Typical 2026 prices for 24 procedures, from the annual check-up to emergency surgery, in USD. Crowd-checked with real owner bills.
Boston price index 1.25×Typical range = what a general-practice clinic quotes. Real bills = median of verified owner submissions (published once we have three).
| Procedure | Typical range | Real bills | Insurance |
|---|---|---|---|
| Routine care | |||
| Vet Exam Fee | $80–$160 | none yet | routine |
| Emergency Exam (after hours) | $160–$370 | none yet | covered |
| Puppy Vaccine Series | $265–$480 | none yet | routine |
| Annual Booster Vaccines | $95–$210 | none yet | routine |
| Spay (female) | $530–$1,170 | none yet | routine |
| Neuter (male) | $425–$850 | none yet | routine |
| Dental Cleaning (under anaesthesia) | $690–$1,380 | none yet | covered |
| Euthanasia + Cremation | $265–$745 | none yet | covered |
| Microchip | $53–$95 | none yet | routine |
| Common illnesses | |||
| Dental Cleaning with Extractions | $1,595–$3,720 | none yet | covered |
| Bloodwork Panel (CBC + chemistry) | $160–$370 | none yet | covered |
| X-rays (2 views) | $210–$530 | none yet | covered |
| Abdominal Ultrasound | $425–$850 | none yet | covered |
| Ear Infection Treatment | $160–$370 | none yet | covered |
| Urinary Tract Infection | $210–$480 | none yet | covered |
| Skin Allergy Workup | $320–$955 | none yet | covered |
| Vomiting / Diarrhea Visit | $210–$745 | none yet | covered |
| Surgery | |||
| Foreign Body Surgery (swallowed object) | $2,655–$6,375 | none yet | covered |
| ACL / Cruciate Repair (TPLO) | $4,780–$8,500 | none yet | covered |
| Bloat (GDV) Emergency Surgery | $5,310–$10,625 | none yet | covered |
| Lump / Mass Removal | $640–$2,125 | none yet | covered |
| Fracture Repair | $3,190–$7,440 | none yet | covered |
| Emergency & major | |||
| Cancer Treatment (chemo course) | $5,310–$15,940 | none yet | covered |
| Diabetes (first year) | $2,125–$4,250 | none yet | covered |
Estimated annual routine care. Boston highlighted.
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For a young dog, plans in Boston run about $48–$100 a month. One surgery on the table above would repay years of premiums.
90% reimbursement, no payout caps, pays many US clinics directly at checkout.
Get a quote →App-first, low base premiums, optional wellness add-ons for vaccines and dental.
Get a quote →Covers exam fees and dental illness, with a diminishing deductible each claim-free year.
Get a quote →Disclosure: some links are referral links. They never change your price. We list insurers we would consider ourselves, not whoever pays most.
A standard exam runs $80–$160. Emergency exams start around $160.
Boston sits at 1.25× the United States average, above most cities in our index.
At local prices a single ACL surgery can reach $8,500. If you could not absorb that, insurance usually pays off. Run the calculator with your breed.