory and narcotic injections (typically $10 per injection) that we give with surgical and dental procedures. We incorporate multi-modal analgesia and local anesthesia into all of our surgical procedures. Dr Sutton is a big proponent of of pain meds, nerve blocks whenever they can be incorporated, anti-inflammatories and multimodal pain control.
Anesthesia: Some hospitals ask clients to choose if labwork or IV catheters or pain meds or anesthetic monitoring machines (ECG, pulse oximetry, end tidal carbon dioxide monitoring, blood pressure monitoring) are authorized for medical procedures. They choose these options when they sign the medical release form. This has always baffled Dr Sutton that some doctors let owners choose if a pet receives pain meds or anesthetic monitoring. At Tequesta Vet Clinic, IT IS A GIVEN that an IV catheter will be in place if pet is anesthetized. IT IS A GIVEN that we will monitor a pet closely while under anesthesia with our monitors. The cost of anesthesia and procedural packages reflect these “safety nets”
ALL PATIENTS UNDERGOING ANESTHESIA RECEIVE AN INJECTION OF CERENIA. THIS MEDICATION DECREASES PERIOPERATIVE NAUSEA THAT CAN OCCUR FROM ANESTHESIA AND PAIN MEDS. WE CHARGE $20 PER PATIENT ANESTHETIZED WHICH IN GENERAL COVERS THE COST OF THIS EXPENSIVE MEDICATION. When we use it for sick pets it is charged at a higher price based on the patient's weight. Since Dr Sutton began giving cerenia prophylactically to ALL anesthetized patients we've seen the incidence of tummy upset drop dramatically. Cerenia also has some analgesic qualities.
Owners of older pets will be required to perform bloodwork before anesthesia, but owners may opt to decline bloodwork for very young healthy pets. For this reason, bloodwork is NOT included in the package price. A junior profile costs less than an extensive senior profile. Post operative pain medications are reasonably priced and also not included in the cost of prodedural packages. Again, we tailor medications to the pet and the pet's size.
All our doctors and vet nurses at Tequesta Vet Clinic use our high quality ultrasound. We have variable skill set, but we use it all day long. In April of 2019 Dr Joi upgraded her "nice" ultrasound to what could be described as the "racecar" of ultrasound units. Dr Sutton bought her first ultrasound in January, 2014. We are clearly not internists nor radiologists, but we can often identify diseases in our practice without having to send you to a specialist. Sometimes we can identify enough to know that we should refer you to a specialist! We typically charge between $50 (for simple focused exams) up to $100 (for Global FAST scans) in our clinic. We are still "learning to drive", but we have the "racecar" of ultrasound units which challenges us to continue to improve our skills. Our in house ultrasound scans may direct us to send you to a specialist for a formal ultrasound, or we may just make the diagnosis ourselves. We use our ultrasound all day long for simple things such as collecting urine to more advanced looks such as during triage of an ill pet.
XRAYS We have a fancy Blue Ridge digital xray unit. Despite the cost of this state of the art xray machine, Dr Sutton is keeping the cost of xrays low between $140 and $175 depending on the number of views. She doesn’t want the cost of xrays to deter clients from accepting this procedure when needed. IF a pet is anesthetized we may drop the cost of xrays as it saves time and radiation exposure to our precious staff. What good is a glorious machine if it sits unused in the corner?
Dentals: We perform a lot of dentals at Tequesta Vet Clinic and pride ourselves on our dental care. We get many new clients specifically because our dentals are affordably priced.
How we charge out dental procedures at Tequesta Vet Clinic:
All dental packages receive pre-medication, an iv catheter, iv fluids, general anesthesia, anesthetic monitoring, nerve blocks, dental cleaning and polishing of the teeth, the bair hugger and full mouth dental xrays as part of the dental package. We monitor blood pressure, end tidal carbon dioxide output, ECG, pulse oximetry, temperature, heart rate and respiratory rate throughout the procedure. When we anesthetize a pet we utilize all the safety nets in our arsenal. We expect pre-anesthetic blood work within a few months of anesthesia and offer pre-anesthetic global FAST exams the morning of the procedure to help minimize any anesthetic risk. We incorporate courtesy dental nerve blocks for free to keep the pet on the lowest plane of anesthesia possible for the pet’s safety. DENTAL XRAYS ARE FREE WITH DENTALS.
