*Breathtakingly* expensive. If you're not prepared to part with 4 figures don't risk making the appointment. Get estimates for *everything* up front.
I really liked Dr. Pilny and was sorry to see him go; he was the only reason I went, and I won't be back. Seriously, price-wise, they make Animal Medical Center in Manhattan look like a charity, but without the populace with the Manhattan salaries to afford them.
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