Yep. So much so that we undercharge and get underpaid. Get pet insurance and care credit. An emergency dog spay for a pyometra is probably $4-5k tops. Full hysterectomy and overnight hospital stay likely. My emergency tubal ligation surgery (one Fallopian tube removed laparoscopically) was $25k. After insurance and adjustments based on my income, $8k. From admittance to discharge I was only there 5 hours.