If there are no extractions we do all the above for $295! We encourage early intervention and reward clients for this by charging a modest $295 for all the bells and whistles mentioned above. We call this a “Level 1” dental.
If there are extractions there will typically be a $10 fee for each hydromorphone (or buprenorphine) injection and $10 for an injection of an anti-inflammatory drug. Pain management is not optional. We will give narcotics and anti-inflammatory meds if a pet has extractions. Typically we give one anti-inflammatory med and one narcotic to each pet that gets extractions. Again, nerve blocks, our therapeutic laser for analgesia are FREE.
If the dental requires extractions, clearly there is added anesthesia time, sterile surgical instruments, suture, doctor time, nursing time and nerve blocks. We don't charge "per tooth" extraction time as sometimes teeth just fall out whereas other times it may be quite tricky. Dr Sutton is a pretty efficient surgeon, and tries very hard to keep the bill low. Of course, for each extra 15 minutes of surgery time there is anesthesia time and nursing care---We charge $100 per added 15 minutes of time over the routine "level 1" dental.
For up to 15 min of surgery time the dental is $395. We call this a “Level 2” dental.
For procedures requiring more than 15 minutes but less than 30 minutes of surgical time, the price to $495. We call this a “Level 3” dental.
For procedures requiring more than 30 minutes of surgical time the price for the dental is $595. We call this a “Level 4” dental.
For procedures requiring more than 45 minutes of surgical time the price for the dental is $695. We call this a “Level 5” dental.
For procedures requiring more than 60 minutes of surgical time the price for the dental is $795. We call this a “Level 6” dental.
We try not to keep pets under anesthesia longer than 90 minutes. If a pet is doing well under anesthesia we may extend the dental beyond that, but we take into account how the pet is doing including vital signs, blood pressure, end tidal CO2 and temperature. IF there is more pathology than we can do under one anesthetic procedure, we may wake the pet up and reschedule a 2nd dental procedure. If the same pet has a dental within 4 months of the original dental, we will discount the “phase 2 dental” by $100, using the same parameters as above ($295, $395, $495, $595 or $695).
The dental packages do NOT include blood work prior to the procedure nor antibiotic injections nor any anti-inflammatory and narcotic injections nor medications that go home after the dental. (We include any nerve blocks and our class 4 therapeutic laser to decrease pain intra-op and post-op as a courtesy.) Any medication prescriptions that go home with pets after a dental or procedure are not included in the procedural packages. A five pound chihuahua needs far less milligrams of whatever medication than a 100 pound dane.
We are unable to take dental xrays without general anesthesia as the sensor that goes in the mouth for our digital xray unit costs $8,900 and if a pet chomps on it, we must replace it.
Our nursing staff is amazing at taking dental xrays! It typically takes them about 5 minutes for a small pet up to 10 minutes for a large pet at the onset of anesthesia to take full mouth dental radiographs.
ALL PETS UNDERGOING ANESTHESIA RECEIVE AN INJECTION OF THE ANTI-NAUSEA MED, CERENIA. THIS IS AN ADDITIONAL $20. Since Dr Sutton started this in 2016, peri-operative inappetence/nausea is now a rarity at TVC.
You can clearly see that early intervention keeps dental care affordable. We send a courtesy “dental kit” home with patients to help owners keep the teeth healthy. We strive to make dental care affordable.
Pharmacy items will be fairly priced! Nothing irritates Dr Sutton like waiting on hold with the employees on 1-800-Pet-Meds! This is especially irritating when our products are usually less costly than the price of online pharmacies as we don’t have to pay for shipping. If there is a product that Tequesta Vet Clinic doesn’t carry, please be considerate and use the Home Delivery tab on THIS website. Furthermore, Tequesta Vet Clinic strives to make Long-term arthritis medications as affordable as possible. We don’t want older pets to live in pain because clients can’t afford medications. We carry the generics of Rimadyl and Metacam and charge minimally for adjunctive pain meds such as tramadol and gabapentin.
