Attachment #1 To Change Order #3

Vendor Contract #B75045

2/1/99 through 1/31/2002

GREEN LAKE ANIMAL HOSPITAL

6857 Woodlawn AVE NE

Seattle WA 98115-5419

TEL: 206-524-6540

FAX: 206-525-7090

VETERINARY SERVICES FOR CANINE UNIT

EXAMINATIONS (EX) / DIAGNOSTIC PROCEDURES (DX) cont.
Office Call / $ 32.90 / Aspiration biopsy, of cutaneous mass / $ 12.00
Extended or referral exam
& 2nd opinion / 75.10 / Paracentesis
CSF Tap / 28.45
65.70
Re-exam of follow-up exam / 25.75 / Trantracheal wash / 37.50
Technician exam / 19.75 / Vaginoscopy / 13.75
Health Certificate/ea. / 9.00 / Proctoscopy / 29.15
Suture removal / No Charge / ECC - Initial test / 35.90
After hrs. exam / 73.00 / Subsequent tests / 22.85
Fluorescein corneal stain / 10.70

VACCINATIONS (VA) LABORATORY PROCEDURES(LA)

1st / 2nd / 3rd / Annual / Lab in-house
Exam / 29.75 / 14.30 / 12.71 / 32.90
DA2PL/CPV / 19.42 / 19.42 / 19.42 / 19.75 / Fecal Flotation / $ 13.45
CPV / 17.93 / 14.25 / Direct fecal smear / 10.70
Rabies-1 yr / 12.16 / 12.16 / 12.16 / 11.75 / Barmean fecal exam / 20.10
Corona / 17.93 / 17.93 / 17.93 / 18.75 / Skin scraping / 15.75
Rabies-3yr / 18.75 / Fungal culture / 26.50
Microfilaria / 22.85
NOTE: Exam with Tech if current on other vaccines. / Cytology of analysis of fluids / 22.85
Bacterial culture / 13.45
ACT / 13.45
Urine chemstrip / 13.15
DIAGNOSTIC PROCEDURES (DX) / LABORATORY PROCEDURES (LAB - in house)
NOTE: Fees do not include anesthesia, sedation, cytology, C&S or other charges. / Urinalysis $21.00
Microscopic exam of ear exudates / 9.70
Cystoncentesis / 13.45 / Hematocrit / 7.40
Urinary bladder catheterization
(implanation) / 22.85 / Differential
WBC / 16.10
10.70
Female (10.50)-16.80) / 23.90 / CBC / 21.55
Male (11.05-17.65) / 14.70 / Film digestion / 16.45
LABORATORY PROCEDURES (LAB-outside) / TREATMENTS (TR) cont.
See laboratory fee schedule. / Blood transfusion-Dog / $83.05
Relief of urethral obstruction
(implant catheter—14.05) / 53.05

ANAESTHESIA (AN)

Local infiltration / 22.85 / Enema / 19.80-58.35
Surtial only / 48.95 / Toe nail trim / 14.70
Surtial and inhalation) / 65.05 / Ana sac expression / 14.70
Mask induction & maintenance
(includes pre-anesthetic) / 73.05 / Packing anal sacs
Ear irrigation/ear / 21.55-28.34 9.05-13.15
Clipping, cleaning & topical treatment of cutaneous lesions / 14.07-30.50
SEDATION (SED)
Valium, Acepromazine IM / 18.45
IV / 24.05 / Bandaging / 13.45-26.80
Ketamine IM / 19.80 / Splints & casts / 31.20-92.80
IV / 25.20 / Clipping of mats / 20.50-40.55
Medicated baths & dips / 33.25
HOSPITALIZATION (HO) / Intensive care or OB assistance:
Overnight-Dog / 45.95 / -Doctor / 141.35
Day case fee* / 27.50 / -Technician / 71.40
Convenience fee / 12.40 /

OXYGEN THERAPY

Board each day-Dog / 19.10 / -set up fee / 31.15
-Per hour / 10.70
*Do not combine with overnight
fee.
STERILIZATION PROCEDURES
TREATMENTS (TR) / Dog castration (2) (4) AN / 38.20
IM, ID, SQ injections / 17.75 / HO / 15.70
IV injections / 23.90 / SU / 32.15
Ocular/topical/oral medication / 8.40 / Total / 86.10
Intravenous catheterization / 35.90
IV injection thru existing catheter / 18.45 / Dog OH (1) (3) (4) AN / 38.20
IV fluids: / HO / 26.80
IV catheterization fee / 35.90 / SU / 38.85
Fluids / Total / 163.85
100ml up to 1000ml / 3.35/100ml
100ml thereafter / 2.10/100ml / (1) Add $18.25/10 lb. body weight for dogs greater than 50 lbs.
Medication added to bottle
each episode / 16.45 / Add $18.25 if in heat, if 1st trimester of pregnancy, if obese, or if other complications are anticipated.
SQ Fluids-SQ injection / 17.75
100ml up to 1000ml / 3.35/100ml / (2) Discharge the day of surgery.
100ml thereafter / 2.10/100ml / (3) Discharge the day following surgery.
(4) Does not include the cost of the pre-surgical exam, which must be performed within 9 months of surgery.
DENISTRY (DE) / EUTHANASIA (EU)
Fees below do not include anesthesia, hospitalization, antibiotics, etc. / Euthanasia / $24.40
Dental scaling / $3.35/min
Dental surgery / 4.35/min
Use of Cavitron / 10.70
Polishing & Fluoride / 9.70
CARE OF REMAINS (DIS)
Routine / 27.50
Non-Private Cremation: / Private Cremation:
0-40 lbs. / 46.25 / 0-40 lbs. / 94.05
41-75 lbs. / 54.30 / 41-75 lbs. / 116.85
76 + lbs. / 62.30 / 76 + lbs. / 142.60
RADIOGRAPHY (RAD)
Initial film any size, one view / 53.60 / Rads sent to WSU
Subsequent films, any size, one view / 31.15
Subsequent films, any size, two view / 39.85 / SURGERY
Initial film any size, two views / 67.30 / Bovee use / 13.80
Operating room use / 61.65/hr.
VD pelvic films for OFA (does not include anesthesia etc.) / 53.60 / Surgeon’s fee / 4.35/min
BA GI series: / Fine dissection pack / 29.15
One view/plate / 26.50 / Assistant surgeon’s fee / 142.05
Two view/plate / 35.90 / Wet tray / 10.75
(includes scout film) / Laceration pack / 22.85
Cystogram-single or double / General pack / 35.90
contrast / 90.75- 126.65 / Abdominal or thoracic pack / 36.15
Orthopedic pack / 65.05

Payment Terms: Net 30

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