I do feel bad for your dog, but businesses, from garages, landscapers, contracters, and doctors, get by with outrageous add-on cost by coming back to the old"it was an estimate, not a set amount." They generally get away with that crap. Sometimes you might have some chance of negotiating the price down on something, it is worth a shot. Please know that I am not making light of your situation, but I have to say if I knew that I could get $300 for doing a rectal on a dog, I would have have been examining 2 at a time, one with each hand.
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