As any clinic or pharmacy, we have to mark up medications and supplies to pay for staff time, taxes, even the meds that don’t get used because they expire on the shelf. We nonetheless try to keep meds extremely affordable, especially heartworm meds, flea meds and arthritis/pain meds. We verify that our heartworm and flea prices are cheaper than those on Pet Meds because we won’t pay our staff to fax authorization forms to Pet Meds or other online pharmacies..
Years ago when Dr Sutton was an ER vet various board-certified surgeons would come in to cut some of the more complicated surgeries at the hospital where she worked. One of these surgeons (who was every bit as good and probably better than the rest of the surgeons) repeatedly charged less than the other surgeons. Dr Sutton mentioned this to him one night. His response was that he loved his career and that he was “out to make a living, not a killing”. All these years later, Dr Sutton finds herself in a similar position. She loves her career. She loves helping animals. She knows that if she charges reasonable prices (while providing high quality care), she will help more animals. If people can afford diagnostics and treatments, she will be challenged medically and have better job satisfaction. After 26 years in practice her student loans are long paid off. She lives a simple lifestyle in a simple old florida home. She needs to make a living, not a killing. She would rather be challenged in her career than live a fancy lifestyle. By doing much of the building construction of the clinic herself, she managed to keep the building and loan overhead down to a minimum.
Dr Sutton’s greatest business expense is her high quality staff, and they are worth every penny. They are hand-picked individuals who she trusts to not only work with your pets but her own pets.
Exam fee: $55 for existing patients
Exam fee for NEW patients: $65 (We need to collect and sort through prior information from prior vets, make you a chart, etc)
Brief exam: $45
Surgical recheck: free
Extended examination fee (ie first diabetic, multiple issues for new client exam, etc): $75
Puppy / Kitten progress exams: $30 after an initial $65 consultation. We like to spend extra with the babies and owners on the first visit to set you up for success!
Health certificate for travel within the USA (in addition to exam fee) $40 (plus the exam fee)
Health certificate for international travel: $100 (in addition to the exam fee)—there is a lot of time and paperwork involved!
Please know that we only use non-adjuvented vaccines. These vaccines are quite expensive compared to many of the vaccines on the market, but we know that clients are unaware of the quality difference and might "price shop" vaccinations. We don't mark our vaccines up but a smidge to pay out staff to give the vaccinations because we want our beloved patients to get the very safest vaccines on the market. We utilize 3 year vaccination schedules whenever possible and vaccinate based on the lifestyle of the pet. Please read the vaccine tab on this website. We want our clients to be involved in vaccination choices for their pets. We adhere to current vaccination recommendations by AAHA and AAFP. For many vaccines, the duration of immunity in adult pets is up to 3 years. Each year you will receive an email reminder for your annual exam and “evaluation of vaccination status”. Each year we assess a pet’s lifestyle and risk for disease. Clients will be involved in choosing appropriate vaccines. For older pets we are happy to perform vaccination titers for owners.
Rabies $35–canine, 1 yr or 3 yr
Rabies $35–feline, 1 yr or rabies 3 yr $50 (non-adjuvented Merial Purevax vaccine)
canine DHLPP (includes 4 way Lepto) $45
canine DHPP $30
canine Lepto 4 way $25
canine BORDETELLA (intranasal or oral) $30
feline FVRCP $30
feline FELV $35 (This vaccine is the Merial Purevax leukemia vaccine.)
canine influenza vaccine $35
Other common procedures
Nail trim $0-25 (depending on difficulty)
Anal sac expression $25
Ear clean 10-$20 (depending on severity)
Therapeutic groom 0- $60 (depending on severity)
Fluoroscein stain eye and slit lamp fee $20
Schirmer tear test $15
2 to 4 views: $140, five to 7 views: $155, 8 or more views $175
Common Laboratory: (Lab profiles further down price list)
Bloodwork—see Antech profile info below
UA $50 (most urinalyses are done in house as fresh samples have less artifactual issues) If we do a follow up in house UA post infection or issue the follow up UA fee is $40
Fecal $35 (includes fecal antigens sent out concurrently)
Ear cytology $20. If we do follow up ear cytology after initial treatment, it is $15
Blood glucose $10, initial. $5-10 additional (Clients with diabetic pets may be able to run their own blood glucose curves with Dr Sutton’s “loaner” AlphaTrak glucometer at a much lower cost.)
