Exam, urinalysis, and antibiotics; culture adds $100-$200.
Typical plans reimburse 80–90% after the deductible, for about $40–$85/month for a young dog.
| City | Typical range | Index |
|---|---|---|
| San Francisco CA | $240–$535 | |
| New York NY | $230–$515 | |
| San Jose CA | $220–$495 | |
| Los Angeles CA | $210–$480 | |
| Boston MA | $210–$480 | |
| Washington, DC DC | $210–$480 | |
| San Diego CA | $205–$460 | |
| Seattle WA | $205–$460 | |
| Chicago IL | $185–$420 | |
| Miami FL | $185–$420 | |
| Portland OR | $185–$420 | |
| Denver CO | $185–$415 | |
| Philadelphia PA | $180–$400 | |
| Austin TX | $175–$390 | |
| Minneapolis MN | $175–$390 | |
| Atlanta GA | $170–$380 | |
| Las Vegas NV | $165–$375 | |
| Dallas TX | $165–$370 | |
| Houston TX | $160–$365 | |
| Phoenix AZ | $160–$365 | |
| Nashville TN | $160–$365 | |
| Charlotte NC | $160–$355 | |
| Detroit MI | $155–$345 | |
| Columbus OH | $155–$345 | |
| San Antonio TX | $150–$335 |
Nationally $170–$380 in 2026. San Francisco is the most expensive city we track; San Antonio the least.
Rent, staff wages, equipment and competition. Big-city specialty hospitals can charge double what a rural clinic does for the same procedure.
Yes, on most accident-and-illness plans after the deductible.
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