I just paid $140. BUT before I left they ask me do I want a pain shot that will last for several days. I was shocked that the $140 didnt come with something for pain and they didnt tell me this before neutering him. I also ask them he just got his balls ripped out of him through surgery why would anyone not give him something for pain and they said a lot of people don't pay for it because that was an extra $40 so it cost me $180. A couple of months later he got ear infection. Three meds total one was a shot one was ear drops and one med by mouth almost $200. Between neutered and ear infection my little dog had heart failure that was $1,000 he had to go under oxygen and spend the night in the ER. Now he is on medicine the rest of his life $80 a month but what do we do we love our animals. When my husband died 2014 my little dog was my rock I dropped a lot of tears on top of him while holding him.