My emergency Vet is $125 just to walk in the door with your pet. Doesn't matter what you bring it. I suppose some pets are more profitable to work on than others, but that is the rate my emergency vet charges. There must be some correlation between the flat fee, if you will, and their expenses. Like I said, they are having to pay the overhead of a Vet and tech, usually, so that you will have someone available WHEN YOU NEED THEM... and that is expensive. I know how much it costs to run some businesses, and it is not cheap. When it comes to overtime, or after hours, you just have to factor in a high, very high expense rate. It has nothing to do with the size of the pet. Of course they charge for each little procedure as well. I would love for them to be cheaper, for sure. I just went through a ton of money with Graemer, Gabe and Miley. Not all was emergency vet type, but in general, it was expensive but really expensive for the emergency vet. I did what I thought was best for the pet. Don't second guess yourself when it comes to having made an expensive decision about a truly loved pet. I don't. They are worth every penny of it.