I think the yearly exam costs about $60...but we haven't had one in almost a year so I can't say for sure. Mu's spay cost $120. If we just have to go in and get shots or the bordatello boosters the only charge is for the shot, there's no office visit fee. When Murphy got into a bunch of Rimadyl and had to get all kinds of bloodwork done I think it cost $250 and it should have cost about double that. There are about 4 different vets at the place I go to and I haven't got a bad one yet. The one who tested Murph for me was super awesome and very understanding (I was freaking out and started crying when I found out nothing was wrong with him).