Your dog may need routine vet check ups throughout her pregnancy to make sure mama and her puppies are doing well. These may include ultrasounds that can cost $300 – $600 and X-rays that can cost $150 – $250. If your dog isn’t healthy before she gets pregnant or becomes ill during her pregnancy, your vet may need to treat her so she can safely deliver puppies. Just the vet visit can cost $50 – $250 depending on where you live. Any diagnostic testing and treatment costs will be added on top of the exam cost. Assuming all goes well, your dog should be able to deliver her puppies at home. However, if there are complications at any point during the pregnancy, you may want to bring your dog to the vet. Emergency care could cost you $150 – $1,500 depending on where you live and what care your pup needs.