Vet bill, suggestions?

I am taking my dog to the vet to make an appt for his neuturing and rabies/distempermant shots. he has his first puppy shots. I am going to get a friends of animals certificate so the neuturing is only $64. HOwever the shots will be $60 for the rabies and distempermant and $30 for after pain meds for the neuturing, plus $7 disposal fee for the needle and im assuming the vet office visit will be $42 – this will bring it all to around $200 is this a good price. I have never done this before and I don’t know what is fair and what isn’t? Any suggestions, tips, etc?