Typical 2026 prices for 24 procedures, from the annual check-up to emergency surgery, in USD. Crowd-checked with real owner bills.
Portland price index 1.10×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 | $70–$140 | none yet | routine |
| Emergency Exam (after hours) | $140–$325 | none yet | covered |
| Puppy Vaccine Series | $235–$420 | none yet | routine |
| Annual Booster Vaccines | $85–$185 | none yet | routine |
| Spay (female) | $470–$1,030 | none yet | routine |
| Neuter (male) | $375–$750 | none yet | routine |
| Dental Cleaning (under anaesthesia) | $610–$1,215 | none yet | covered |
| Euthanasia + Cremation | $235–$655 | none yet | covered |
| Microchip | $47–$85 | none yet | routine |
| Common illnesses | |||
| Dental Cleaning with Extractions | $1,400–$3,275 | none yet | covered |
| Bloodwork Panel (CBC + chemistry) | $140–$325 | none yet | covered |
| X-rays (2 views) | $185–$470 | none yet | covered |
| Abdominal Ultrasound | $375–$750 | none yet | covered |
| Ear Infection Treatment | $140–$325 | none yet | covered |
| Urinary Tract Infection | $185–$420 | none yet | covered |
| Skin Allergy Workup | $280–$840 | none yet | covered |
| Vomiting / Diarrhea Visit | $185–$655 | none yet | covered |
| Surgery | |||
| Foreign Body Surgery (swallowed object) | $2,340–$5,610 | none yet | covered |
| ACL / Cruciate Repair (TPLO) | $4,210–$7,480 | none yet | covered |
| Bloat (GDV) Emergency Surgery | $4,675–$9,350 | none yet | covered |
| Lump / Mass Removal | $560–$1,870 | none yet | covered |
| Fracture Repair | $2,805–$6,545 | none yet | covered |
| Emergency & major | |||
| Cancer Treatment (chemo course) | $4,675–$14,025 | none yet | covered |
| Diabetes (first year) | $1,870–$3,740 | none yet | covered |
Estimated annual routine care. Portland highlighted.
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For a young dog, plans in Portland run about $42–$90 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 $70–$140. Emergency exams start around $140.
Portland sits at 1.10× the United States average, above most cities in our index.
At local prices a single ACL surgery can reach $7,480. If you could not absorb that, insurance usually pays off. Run the calculator with your breed.