Updated October 15, 2026

To set veterinary prices, calculate the cost of delivering care, establish your desired profit margin, and review the total price of commonly purchased service bundles.

Then consider client affordability, the value you deliver, and what you actually collect after discounts. Track service volume and profitability after making changes.

Your costs are up. Your team wants better wages. Your clients are already complaining about their bills.

Time to raise prices? Maybe. Let’s think this through.

There are good reasons to increase veterinary fees, but “everything costs more” is a poor substitute for a pricing strategy. Before you change the numbers in your software, understand what you need to earn, what your clients are buying, and whether your team believes the services are worth what you charge.

 

The Case for Raising Prices

 

Your Costs Have Increased

 

Wages, benefits, reference laboratory fees, medical supplies, software subscriptions: You don’t need an economist to tell you when your expenses have gone up. You need your income statement.

General inflation figures provide context, but they don’t tell you how much to increase your fees. Your hospital’s expenses may be rising faster or slower than the average consumer’s shopping basket.

Look at your actual costs. Which have increased? By how much? Have expenses grown because suppliers charge more, because you’re doing more business, or because you’re using resources inefficiently?

Those are three different problems. A price increase may help with one while allowing another to get worse.

 

You Need to Pay People Well

 

If you want experienced employees who can explain care, manage complicated cases, and keep their heads when everyone else is losing theirs, you have to pay for them.

That requires revenue. It also requires a plan for how their skills will be used.

Before concluding that payroll is too high, ask whether your technicians spend their days doing work that requires their training. Are doctors doing tasks that someone else could handle? Are employees repeatedly calling clients because your communication system makes every exchange a small production? Go to Design Thinking and team exercises for efficiency to help your entire team explore ways to streamline and improve service.

Raise prices when necessary to support good compensation, but make sure you’ve built a workplace where that investment can pay off.

 

Your Prices May Never Have Made Sense

 

Many veterinary fee schedules are collections of inherited decisions.

Someone copied prices from a previous employer. Someone added a percentage. Someone objected to the new nail-trim fee, so it went back down. Meanwhile, a laboratory test that once cost $22 now costs $38, and nobody noticed.

Before applying another increase to the whole thing, find out what you’re starting with.

 

The Case AGAINST Raising Prices

 

Higher Revenue Can Distort The Real Growth Story

 

A higher average invoice can make your revenue look reassuring even as fewer clients walk through the door.

Recent industry data show why this deserves attention. In Vetsource’s August 16–22, 2026 report, participating practices’ revenue over the preceding 12 months was up 3.4%, while visits were down 2%. That doesn’t establish that prices caused the decline, but it does show why revenue alone is an incomplete measure of growth.

If your prices rise while visits, active patients, and acceptance of recommended care fall, investigate. You may be collecting more today while weakening the relationships that bring business tomorrow.

 

Clients Have Different Financial Limits

 

Some clients can absorb a higher invoice. Others are deciding which part of your recommendation they can afford.

Neither tells you how much they love their pet.

An owner who declines a blood profile may understand its value perfectly. Understanding and having the money are two different things.

Keep this in mind when pricing commonly recommended care. An attractive entry price accomplishes very little if the complete visit costs far more than the client expected.

 

Your Team Doesn’t Believe You

 

Employees hear the complaints. They see clients hesitate, remove items from estimates, or leave without scheduling.

If your explanation for a fee increase is “management wants us to,” don’t expect enthusiastic support.

Your team should understand what the price covers, why the service matters, and how the revenue supports the hospital. Give them a chance to question the changes before asking them to explain those changes to clients.

 

How Do You Calculate Veterinary Service Prices?

 

Cost-Plus Pricing

 

Cost-plus pricing begins with the cost of delivering a service and adds an allowance for profit.

If you know the total cost and want a particular profit margin, the formula is:

Price = Total cost ÷ (1 − Desired profit margin)

If a service costs $100 to deliver and you want a 20% profit margin:

$100 ÷ 0.80 = $125

What Costs Belong in a Veterinary Service Price?

The more difficult question is what belongs in “total cost.”

