To support a smooth referral process and for transparency of costs for clients, At Wear Referrals in County Durham, we offer fixed price procedures for some of the more commonly performed procedures.
Head and Neck
| Procedure: | Standard price (Mon-Fri, 8am-6pm) (incl. VAT): | Out-of-hours price (incl. VAT): | What is included: |
|---|---|---|---|
| BOAS excluding CT | £3,500 | £4,375 | Includes consultation, BOAS functional grading, general anaesthetic, advanced multi-level surgery, up to 2 nights hospitalisation, postoperative pain relief up to 10 days |
| BOAS including CT | £4,250 | N/A | Includes consultation, BOAS functional grading, general anaesthetic, CT, advanced multi-level surgery, up to 2 nights hospitalisation, postoperative pain relief up to 10 days |
| Laryngeal tie back (laryngeal paralysis surgery) unilateral | £3,750 | £4,688 | Includes consultation, blood tests, general anaesthetic, chest x-rays, surgery, up to 2 nights hospitalisation, pain relief and antibiotics for up to 2 weeks as required, surgery nurse recheck of incision 10-14 days later. |
| Submandibular salivary mucocoele - excluding CT | £3,800 | N/A | Includes consultation, fluid aspirate laboratory tests, general anaesthesia, surgery, lab fees for histology and culture, up to 2 nights hospitalisation, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Submandibular salivary mucocoele - including CT | £4,550 | N/A | Includes consultation, fluid aspirate laboratory tests, general anaesthesia, CT including interpretation, surgery, lab fees for histology and culture, up to 2 nights hospitalisation, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Total ear canal ablation |
Unilateral £3,875, Unilateral including CT £4,625, Bilateral £4,850, BIlateral including CT £5,600 |
N/A | Includes consultation, general anaesthesia, surgery, up to 2 nights hospitalisation, lab fees (histopathology/culture), pain relief and antibiotics for up to 2 weeks as required, surgery nurse recheck of incision 10-14 days later. Imaging includes interpretation. If MRI is required, please add £600 to the CT inclusive price |
| Ventral bulla osteotomy - one side (unilateral) | £3,675 | N/A | Includes consultation, general anaesthesia, surgery, lab fees (histopathology/ culture), pain relief and antibiotics for up to 2 weeks as required, up to 2 nights hospitalisation, surgery nurse recheck of incision 10-14 days later. |
Thoracic
| Procedure: | Standard price (Mon-Fri, 8am-6pm) (incl. VAT): | Out-of-hours price (incl. VAT): | What is included: |
|---|---|---|---|
| PDA (Intercostal) | £4,000 | N/A | Includes consultation with cardiology and soft tissue surgery teams, diagnostic echo, general anaesthesia, surgery, up to 2 nights hospitalisation, postoperative pain relief up to 10 days, 4 week postoperative echo, surgery nurse recheck of incision 10-14 days later |
| Single lung lobectomy (Intercostal or minimal invasive surgery) | £4,800 | N/A | Includes, consultation, general anaesthesia, intercostal or thoracoscopic surgery, histopathology and culture, up to 2 nights hospitalisation in ICU, postoperative pain relief up to 10 days, Elizabethan collar, surgery nurse recheck of incision 10-14 days later |
| Subtotal pericardectomy (Intercostal or minimal invasive surgery) | £5,000 | N/A | Includes, consultation, general anaesthesia, intercostal or thoracoscopic surgery, histopathology, up to 2 nights hospitalisation in ICU, postoperative pain relief up to 10 dayssurgery nurse recheck of incision 10-14 days later |
| Thymoma (Median sternotomy or minimal invasive surgery) simple | £6,000 | N/A | Includes, consultation, general anaesthesia, median sternotomy or thoracoscopic surgery, histopathology, up to 2 nights hospitalisation in ICU, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Thymoma (Median sternotomy or minimal invasive surgery) complex | £7,500 | N/A | Includes, consultation, general anaesthesia, median sternotomy or thoracoscopic surgery, histopathology, up to 2 nights hospitalisation in ICU, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Pleural port placement | £2,500 | £3,125 | Includes consultation, general anaesthesia, thoracoscopic mediastinal window + biopsies, pleura port placement, implant, 1 night in ICU, surgical procedure, histopathology, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later |
| ADD second pleural port | £1,000 | N/A | pleural port placement and implant cost |
Abdominal
| Procedure: | Standard price (Mon-Fri, 8am-6pm) (incl. VAT): | Out-of-hours price (incl. VAT): | What is included: |
|---|---|---|---|
| Adrenalectomy | £4,750 | N/A | Includes consultation, general anaesthesia, surgery, histopathology, up to 2 nights hospitalisation in ICU, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Adrenalectomy with invasion | £6,250 | N/A | Includes consultation, general anaesthesia, surgery with venotomy, histopathology, up to 2 nights hospitalisation in ICU, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Perineal hernia - simple unilateral | £3,885 | N/A | Consultation, general anaesthesia, ultrasound, surgery (internal obturator flap/castration), up to 2 nights hospitalisation, pain relief for up to 10 days as required, surgery nurse recheck of incision 10-14 days later. Complex surgery with semitendinosus muscle flap add £600. |
