If one is in for their annual check-up with vaccinations, fecal check, & heartworm check, then we do not charge an exam fee. All of the above is done for $60 for an intact dog & $55 for an altered dog (the difference is in the price of the rabies tag).
If I recall correctly, our exam fees range from $10 (for a recheck) to $20 (for an indepth exam). However, that doesn't include any procedures that might be done during that time.
However, we don't charge an exam fee when any routine vaccine is given (i.e. 7in1, 8in1, Rabies, Bordatella) nor do we charge an exam fee for nail trims or anal gland expression.