Typical 2026 prices for 24 procedures, from the annual check-up to emergency surgery, in USD. Crowd-checked with real owner bills.
Richmond price index 1.00×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 | $65–$130 | none yet | routine |
| Emergency Exam (after hours) | $130–$300 | none yet | covered |
| Puppy Vaccine Series | $210–$380 | none yet | routine |
| Annual Booster Vaccines | $75–$170 | none yet | routine |
| Spay (female) | $425–$935 | none yet | routine |
| Neuter (male) | $340–$680 | none yet | routine |
| Dental Cleaning (under anaesthesia) | $550–$1,105 | none yet | covered |
| Euthanasia + Cremation | $210–$595 | none yet | covered |
| Microchip | $42–$75 | none yet | routine |
| Common illnesses | |||
| Dental Cleaning with Extractions | $1,275–$2,975 | none yet | covered |
| Bloodwork Panel (CBC + chemistry) | $130–$300 | none yet | covered |
| X-rays (2 views) | $170–$425 | none yet | covered |
| Abdominal Ultrasound | $340–$680 | none yet | covered |
| Ear Infection Treatment | $130–$300 | none yet | covered |
| Urinary Tract Infection | $170–$380 | none yet | covered |
| Skin Allergy Workup | $255–$765 | none yet | covered |
| Vomiting / Diarrhea Visit | $170–$595 | none yet | covered |
| Surgery | |||
| Foreign Body Surgery (swallowed object) | $2,125–$5,100 | none yet | covered |
| ACL / Cruciate Repair (TPLO) | $3,825–$6,800 | none yet | covered |
| Bloat (GDV) Emergency Surgery | $4,250–$8,500 | none yet | covered |
| Lump / Mass Removal | $510–$1,700 | none yet | covered |
| Fracture Repair | $2,550–$5,950 | none yet | covered |
| Emergency & major | |||
| Cancer Treatment (chemo course) | $4,250–$12,750 | none yet | covered |
| Diabetes (first year) | $1,700–$3,400 | none yet | covered |
Estimated annual routine care. Richmond highlighted.
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For a young dog, plans in Richmond run about $38–$80 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 $65–$130. Emergency exams start around $130.
Richmond sits at 1.00× the United States average, at or below most cities in our index.
At local prices a single ACL surgery can reach $6,800. If you could not absorb that, insurance usually pays off. Run the calculator with your breed.