Puppies and kittens generally have the same health requirements: an initial veterinary visit that includes a physical exam, vaccinations, and tests for parasites. Follow-up visits include the rest of the puppy/kitten series of vaccinations, as well as treatment and preventives for parasites. Most veterinary hospitals can give you a basic estimate for these services, and most of the fees for these services shouldn’t vary significantly from hospital to hospital. It may seem there is a great difference in vaccine costs because the exam fee may be separate and not explained. Every animal that receives a vaccine by our veterinarian is assessed physically and relevant history are considered before receiving a vaccine in order to provide the maximum benefit and not provoke any negative reaction to your pet.