- List every line item from the specialist estimate20 min
This step produces a clean, two-column list of every charge on the specialist’s estimate, separated into one-time fees and recurring costs. Line-item amounts are transcribed exactly as written — no rounding, no estimating.
Copy every chargeable item from the written estimate into a spreadsheet or notebook in the exact wording and dollar amount the clinic printed, then split the sheet into two groups.
One-Time Fees include:
- Surgery
- Hospitalization (note the number of days)
- Diagnostic imaging (MRI, CT, ultrasound)
- Biopsy and histopathology
- Emergency examination fee
- Initial specialist consultation fee
Recurring Costs include:
- Prescription medications
- Prescription diet food
- Recheck examinations
- Lab panels (CBC, chemistry panel, urinalysis, T4, SDMA, bile acids)
- Scheduled procedures such as dental cleaning or tumor aspirates
Ranges and estimates
- If a line uses a range (e.g. $800–$1,200), write both numbers and label it as a range.
- If a line says “estimate only — actual cost may vary,” flag it with an asterisk.
Check the finished list against the printed estimate line by line — wording, amounts, range labels and asterisks — before you use it.
Keep this itemized list as the master reference for every calculation that follows.