Prices for veterinary care of dogs, cats and horses in Sweden and Norwaycomparisons between corporate chain, government-run or independent clinics

Agneta Egenvall ^1* Paul Steinar Valle ² Ruben Hoffman ¹ Odd Viking Höglund ¹ Anna Byström ¹ Cecilia Lönnell ³ Brenda N Bonnett ⁴

• ¹ Swedish University of Agricultural Sciences, Uppsala, Sweden
• ² Tornes i R, Tornes i R, Norway
• ³ Tequi, Stockholm, Sweden
• ⁴ B Bonnett Consulting, Georgian Bluffs, Canada

AbstractIntroduction:In a 10-15-year period veterinary clinics in Sweden and Norway, as elsewhere, have undergone widespread corporatization. High veterinary care costs have received attention in lay press and by competition authorities. Whether corporate chains and independent clinics differ in price levels, and how clinic characteristics, such as on-call service, affect pricing is not well documented. The aim was to analyse prices levels and price changes for various diagnoses/procedures for dogs, cats, and horses from clinics in Norway and Sweden and to examine the influence of affiliation (corporate chain, government-run or independent), extraction date, and clinic characteristics (e.g. on-call service) on prices.Materials and methods:Data from a price comparison site were extracted 5 times between 2023-01-02 and 2024-01-02. Prices for procedures such as vaccinations, gonadectomy, euthanasia, emergency care, diagnostic imaging, certification, and planned surgery were included. Descriptive statistics and mixed models were used to analyse effects of affiliation (Anicura, The Swedish District Vet Officers (DV), Dyrenes venn, Empet, Evidensia, Vettris, independent), clinic characteristics (animal hospital or not, on-call service, number of hours open Mon-Fri), and extraction date.Results:Prices were found for 37 procedures (16 dog, 11 cat and 10 horse) from 771 clinics, of which 502 (65%) were independent. Most clinics with corporate affiliation belonged to Evidensia and Anicura. In statistically significant comparisons, their prices were generally higher than those from the independent group. For Anicura the median annual price increase (in Euro) was 8%, DV 5%, Dyrenes venn 53%, Empet 12%, Evidensia 15%, Vettris 7% and the independent group 6%. Multivariable results generally corroborated the descriptive figures.Discussion:Targeting a range of procedures in two nearby countries, veterinary care prices varied with country, clinic characteristics, and affiliation. Clinics belonging to corporate chains charged higher price than independent clinics. Most prices increased over the year. Possible reasons for differences between clinics are investments in equipment or number of staff, expenditure on continued education of staff, or different demands for profit. Increased price transparency within veterinary care, might reduce the impact of high prices and perhaps also limit price increases.