Fine needle biopsy sample collection $15 (cytopath charged separately)
Skin scraping $20-30
Cytology (read by veterinary pathologist) $130
In house cytology (swab or tape prep) $20-30
Blood pressure (systolic pressure checked with Parks ultrasonic doppler unit): $20 for awake pet. Note, all pets under anesthesia have their blood pressure monitored at no charge.
$15-25 for most medications. We charge more for particularly expensive meds such as convenia or cerenia or Cytopoint.
INJECTION MIDAZOLAM and/or BUTORPHANOL $25
LIGHT SEDATIVE TO FACILITATE PROCEDURE $45
MODERATE SEDATIVE WITH REVERSAL $45-85
GENERAL ANESTHESIA BASED ON TIME OF PROCEDURE AND INCLUDE IN PACKAGE PRICE OF PROCEDURES
Injection costs of narcotics vary. If part of a procedure we usually don't charge for it. If it is an outpatient, we will likely charge for hydromorphone or buprenorphine. We now also carry Simbadol, the only FDA approved narcotic for cats (available since January of 2015). It is buprenorphine that lasts 24 hours! We also carry several sizes of fentanyl patches and those costs vary based on pet size. We occasionally will utilize fentanyl CRIs (constant rate infusions) which require IV fluids and a whole lotta math and monitoring. Whatever the situation, know that we are aggressive about pain control and charge very fairly.
Spays and neuters:
Spay and neuter package prices are based on the pet’s weight. (Larger pets require larger amounts of anesthetics, suture, and disposables than small pet.) Spay and neuter packages include IV catheters and intra-operative IV fluids, anesthesia, anesthetic monitoring, and local anesthesia. Prescriptions that may go home afterwards are not included in the package price. She often sends dogs home with anti-inflammatory and narcotic meds for a couple days post-operatively. Cats typically get onsior and buprenorphine. Blood work on young pets is optional (but encouraged) and not included in these package pricing. An in house chemistry profile (VetScan) is $85 if chosen on the day of, but typically we offer labwork prior to the day of surgery that is more economical (cbc/chem) as labwork sent out is more affordable. Middle-aged and older pets will be strongly advised to have blood work prior to anesthesia. Examinations are required for our patients prior to surgical procedures. Pets will of course be examined the day of the procedure, but Tequesta Vet Clinic requires an exam prior to surgery day to evaluate if there are issues prior to placing a pet under anesthesia, to ensure all vaccines are current prior to hospitalization for the surgery, etc. Rarely will Dr Sutton allow the initial surgery to be the day of the spay or neuter. This is for the pet’s benefit. The prices below are for surgery but you can expect to spend another fifty bucks or so for injections of analgesia and analgesics to go home. (Perioperative anti-inflammatories and narcotics are charged at an affordable $10 per injection.)
Dog Spays: < 25 lb: $315, 25-50 lb: $350, 51-75 lb: $385, 76-90 lb: $445, >90 lb $500
Dog Neuters: < 25 lb: $285, 25-50 lb: $315, 51-75 lb: $330, 76-90 lb: $350, >90 lb $400
Cat spay: $270
Cat neuter: $170
AGAIN, ALL PROCEDURES INCLUDE IV CATHETER AND FLUIDS, ANESTHESIA, ANESTHETIC MONITORING, AND LOCAL ANESTHESIA. We try our best to make charging simple with no hidden fees. Blood work and go-home meds and analgesic injections are are not included in the package pricing.
Other surgical procedures:
Surgical procedures such as lacerations and mass removals require an examination so that Dr Sutton can evaluate the situation before the pet presents for surgery. Dr Sutton will provide an estimate when you bring your pet for evaluation.
We strive to offer economical bloodwork and laboratory prices to encourage clients to test their pets! The Antech and Idexx wellness profiles are particularly cost effective. We get outside results typically within 12 to 24 hours. Profiles are provided by Antech Diagnostic Lab or Idexx Laboratory except for the tests run in house. When we need bloodwork answers right away we can run the labwork in-house, but in house diagnostics cost more due to staff time and equipment supplies. Dr Sutton Particularly likes the "junior wellness" and "senior wellness" profiles as they are like getting the annual heartworm test for free!
In house labs:
$175 for STAT IDEXX in house cbc, chemistry profile, T4, SDMA, Urinalysis--We utilize this large profile when we have an ill pet in the hospital and we need results promptly!