For a vaccine, the product and syringe are easy enough to identify. What about the technician’s time? The doctor’s time? Refrigeration, rent, recordkeeping, and cleaning?

Those expenses need to be paid, too.

Allocate Overhead Once

A useful pricing model accounts for shared expenses without charging for the same expense repeatedly.

If several appointments happen at once, you need a reasonable way to distribute overhead across the work your hospital performs. Dividing all hospital expenses by one doctor’s appointment minutes, while overlooking other revenue-producing activity, can distort the result.

The opposite mistake is pricing every service as though the only expense were the item you purchased.

Use realistic staffing, appointment volume, and capacity assumptions. Then check whether the revenue your model predicts actually covers your hospital’s expenses and profit goal.

Value-Based Pricing

Costs help establish what you need to collect. They don’t fully explain what makes your service worth buying.

Consider two appointments for a dog with a persistent skin problem.

At one practice, the owner repeats the history, receives another prescription, and leaves wondering whether anything will change.

At another, the team reviews previous records, explains the diagnostic plan, demonstrates treatment, and arranges follow-up.

Both invoices may say “exam.” Are the clients buying the same experience?

The value comes from the expertise, attention, convenience, and follow-through you deliver.

There’s plenty to discuss with your team:

  • Does your treatment plan explain care or service? Are you charging for things or attention to how the patient feels and the emotional needs of the client? For example, is the 75 dollar daily hospitalization fee,  ‘Every day of your pet’s stay, you pay’ or is it ‘individual attention by an LVT ensuring your pet is pain and stress free, progressing, and being medicated professionally, not ‘pet pilled’ ‘?
  • Do clients understand why the service helps them, not the practice or your ‘standards’.
  • Are you making treatment easier to carry out at home? Does service start before the client arrives and lasts long after they leave?
  • How beneficial is it to have a live, engaged person employed in the neighborhood to monitor a pet’s progress after treatment? To what extent are you and your team always available to troubleshoot any medical treatment or patient case that doesn’t go as planned?

These questions can reveal services you’ve undervalued. They can also expose promises your hospital isn’t consistently keeping.

What Is the Difference Between Markup and Profit Margin?

Markup is the amount added to cost, expressed as a percentage of cost.

Profit margin is the amount remaining after the costs included in your calculation, expressed as a percentage of the selling price.

The distinction seems trifling, but is very important. Because team members conflate the two, they often believe that markup = profit. Not true. Margin is profit, markup is how you get there. Here's an example.

Here, margin refers to profit after the costs included in the calculation; it is not net profit unless all expenses are included.

Let's say that you want to earn a 20% margin on an item that costs you $100. Most would say that the price should be $120, but that's not correct. The correct answer is $125. To see why, let's look at the formulas for margin and markup:

Markup % = (Price − Cost) ÷ Cost × 100
Margin % = (Price − Cost) ÷ Price × 100

With these formulas (and some algebra our 8th grade teachers swore would one day come in handy), we can prove that the above is true. For the algebra, write 20% as the decimal 0.20:

Margin = (Price − Cost) ÷ Price

0.20 = (P − 100) ÷ P

Multiply both sides by P:
0.20P = P − 100

Subtract 0.20P from both sides:
0 = 0.80P − 100

Add 100 to both sides:
100 = 0.80P

Divide both sides by 0.80:
P = $125

If you want to keep things simple, just use this formula:

Price = Cost ÷ (1 − Desired margin)
Enter the desired margin as a decimal.
$100 ÷ (1 − 0.20) = $100 ÷ 0.80 = $125

That's a 20% margin after the included cost, using a 25% markup.

Pricing with Direct Costs

In our industry, cost-to-revenue benchmarks are used for categories such as pharmacy, prescription diets, and laboratory tests. These direct cost ratios can help you determine what your markup should be for similar items at your hospital.

If you have a direct cost benchmark ratio you are trying to replicate at your hospital, use this formula to determine the price you need to set for the item:

Price = Cost of item ÷ Benchmark direct cost ratio
Enter the ratio as a decimal.

