I find our vet expensive, but I know that it's because rent costs within the city are so high, it definitely impacts our fees. Friends pay much lower in other towns. This year, Quinn's annual included physical, nail trim, rabies shot, heartworm test + for 6 month preventative, bravecto (2 pills), kennel cough preventative and stool test and it cost around $600. That is about 347GBP or $617AUS. For a regular appointment, it's around $100 just to walk in the door. All meds are prescription, available at vet offices.