I have been to many vets around the country but this by far was the most expensive. We have never paid more than $30 for a heartworm test. It was $60.00 for each dog! Also charged two office visits. When all was said and done we paid $300.00. We took them in for a simple heartworm test. I am used to paying around $200.00 and that included heartworm medicine. We only got one month for each dog because they don't carry the kind we use. The staff was friendly but the appointment did take an hour and half. So all I would like someone who is looking for a vet just know they are expensive.