For an item that costs $10 with a benchmark direct cost ratio of 20%:

Price = $10 ÷ 0.20 = $50

If you are entering that into your software as a percent markup:

Markup % = (Price − Cost) ÷ Cost × 100
($50 − $10) ÷ $10 = 4
4 × 100 = 400% markup

A 20% direct cost ratio leaves an 80% margin after that direct cost. That remaining amount must still cover other expenses before you arrive at net profit.

How Do You Price Veterinary Service Bundles?

 

Clients have to pay the total at the bottom of the estimate. Provided they believe the total is fair, they won’t argue with the individual line items comprising it.

That makes common combinations of services an important part of any pricing review. Look at a typical wellness visit, an itchy-dog appointment, a dental procedure, and a chronic-disease recheck.

For each, consider the supplies, staff time, doctor time, and share of overhead involved. Then look at the complete charge.

You may discover that an inexpensive exam is paired with expensive diagnostics to make the visit profitable. You may find that every line item looks reasonable on its own, but the total discourages clients from proceeding.

Neither problem is easy to see when you review one fee at a time.

 

Veterinary Pricing Calculator: A Worked Bundle Example

 

This example allocates per-minute hospital costs across concurrent procedures, adds materials and laboratory costs, and calculates a price at a 20% margin on the included costs.

Target price = {[(fixed costs + wages + shrinkage) ÷ concurrent procedures] × minutes + materials + laboratory costs} ÷ (1 − desired margin)

 

Example inputs: fixed costs of $1.95 per minute, wages of $2.33 per minute, shrinkage allowance of $0.07 per minute, and 1.2 concurrent procedures. The total uses unrounded calculations. These are illustrative costs and services, not current fee recommendations or a recommendation that every patient receive every listed service. For help building a calculator for your hospital, reach out to Bash for a brief consultation.

 

Use Add-On Pricing Thoughtfully

 

A service may cost less to provide during an existing appointment than during a separate visit.

If the patient is already present and the team is already collecting blood, adding another appropriate test may require relatively little additional work.

That can create room for an appealing bundled price, but consider the additional supplies, labor, interpretation, and follow-up, and check that the complete visit remains profitable.

Top Ways to Improve Veterinary Revenue Without Raising Prices

Veterinary professional reviewing a treatment plan with an elderly woman holding her elderly Shih Tzu

Many hospitals are so busy, and managers so spread thin, that important financial details go unexamined. Meanwhile, opportunities to grow revenue and reduce expenses sit right under our noses.

Taking advantage of these opportunities can bring us closer to our mission, improve service, strengthen our competitiveness, and reduce the need for major price hikes. Here’s where I would look first.

1. Improve Compliance With Recommended Care

I'm sure I sound like a broken record at this point, but for those of you that know me, compliance is a refrain I am constantly singing. I have been reviewing hospitals for 17 years now and almost always there are significant opportunities to improve compliance to services that are directly in line with your mission: services that support long-term pet health as well as ones that signal your interest in helping clients and being a proactive steward of their animal's care.

Dental care, appropriate non-core vaccinations, flea, tick and heartworm prevention, parasite testing, and wellness laboratory services are all worth reviewing. Ensuring that reminders are accurate and updated, forward booking, and a consistent follow through protocol for geriatric patients or patients with chronic illness are also high on my list.

As a team, identify what you believe constitutes ideal care for routine visits and commonly seen conditions. Then measure how often eligible patients receive the individual elements of that care.

Watch change over time and between team members, not as a way to single out those with lower records of compliance, but as a way to learn how the best in your hospital are so successful. Where are recommendations falling through? Look at the behavior, communication, and team attitudes that help clients move forward—or cause them to hesitate. Does everyone believe in the recommendation? Are we explaining it clearly? Are we making it easy to act?

Improving compliance is an excellent way to underline your expertise and deliver on your mission to take excellent care of clients and patients. If you’d like help building a practical compliance initiative, reach out to Bash Halow.

2. Compete for the Pharmacy Business Going Elsewhere

Chewy, CVS, Walmart, and other retailers have made purchasing medications convenient. What have we done to compete?

Some hospitals respond by making outside prescriptions difficult to obtain: “We don’t provide prescriptions over the phone. You have to come in and pick one up.”

