Tibial plateau levelling osteotomy for a torn cruciate ligament, the most common orthopedic surgery in dogs.
Typical plans reimburse 80–90% after the deductible, for about $38–$80/month for a young dog.
| City | Typical range | Index |
|---|---|---|
| San Francisco CA | $5,355–$9,520 | |
| New York NY | $5,165–$9,180 | |
| San Jose CA | $4,970–$8,840 | |
| Los Angeles CA | $4,780–$8,500 | |
| Boston MA | $4,780–$8,500 | |
| Washington, DC DC | $4,780–$8,500 | |
| San Diego CA | $4,590–$8,160 | |
| Seattle WA | $4,590–$8,160 | |
| Sacramento CA | $4,515–$8,025 | |
| Chicago IL | $4,210–$7,480 | |
| Miami FL | $4,210–$7,480 | |
| Portland OR | $4,210–$7,480 | |
| Denver CO | $4,130–$7,345 | |
| Philadelphia PA | $4,015–$7,140 | |
| Tampa FL | $3,940–$7,005 | |
| Austin TX | $3,900–$6,935 | |
| Minneapolis MN | $3,900–$6,935 | |
| Salt Lake City UT | $3,900–$6,935 | |
| Raleigh NC | $3,900–$6,935 | |
| Atlanta GA | $3,825–$6,800 | |
| Richmond VA | $3,825–$6,800 | |
| Las Vegas NV | $3,750–$6,665 | |
| Milwaukee WI | $3,750–$6,665 | |
| Boise ID | $3,750–$6,665 | |
| Dallas TX | $3,710–$6,595 | |
| Pittsburgh PA | $3,710–$6,595 | |
| New Orleans LA | $3,710–$6,595 | |
| Kansas City MO | $3,670–$6,530 | |
| Buffalo NY | $3,670–$6,530 | |
| Houston TX | $3,635–$6,460 | |
| Phoenix AZ | $3,635–$6,460 | |
| Nashville TN | $3,635–$6,460 | |
| Cleveland OH | $3,595–$6,390 | |
| Charlotte NC | $3,555–$6,325 | |
| Albuquerque NM | $3,555–$6,325 | |
| Oklahoma City OK | $3,520–$6,255 | |
| Detroit MI | $3,440–$6,120 | |
| Columbus OH | $3,440–$6,120 | |
| San Antonio TX | $3,365–$5,985 |
Nationally $3,825–$6,800 in 2026. San Francisco is the most expensive city we track; San Antonio the least.
Rent, staff wages, equipment and competition. Big-city specialty hospitals can charge double what a rural clinic does for the same procedure.
Yes, on most accident-and-illness plans after the deductible.
One email when American vet prices move or a recall hits. No spam.