One visit: the exam or heart specialist consult, the heart scan, and any tests or medication billed that day.
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The first visit is the big one, because it has the heart scan on it. Later visits are mostly medication and rechecks.
Have these prices with you when you call a vet or check the bill afterwards.
The first workup runs $500–$900. After that it is $40–$120 a month in medication, plus rechecks.
| State | Most bills | Bills |
|---|---|---|
| California | $1,200 – $3,950 | 7 |
| New York | $575 – $1,550 | 3 |
States with fewer than 5 bills are rough guides. Compare all states
Written estimates for specialty care typically come in at $1,200 – $6,500, because clinics quote for the worst case. What people actually paid is the figure at the top of this page.
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Free · your details stay private · no obligationFeline heart disease is covered as an illness under comprehensive plans — diagnostics, echo, hospitalization, and (plan-dependent) lifelong medications at 70–90% after deductible. Because murmurs and HCM are frequently discovered young in cats, enrollment timing matters: a murmur noted before enrollment can exclude all heart care.
Real bills for this, with the clinic and owner details removed. Open one to see what was charged.
The largest charges on this bill.
The largest charges on this bill.
See the full billThe largest charges on this bill.
See the full billThe largest charges on this bill.
See the full billBased on 22 real cat invoices, heart-related visits cost $525–$1,250. The diagnostic workup — echocardiogram plus cardiology consult — runs $500–$900. Ongoing management is typically $30–$80/month in medication plus monitoring visits. A congestive heart failure crisis at an emergency hospital, with oxygen and hospitalization, costs $1,500–$4,000.
A cat echo costs $400–$700 with a board-certified cardiologist (consult typically included or $150–$300 separately), or $300–$500 when performed by a general practitioner with ultrasound training. It is the definitive test for HCM — the most common cat heart disease — and usually does not require sedation. Many cardiology services also recheck with a shorter follow-up echo at $250–$450.
The NT-proBNP test — a screening blood test that flags heart muscle stress — costs $50–$120 and appears frequently in our cat invoices as a first step when a vet hears a murmur. A positive result usually leads to the echocardiogram ($400–$700). Pre-anesthesia proBNP screening is also common for cats with murmurs before dental work.
Typical monthly costs from real-world pricing: atenolol $10–$25, clopidogrel (anti-clot, standard for HCM cats) $15–$40, furosemide for congestive cases $10–$25, pimobendan $30–$70 where prescribed. Many HCM cats take two or three of these — $40–$120/month combined. Human-pharmacy generics with a written prescription cut these costs substantially.
A CHF crisis is the expensive event in feline cardiology: emergency exam ($100–$250), oxygen therapy ($150–$400/day), injectable diuretics ($50–$150), chest X-rays ($150–$400), and 1–3 days of hospitalization ($600–$1,500/day) — totals of $1,500–$4,000 are typical. Cats stabilized from a first CHF episode then move to the $40–$120/month medication tier.
Yes — heart disease is covered as an illness at 70–90% after deductible: the workup, echo, medications (if your plan includes Rx coverage), and CHF hospitalizations. The catch is timing: HCM is common in cats and a murmur documented before enrollment can make everything cardiac pre-existing. Enroll young, and note some breeds (Maine Coon, Ragdoll) carry known HCM risk.
Prices come from 22 real vet bills that owners shared with us for this. “Most bills” means the middle half: a quarter were lower and a quarter were higher. How we work this out