toby just had his well puppy visit and it was $35. he goes back for shots in two weeks and for the 2nd round of shots/boosters it is $42. When he gets neutered it will be $175. I'm in Western New York, and even here the vet prices vary a lot... so definately call around. I also have to add that I LOVE my vet and he is my best friends uncle, so if i ever need anything after hours they are always willing to help me out