$85 Vetscan in house blood chemistry (chemistry/electrolytes/hematocrit) for in house pre-op spay or neuter if we haven't already sent labwork out to the outside reference lab (which is more affordable)
$35 fecal floatation by centrifugation AND FECAL ANTIGENS. Fecal antigens are a very sensitive fecal test and handy because some worms may intermittently shed their eggs into the stool. The fecal float is long what we had to identify worms. Fecal Antigens is a newer fancy test for whipworms, hookworms and roundworms.
$50 urinalysis (whether sent to lab or done by Dr Sutton), $25 for in house urine culture screen, $35 for follow up ua and culture screen
$50 felv/fiv test
$50 heartworm test (heartworm, ehrlichia, anaplasma, lyme)--Note: We discount the 4dx test to $30 when a client allows us to run a junior profile as we strongly encourage early diagnosis of disease
Lab profiles to outside labs are usually better priced than in house labwork. Most of our dog and cat blood profiles are between $60 and $140. For example, a cbc/chemistry/heartworm/anaplasma/ehrlichia/lyme profile is $90. A follow up cbc/superchem/T4/ua is $100. A superchem/cbc is $100. Senior profiles are usually $120-140.
Dr Sutton does not believe in de-clawing cats. She understands that many veterinarians perform de-claws, but urges clients to read about them on the AAFP website. Many clients don’t understand that it is actually the last bone of the fingers removed, not only the claw. If clients choose to have their cat de-clawed, she urges them to find a vet who uses multi-modal analgesia including nerve blocks, narcotics, an anti-inflammatory and USES SURGICAL LASER for this procedure. Dr Sutton has met several cats over the years whose owners tell her their cats were never quite the same once they were de-clawed. We can teach clients tips to successfully trimming their cat’s nails.
EUTHANASIA: This includes a sedative given under the skin prior to euthanasia. By taking our time and spreading out the injections (usually 5 to 10 minutes for the Telazol to take effect), euthanasias are much less stressful for clients and pets. The pet is quite groggy for the second injection which goes IV.
The euthanasia fee is as follows:
Pets up to 30 pounds: $120
Pets 31 to 65 pounds: $130
Pets greater than 65 pounds: $145
Cremation service prices:
COMMUNAL CREMATION and transport of pet after euthanasia (ashes not returned):
<30 lb $100
31-65 lb $110
65-80 lb $140, if over 81 $155, if over 100 lb $170
PRIVATE CREMATION of pet after euthanasia (ashes to be picked up by owner at Tequesta Vet Clinic):
<30 lb $180
31-65 lb $200
65-80 lb $230
pets greater than 81 lb $250
We provide one courtesy clay pawprint for pets whom we organize cremation. (If a family wants a 2nd pawprint when we organize cremation it is an additional $30.)
Dr Sutton has owned 2 house call practices over her career. And though it is difficult and heartbreaking to say goodbye to our beloved pets, it is much nicer for the pet when this happens in the pet's home environment.
Now that we have several veterinarians at Tequesta Vet Clinic, Dr Sutton is willing to do "home euthanasia" for our current clients when the schedule allows. This is for our current clients who live within a perimeter of the clinic. There is an additional $100 fee for current clients who live within 5 miles of the clinic. There is an additional $150 for clients who live within 10 miles of the clinic.
For new clients we do ask that they come to the clinic for a consultation and evaluation of the pet's illness. At the clinic we have diagnostic equipment to better evaluate the health of the pet to help families determine if it is time to say goodbye. If a pet has a clear cut diagnosis such as cancer or organ failure and has been receiving current medical care at another clinic, we will consider a home euthanasia without a prior consult at our clinic. If a pet simply seems to be "slowing down", we want the pet to come to the clinic for a medical work up----We want to give the pet every chance to have improved quality of life before making such a grave choice as euthanasia.
Euthanasia includes a sedative given under the skin prior to euthanasia. By taking our time and spreading out the injections (usually 5 to 10 minutes for the sedative to take effect), euthanasia is much less stressful for clients and pets. We give a small volume injection of the sedative through a tiny little needle then let the pet relax. The pet is quite groggy for the second injection which goes IV.