Went to three diff vets in the area... totally felt like I was getting hosed. I finally discovered the optimum wellness plans at petsmart - it's basically about $300 / year and includes all their well visits + basic shots and free exams for pesky things like injuries, etc.
I wouldn't do this for a cat, but it made sense for us to do this for our dog. Especially when he was a puppy, the shots and visits alone would've cost us thousands, not to mention spay/neuter. The vets are all fine, short waits, clean facility, etc. NOT pushing crazy treatments on me. And, best thing is I can call the vet when I have a question or need to get his toe looked at without feeling like I am going to be $300 poorer for it.