Since we travel alot, Artie needs shots and we have had to get thim in the city where we were at, at that moment. Since we are new to this area and he needs his Annual physical and more shots, I have found that you really need to call/shop around for reasonble prices! One Hospital was charging me $270.00 and for the same visit I found another Hospital charging only $70.00 for the same services? What's the difference? It's the same vaccine. Nothing special. As far as care and attention or customer service, they all love animals otherwise they wouldn't do it for a living! It pays to do research especially if you have more than one fur person to care for.