As mentioned in this thread, paying through the nose for accurate diagnosis and life saving treatment is a financial bother, but paying through the nose for best guess hit and hope treatment is extortion.
For the last couple of years I've been going to a rather pricey vet as he saved Treacles life ("all" she had was a tooth spur, but no local vet could manage to diagnose and treat it, she was more than a month on the syringe and in pain

). I believed him to be forward thinking, willing to learn, and well skilled. I'll still go so far as to say dentally he is excellent, I have a degu that has had 6 or 7 dentals there now over two or three years.
However...
What I originally took for a concise explanation to aid understanding of any illness is seeming more and more like bluff and bluster to sound all knowing. This is starting to trouble me, but not as much as the diagnosis and so prognosis given Pimple. OK, so she didn't make it, BUT thanks to his unwillingness to listen we lost a week of treatment based on his advice. Who's to say that week wasn't critical? His surgery fobbing us off for those days so as to avoid having to admit they were unwilling to treat her further on ethical grounds is not a good sign. Medicine is a science, and good science doesn't just come up with a theory in the face of contrary evidence. Bad science does.
I question how it is Debbie's vet phoned me back after I'd rung the same day, to discuss Pimple and possible medication, when my vet seldom if ever phones me when one of mine is actually there for treatment. The best I can hope for in those situations is a phone call from a nurse or receptionist, some time after the event. Given I'm a bag of nerves every time one has to go up there, I don't much appreciate being left in suspense. Although suspense is better than being left sat in an empty waiting room when trying to discuss a case, and being told I can't possibly see the vet as he's fully booked.
More than once one of the critters has come home in a poorly condition, having been given the all clear and "eating and drinking fine" from the vets, or more to the point the nurses who do the monitoring. This is frightening, two haven't made it due to complications after being sent home supposedly fit and well, and but for much nursing at home at least one more would have gone the same way. I've been willing to accept (though not comfortably) the lack of aftercare in the belief the vet himself was genuinely superb.
Now I know this thread is for costs, but the above has some relevance in that maybe people think I'm paying low to mid range given the experiences I have had. So here's a break down of this weeks bill after I had to take Jet in for a digestive issue:
Consultation: £37
Subcutanious fluids (20ml): £9
Metaclop: £12
Plus VAT... Best part of £67.
Now, I did want to be sure Jet didn't have a blockage as though I thought it was "just" bad guts I don't feel experienced enough to make that call absolutely. And I was already heading to this vets to pick up my dentalled degu. But the last thing I was expecting was a £70 bill for a quick grope and jab!
I will say that aside from obsessive use of anaesthetic for x rays and guinea dentals, this vets is as far as I can tell exceedingly good for dental work, and though I have a couple of nagging doubts their surgery seems to be fine too. But the amount they charge for what I'd consider "general practice" is somewhat steep, and as the bill must surely cover the entire experience (from reception to leaving) considering the attitude of the other staff I'm really not feeling I get value for money. And that's the problem, we would move heaven and Earth to help our critters, a lot of vet practices would only move bank notes and costs.