VetCostCalc

Bladder Stone Surgery Cost for Dogs & Cats (2026)

Bladder stone removal (cystotomy) costs $800–$2,500. Not every bladder stone needs surgery. Struvite stones can often be dissolved with a prescription diet over 4–8 weeks. Calcium oxalate stones cannot be dissolved and must come out surgically. The type of stone determines the treatment path, and you won't know the type until your vet runs imaging and urinalysis.

Cost at a Glance

Dog

$800–$2,500

Private vet, national avg

Cat

$800–$2,000

Private vet, national avg

CA / NY

$1,040–$3,380

25–35% above avg

What Affects the Cost

  • Cystotomy surgery: $800–$2,500 depending on stone count, complexity, and whether the surgeon uses laser lithotripsy ($1,500–$3,000) to break stones without open surgery.
  • Struvite stones dissolve with diet. A prescription urinary diet ($40–$80/month) dissolves struvite stones in 4–8 weeks. This is cheaper than surgery if the stone type is confirmed.
  • Calcium oxalate stones require surgery. They can't be dissolved. These are the most common stone type in cats and increasingly common in dogs.
  • Stone analysis costs $50–$150 and is critical. Knowing the stone type guides prevention. Without analysis, you're guessing at the prevention diet.
  • Recurrence rates are 25–50% within 2 years without dietary management. Prescription urinary diets ($40–$80/month) significantly reduce recurrence for both stone types.

Cost by State

National average adjusted by state cost-of-living index. Urban areas run ~30% higher than suburban; rural ~25% lower.

State Dog Cat vs. Avg
Alabama $656–$2050 $656–$1640 -18%
Alaska $1000–$3125 $1000–$2500 +25%
Arizona $760–$2375 $760–$1900 -5%
Arkansas $640–$2000 $640–$1600 -20%
California $1080–$3375 $1080–$2700 +35%
Colorado $880–$2750 $880–$2200 +10%
Connecticut $1000–$3125 $1000–$2500 +25%
Delaware $840–$2625 $840–$2100 +5%
Florida $800–$2500 $800–$2000 0%
Georgia $720–$2250 $720–$1800 -10%
Hawaii $1120–$3500 $1120–$2800 +40%
Idaho $720–$2250 $720–$1800 -10%
Illinois $840–$2625 $840–$2100 +5%
Indiana $704–$2200 $704–$1760 -12%
Iowa $680–$2125 $680–$1700 -15%
Kansas $680–$2125 $680–$1700 -15%
Kentucky $680–$2125 $680–$1700 -15%
Louisiana $680–$2125 $680–$1700 -15%
Maine $800–$2500 $800–$2000 0%
Maryland $920–$2875 $920–$2300 +15%
Massachusetts $1040–$3250 $1040–$2600 +30%
Michigan $720–$2250 $720–$1800 -10%
Minnesota $800–$2500 $800–$2000 0%
Mississippi $624–$1950 $624–$1560 -22%
Missouri $680–$2125 $680–$1700 -15%
Montana $736–$2300 $736–$1840 -8%
Nebraska $704–$2200 $704–$1760 -12%
Nevada $840–$2625 $840–$2100 +5%
New Hampshire $880–$2750 $880–$2200 +10%
New Jersey $1000–$3125 $1000–$2500 +25%
New Mexico $704–$2200 $704–$1760 -12%
New York $1040–$3250 $1040–$2600 +30%
North Carolina $736–$2300 $736–$1840 -8%
North Dakota $704–$2200 $704–$1760 -12%
Ohio $720–$2250 $720–$1800 -10%
Oklahoma $656–$2050 $656–$1640 -18%
Oregon $880–$2750 $880–$2200 +10%
Pennsylvania $800–$2500 $800–$2000 0%
Rhode Island $880–$2750 $880–$2200 +10%
South Carolina $704–$2200 $704–$1760 -12%
South Dakota $680–$2125 $680–$1700 -15%
Tennessee $704–$2200 $704–$1760 -12%
Texas $736–$2300 $736–$1840 -8%
Utah $760–$2375 $760–$1900 -5%
Vermont $840–$2625 $840–$2100 +5%
Virginia $840–$2625 $840–$2100 +5%
Washington $920–$2875 $920–$2300 +15%
West Virginia $640–$2000 $640–$1600 -20%
Wisconsin $736–$2300 $736–$1840 -8%
Wyoming $720–$2250 $720–$1800 -10%

Data: AVMA fee surveys, BLS cost-of-living data. Ranges reflect typical private practice prices — low-cost clinics and university teaching hospitals charge significantly less.

Common Questions

How much does bladder stone surgery cost for pets?
Bladder stone removal surgery (cystotomy) costs $800–$2,500 for dogs and cats in 2026. This includes anesthesia, the surgical procedure, overnight monitoring (some clinics), and post-op medications. X-rays or ultrasound to locate the stones run $200–$500 extra if not already done. Stone analysis ($50–$150) is billed separately. Laser lithotripsy, a non-surgical alternative available at some specialty centers, costs $1,500–$3,000.
Can bladder stones be dissolved without surgery?
Struvite stones (the most common type in dogs) can be dissolved with a prescription urinary diet in 4–8 weeks. Calcium oxalate stones (the most common in cats, also common in dogs) cannot be dissolved and must be removed surgically or via lithotripsy. Urate stones can sometimes be dissolved with medication and diet. Your vet needs imaging (X-ray or ultrasound) and urinalysis to determine the stone type before recommending a treatment path.
How do I prevent bladder stones from coming back?
Prescription urinary diets are the primary prevention tool ($40–$80/month). The specific diet depends on the stone type. Increasing water intake is critical for all stone types. Use water fountains, add water to food, or feed wet food instead of dry. Regular urinalysis monitoring (every 3–6 months initially) catches crystals before they form stones. Without prevention, recurrence rates run 25–50% within 2 years.

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Data: Nationwide Pet Insurance Claims Data, AVMA U.S. Pet Ownership and Demographics Sourcebook, APPA National Pet Owners Survey, VECCS Emergency Cost Data

Last updated: March 2026

How we calculate this · Pet insurance terms vary. Read the policy carefully, especially exclusions for pre-existing and breed-specific conditions.

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