When Bruce had DJ (Cocker Spaniel) PTS four years ago it was at a special medicine clinic (the same place Taz had his surgery last November) and Bruce was with him when he crossed. I would have been but was stuck in traffic.
I have no idea if there was an extra charge considering the bill was over $5000 anyway.
I'll have to ask my sister about that one. She works in a 24 hour vet clinic in Oregon. I know that I'd probably go ahead and pay the extra anyway, but yeah, it doesn't seem right. ER clinics charge way too much all the time, IMO.