To a client, that can feel punitive. It creates resentment without addressing why the client wanted to shop elsewhere. Moreover, your poor CSRs, who were hired to help clients solve problems, are put in the difficult position of making their problems worse!

Clients aren't shopping at Walmart or Chewy because they don't like you, they're buying there because those sites are offering them something you don't:

  • 24-hour ability to shop
  • Reminders that their products are available for sale appearing on most webpages that they visit
  • Lower cost
  • The convenience of home delivery

Signal to clients that you understand their needs. Online pharmacies like Koala do an excellent job at helping you organize all client rx requests for outside pharmacies and then reach out professionally and courteously on your behalf to convert those sales to you. They have a 65% conversion rate. Moreover, they retain those sales without being intrusive to the client's privacy.

Ask prospective partners how they support refills, long-term medications, preventive purchases, and prescription diets. Review the practice’s return, client pricing, service standards, and any fees.

A well-run home-delivery program can help you retain pharmacy income while giving clients the convenience they were looking for in the first place.

3. Revisit Credit Card Processing Costs

If your practice processes $1 million in card payments at an effective processing rate of 3%, that’s $30,000 a year.

Part of the economics behind credit card rewards comes from interchange fees built into the cost of accepting cards. So yes, your practice helps support the system that delivers clients’ airline miles and other perks—although processing fees also support payment services and aren’t all spent on rewards.

It’s worth asking whether your practice should absorb the entire expense.

Providers such as CDP Payments offer cash-discount, dual-pricing, or credit-card surcharge programs designed to shift some or all of that cost to the payment choice.

These approaches have different requirements. A cash discount reduces the standard price; a surcharge adds a fee for an eligible credit-card payment. Have your provider confirm applicable state requirements, card-network limits, disclosures, and the treatment of debit cards before implementing a program. Visa prohibits surcharges on debit and prepaid cards.

Still, passing along some merchant fees—which can total tens of thousands of dollars a year—can deliver substantial savings. The practice is being widely adopted by many businesses including dentists, doctors, butchers, car mechanics, health spas and so forth. Asking clients to cover that cost may initially feel at odds with your generous nature, but you aren't punishing your clients. You’re questioning why your hospital should absorb the cost of rewards programs designed to grow credit card companies’ businesses, not yours.

4. Have Someone Go to Bat for Your Laboratory Costs

When was the last time someone reviewed your laboratory agreement alongside the tests you actually requisition?

A discount percentage alone doesn’t tell you whether you have a good deal. The prices of your frequently used tests, annual increases, spending commitments, equipment obligations, and contract terms all affect what you ultimately pay.

Independent specialists such as Amwell Data Services provide veterinary laboratory consulting, including contract analysis and negotiation. The company also identifies examples of missing or incorrectly applied discounts—another reason to review invoices as well as agreements.

Ask a reviewer to explain where savings may exist, what changes would be required, and how their own compensation works.

Reducing the cost of appropriate diagnostics can improve your return without asking the client to pay another dollar.

5. Revisit How You Deliver the Appointment

We allot somewhere between 20 to 45 minutes for an appointment, but the doctor (in my view, the center attraction) is directly involved for only part of that time. What happens during the rest deserves attention.

In my career, I’ve spent a great deal of time watching how hospitals serve clients. Passing a client from employee to employee creates lots of admin work, repeated explanations, opportunities for mistakes, and excessive redundancy.

It can be expensive without producing a particularly good experience.

Bring your team together and walk through a visit from scheduling to follow-up. Where does the client wait? Where does information get repeated? Who owns the next step? Which tasks require the doctor, and which could another trained team member complete?

Read about Design Thinking and use creative exercises to imagine a better visit together. You may find ways to improve the client and team's experience while reducing the work required to deliver both.

6. Look at What Integrated Technology Can Now Do

If your team is spending hours documenting appointments, sending reminders, scheduling visits, and reconciling inventory, take a fresh look at your software options.

Covetrus Pulse, for example, offers cloud-based practice management with integrated or connected tools for AI documentation, client communication, online scheduling, reminders, and inventory workflows. I mention Pulse because it’s the cloud-based system I know best—not because I’m on their payroll. Do your own research and compare it with other systems that fit your hospital’s needs.

