I feel your pain. The closest eVet to me is staggeringly expensive. Yes, I understand that NYC is expensive in general but the also add rudeness in to the mix which just makes it worse. When I lost Morgaine it cost me over $2,000 for them to examine her, administer valium, and have two techs hold her on the table during the seizure. An additional $500 to cremate her. When they called me the day after I lost her to look for more money I nearly went ballistic.
The same practice did the same thing years earlier when Scarlett developed a blood clot after surgery there. The eVet refused to call me back from his home since I had caller ID (like I wanted to call him at home?) and then when we got there tried to stop me from leaving because he didn't know how to use the computer system to access the credit card number on file.
I'm more than willing to pay whatever it takes to give my girls the best care, I just don't understand why within the same city (the Animal Medical Center -- the BIG eVet) costs far less. Unfortunately, in both of these cases, closeness counted.