I got to quotes, one was $187 and one was $140. We are going with the $140 vet because they will keep her overnight and monitor her. Both prices include pain meds but nothing extra, like the monitoring, blood panel and whatever else the options are! Maybe I need to go to Lizbuds vet. I don't think I have ever gone to the vet for less that $50 for a regular visit! In Michigan we have C-Snip for low income families, Call your Humane Society to see if you have a similar program!