One recommendation: choose a company that actively invests in useful integrations with third-party apps. Technology earns its keep when it plays nicely with the other electronic tools in your business. Ask vendors to demonstrate how those connections work with the tools you already use, including what your team will still need to enter manually.

You’re choosing more than today’s features. You’re choosing a company’s ability to keep improving the software as your hospital’s needs change.

dollar and change, veterinary financial benchmarks

Isolate Pricing Potential Using Benchmarks

 

Practice leaders have been drilling into profit for some time. Consequently there are some reliable benchmarks you can look to when deciding whether a category of your inventory or services may be primed for a price hike. Remember that there are usually nuances to all of these numbers, so if you’re not hitting a particular mark, reach out before you freak out.  There’s likely a logical explanation to why your numbers aren’t adding up.

Cost of Goods Sold:  The costs of good sold, or variable expenses, at a general veterinary practice are usually somewhere in the vicinity of 18-22% of total gross revenue.

Indirect or Fixed Costs:  This category includes rent, utilities and other costs that are mostly stable despite business volume. These are usually 20% of gross revenue.

Support staff wages: Including payroll taxes, but not benefits, are usually 20% of gross revenue.

Doctor salaries: Doctor salaries, including payroll taxes, but not benefits, are usually 16-20% of gross revenue.

Direct Cost:  Direct cost is the ratio of money spent for a group of services or products compared to the same group’s revenue.  For example, if we spent 10 dollars for a pot of daisies and sold the same pot for 50 dollars, the direct costs would be 10÷50= 0.20 or 20%. That means that for every 20 cents we spend on daisies, we earn 1 dollar of revenue.

Pharmacy: 42-45%

Laboratory: 25%

Diet: 65%

Make Prices Easier to Say Yes To

 

Once you understand your costs, consider how you present and deliver care.

Talk about what prices do for clients, not for you. Don’t say, “This covers the cost for us to put up with your aggressive dog. Say, “This ensures that Rocky isn’t so anxious or that he gets so scared he thrashes and hurts himself.”

Offer clear care explanations. Lead with your best recommendation. Something along the lines of, “Based on everything you told me, including your concerns about cost; Rocky’s symptoms; and how he is presenting here at the office, I think you should…”

When reviewing the treatment plan, don’t read each line item and the cost. Instead, explain the arc of your care plan. “My goal for treating Rocky is as follows. First, get him feeling better, Second, run tests to understand why he is feeling the way he is. Third, keep the lines of communication and your relationship with him wide open. I don’t want you or him to feel like you are separated even though he is staying with us. Fourth, get him well. Fifth, send him home with everything he needs to prevent this from happening again.” 

Give people a head’s up on costs: “Rocky has mild plaque on his teeth. By next year, we should do a cleaning so he doesn’t get dental disease or have mouth pain. I can give you an idea of what costs might look like so you can be prepared.” Or, “Rocky will be a senior next year. At that point, we will run a wellness blood panel in addition to his regular annual services.”

Consider wellness plans or memberships. These can make spending more predictable and encourage ongoing care. Build the price around the services, usage, and administrative work involved. Monthly payments won’t rescue an unprofitable plan. Reach out to your merchant card provider or Vetbilling.com to see if they can help you manage the payments. 

Use financing carefully. Explain payment options before checkout becomes a crisis. Understand merchant fees and client terms, and include your costs in the business model. Remember that increasingly, merchants are passing fees onto clients. This is a customizable feature through companies like CDP

Explain urgent or same-day fees in intrinsically valuable terms. “This added fee gets Rocky’s issue resolved now. This fee covers individualized care by one of our doctors and licensed veterinary technicians. This fee doesn’t just cover service, it covers care. Rocky is going to be monitored for pain, anxiety and be looked over by people who can read his signs and keep him comfortable.”

 

How Do You Measure Whether a Veterinary Price Increase Worked?

 

You may need a substantial correction in one category and very little change in another.

Model the proposed fees using recent service volumes. Calculate the expected additional revenue and check the effect on common invoices. Remember that this projection assumes clients continue purchasing the same services in the same quantities. See the below sidebar on how to use AI to model these calculations.

