I use three different vets in our town. The one we use the most has no office fee and only charges for meds shots or what ever was done. So we use him for the simple things. And with 5 cats usually get out of there with less than a 50 dollar bill. But he does not have a lot of the equiment needed for anything major. We only use him for shot or simple sickness. The other two we use one is a 25.00 office visit for everyone you bring they dont charge extra per pet. The other is 25.00 for the first pet 10 for each additonial pet.