Routine consultation fees do not vary much between practices anywhere, which is why price-shopping a check-up is rarely worth the effort. Planned procedures under general anesthesia are a different matter. A dental cleaning, a sterilisation, an eyelid correction or an orthopedic operation involves anesthetic drugs, monitoring, staff time and recovery, and every one of those scales with the size of the patient. Quotes for the same procedure on the same giant dog can differ meaningfully between two practices twenty minutes apart.
Because Rhode Island is small enough that both practices are genuinely usable, asking for a written estimate from two of them is a real exercise rather than an academic one. Ask what the estimate includes: pre-anesthetic bloodwork, monitoring, pain management and the recheck are sometimes bundled and sometimes not, and a lower headline figure with fewer inclusions is not a saving.
This is not about finding the cheapest medicine. It is about the fact that in a state this compact, an owner of a giant breed can compare two thorough plans on their merits without the comparison being useless in practice.