If the increases are large, consider implementing them in stages.

Monitor visits, acceptance of recommended care, active clients, category margins, and profit. Ask your team what they’re hearing. Look for patterns rather than allowing one angry client—or one unusually good week—to decide whether the strategy worked.

A successful fee increase should help you pay people well, maintain the hospital, and deliver care that clients continue to choose, but remember, price increases do not fix inefficiencies, team members that don’t work well together, or poor service and communication. They only make them appear to disappear. 

Harried practice manager beside an orange robot dog whose chest screen says Move over, I’ll do it.

3 Ways AI Can Help With Your Veterinary Pricing

You don’t need to start with a blank spreadsheet. Give AI the right information, clear instructions, and firm limits—then check its work.

Expense and revenue reports mapped using AAHA VMG Chart of Accounts

1. Organize Your Numbers and Compare Direct Costs

Give AI your item-level revenues and expenses for the same period, along with the current VMG/AAHA Chart of Accounts and its definitions. Ask it to map the items into the appropriate categories, show its reasoning, and flag anything it cannot classify confidently.

Then have it calculate each category’s direct cost ratio: matched direct costs ÷ category revenue × 100. Ask for industry benchmarks with a named source, publication year, and matching cost definitions. The chart organizes your accounts; it does not, by itself, supply benchmark targets.

Try this prompt

“Map these revenues and expenses to the attached VMG/AAHA Chart of Accounts. Show the original item, assigned account, and any uncertain matches. Calculate direct cost ratios by category. Compare them only with benchmarks you can source and date; identify unavailable data rather than guessing.”

CHECK THE WORK. Reconcile totals to the original reports, review category assignments, and confirm that the costs, revenues, periods, and benchmark definitions match. Purchases may need adjustment for inventory changes before they represent costs of items sold.

Illustrative spreadsheet with fecal usage, unit cost, revenue, and protected wellness fees

2. Model New Fees Without Raising Everything

Provide a list of products or services, their usage, unit costs, current fees, and recorded revenues. Ask AI to calculate fees that meet your target margin after the included costs or your target direct cost ratio—and show the effect on the category overall.

Give it the boundaries: leave specified shopped and wellness services unchanged, do not reduce existing fees, cap individual increases, and flag missing costs instead of inventing them. Have it return the percentage markup your practice software requires.

Try this prompt

“Model fees to reach a [target]% overall direct cost ratio at the same usage. Leave the listed wellness and shopped services unchanged. Do not lower fees or increase any fee more than [cap]%. Show current and proposed fees, markup percentages, added modeled revenue, and the resulting category ratio. Tell me if these limits make the target impossible.”

CHECK THE WORK. Direct cost target: price = cost ÷ target ratio. Margin target: price = included cost ÷ (1 − target margin). Use decimals. Calculate the overall ratio from total modeled costs ÷ total modeled revenue, rather than averaging item ratios. These models assume unchanged usage; they do not establish net profit unless all costs are included.

Balance comparing projected revenue with collected revenue and a central difference meter

3. Compare Projected Revenue With What You Collected

Ask AI to compare current fees multiplied by actual usage with recorded revenue for the same period, accounting for discounts, bundles, refunds, and timing differences. A gap is a starting point for investigation. Then look for differences between care delivered and charges recorded. Provide de-identified treatment or dispensing records, itemized invoices, fee schedules, discount rules, and package definitions.

Have it flag possible missed charges, unexpected discounts, outdated fees, and package inconsistencies. Prioritize recurring patterns by frequency and potential value so your team can fix the workflow that caused them.

Try this prompt

“Compare these records of delivered services with their invoices and our billing rules. Flag possible missing charges, unexpected discounts, and fee mismatches. Exclude included package components and approved no-charge services. Show supporting records for every flag, avoid double counting, and rank recurring patterns by potential value.”

CHECK THE WORK. A discrepancy is a question to investigate, not proof of lost income. Confirm that care was delivered, the charge was appropriate, and it wasn’t bundled, waived, refunded, or already billed. Use verified findings to improve future charge capture.