| Perineal hernia - simple bilateral | £5,565 | N/A | Consultation, general anaesthesia, ultrasound, surgery (internal obturator flap/castration), up to 2 nights hospitalisation, pain relief for up to 10 days as required, surgery nurse recheck of incision 10-14 days later. Complex surgery with semitendinosus muscle flap add £600/side. |
Gastrointestinal
| Procedure: | Standard price (Mon-Fri, 8am-6pm) (incl. VAT): | Out-of-hours price (incl. VAT): | What is included: |
|---|---|---|---|
| Anal sacculectomy - unilateral | £3,000 | N/A | Includes consultation, general anaesthesia, histopathology, up to 2 nights hospitalisation, postoperative pain relief and antibiotics up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Anal sacculectomy - bilateral | £3,500 | N/A | Includes consultation, general anaesthesia, histopathology, up to 2 nights hospitalisation, postoperative pain relief and antibiotics up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Cholecystectomy - elective (Open or minimal invasive surgery) | £6,000 | N/A | Includes consultation, general anaesthesia, surgery, feeding tube, histopathology, culture, up to 2 nights hospitalisation, postoperative pain relief and antibiotics up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Enterotomy | £4,200 | £5,250 | Includes, consultation, general anaesthesia, surgery, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Enterectomy | £4,600 | £5,750 | Includes, consultation, general anaesthesia, surgery, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Gastrotomy | £4,200 | £5,250 | Includes consultation, general anaesthesia, surgery, up to 2 nights hospitalisation, postoperative pain relief and antibiotics up to 10 days, surgery nurse recheck of incision 10-14 days later |
| Liver biopsies | £1,680 | N/A | Includes consultation, general anaesthesia, surgery, lab tests (coagulation times, pathology, bile analysis, tissue culture and quantitative copper analysis), 1 nights hospitalisation, pain relief for up to 5 days as required, surgery nurse recheck of incision 10-14 days later. Does not include medical investigations or blood tests. |
| Liver biopsies - laparoscopic | £1,680 | N/A | Includes consultation, general anaesthesia, surgery, lab tests (coagulation times, pathology, bile analysis, tissue culture and quantitative copper analysis), 1 nights hospitalisation, pain relief for up to 5 days as required, surgery nurse recheck of incision 10-14 days later. Does not include medical investigations or blood tests. |
| Portosystemic shunt (extrahepatic) | £6,000 | N/A | Includes, consultation, general anaesthesia, surgery, up to 4 nights in hospitalisation in ICU, postoperative pain relief up to 10 days, surgery nurse recheck of incision 10-14 days later. Add £1,250 for cystotomy |
Urinary and Genital
| Procedure: | Standard price (Mon-Fri, 8am-6pm) (incl. VAT): | Out-of-hours price (incl. VAT): | What is included: |
|---|---|---|---|
| Castration and laparoscopic gastropexy | £2,500 | N/A | Consultation, general anaesthesia, surgery, daytime hospitalisation, pain relief for up to 5 days as required, surgery nurse recheck of incision 10-14 days later. |
| Laparoscopic spay |
Patients < 40kg £775, Patients < 40kg £950 |
N/A | Includes consultation, general anaesthesia, surgery, daytime hospitalisation, pain relief for up to 5 days as required, surgery nurse recheck of incision 10-14 days later. |
| Laparoscopic spay and gastropexy | £2,625 | N/A | Includes consultation, general anaesthesia, surgery, daytime hospitalisation, pain relief for up to 5 days as required, surgery nurse recheck of incision 10-14 days later. |
| SUB placement unilateral | £7,500 | £9,375 | Includes, consultation, general anaesthesia, SUB surgery and implant, feeding tube, up o 2 SUB flushes while in hospital, up to 5 night hospitalisation in ICU or wards, postoperative pain relief up to 10 days, postoperative antibiotics up to 4 weeks, surgery nurse recheck of incision 10-14 days later |
| SUB placement bilateral | £8,500 | £10,625 | Includes, consultation, general anaesthesia, SUB surgery and implant, feeding tube, up o 2 SUB flushes while in hospital, up to 5 night hospitalisation in ICU or wards, postoperative pain relief up to 10 days, postoperative antibiotics up to 4 weeks, surgery nurse recheck of incision 10-14 days later |
| SUB flush yearly charge unilateral | £2,200 | N/A | Includes, recheck consultation, sedation (if required), 4 ultrasound guided SUB flushes |
| SUB flush yearly charge bilateral | £2,600 | N/A | Includes, recheck consultation, sedation (if required), 4 ultrasound guided SUB flushes |
For other procedures at Wear Referrals, our specialists are happy to discuss cases and provide estimates as needed.
View all of our Fixed Price Packages
NOTE: All prices include VAT. Some post-operative medication is not included as this can vary significantly between patients. Although major postoperative complications are unusual, any costs incurred relating to unexpected postoperative complications are not included in our fixed-price packages.




