i work at planned parenthood and we do low-cost vasectomy procedures 1-2x/month on monday evenings. the full-pay cost is $475. some men qualify for title XX funding, though, so perhaps based on his income/family size your brother could qualify to pay less. some men pay nothing. some pay just half, etc. the dallas surgery center is located at greenville ave. and walnut hill by presby.
...and just to be clear, a board certified urologist performs our vasectomy procedures.