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Veterinary · head to head

Hippo Manager vs Kareo

Hippo Manager logo

Hippo Manager

Veterinary

Cloud veterinary practice management software with flat per-user pricing

From
On request
Rated
-
Full reviewWebsite
Kareo logo

Kareo

Healthcare

Cloud-based EHR and billing for small practices

From
$99/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Hippo Manager pricing is per user, so a practice with a rota of part-time technicians and relief veterinarians pays full seats for people who log in a few times a month.; Kareo kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • They diverge on capability: Hippo Manager covers Cloud patient records, Kareo covers Electronic Health Records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Hippo Manager and Kareo actually diverge.

Attributes where Hippo Manager and Kareo differ
AttributeHippo ManagerKareo
Starting priceOn request$99/month
Pricing modelquotesubscription
PlatformsWeb, iOS, AndroidWeb, Mobile
CategoryVeterinaryHealthcare
FoundedUnknown2010

Identical on both: free tier (No), user rating (Not yet rated).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Hippo Manager

  • Cloud patient records
  • Invoicing and payments
  • Inventory
  • Laboratory results
  • Reporting

Only in Kareo

  • Electronic Health Records
  • Patient Portal
  • Medical Billing
  • Payment Processing
  • Labs
  • Pharmacies
  • Clearinghouses
  • HIPAA

Both cover

  • Scheduling

What people use each for

The jobs each tool is most often brought in to do.

Hippo Manager

  • A new clinic opening with no server, no IT provider and a need to be running within weeksnot Kareo
  • A mobile or house call veterinarian working from a tablet between appointmentsnot Kareo
  • A two doctor practice replacing a legacy on-premise system and wanting predictable monthly costnot Kareo
  • A veterinary teaching programme needing many inexpensive logins on shared recordsnot Kareo

Kareo

  • Practice management, scheduling and billing for independent medical practicesnot Hippo Manager
  • Electronic health records and e-prescribing for small clinicsnot Hippo Manager
  • Insurance claim submission and patient payment collectionnot Hippo Manager

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Hippo Manager

  • Pricing is per user, so a practice with a rota of part-time technicians and relief veterinarians pays full seats for people who log in a few times a month.
  • Inpatient and treatment sheet workflows are lighter than in systems built for referral and emergency hospitals, which pushes overnight care onto paper.
  • The integration catalogue is short relative to the larger cloud platforms, so a practice with an existing imaging, communications or payment preference may find no connector.
  • Multi-location reporting is basic, which limits its usefulness to a group beyond a handful of sites that wants consolidated production figures.
  • As a browser only system it stops when the internet does, and a practice without a backup connection loses records, scheduling and invoicing at the same time.

Kareo

  • Kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • Tebra publishes no rate: pricing varies with provider count, features and implementation requirements and is quoted during a demo
  • Billing counts clinical providers such as MDs, DOs, NPs and PAs, so adding a prescriber raises the bill even though non clinical staff are free
  • Electronic prescribing of controlled substances setup costs about $75 per provider as a one time fee
  • PDMP integration costs $500 one time per facility plus about $50 per user per year

Pricing, plan by plan

Hippo Manager

On request
  • Hippo Manager$undefined/month
    • Flat monthly subscription charged per user
    • Core clinical, billing and inventory functionality included
    • Data conversion and onboarding quoted separately

Kareo

$99/month
  • Starter$99/month
    • EHR
    • Scheduling
    • Patient Portal
  • Professional$199/month
    • Everything in Starter
    • Billing
    • Reporting

Which should you pick?

Choose Hippo Manager if

  • You need cloud patient records.
  • You work on Web, iOS, Android.
  • You also want invoicing and payments.
Hippo Manager review

Choose Kareo if

  • You need electronic health records.
  • You work on Web, Mobile.
  • You also want patient portal.
Kareo review

Questions people ask

Is Hippo Manager or Kareo better?
Neither clearly leads. Hippo Manager starts at On request and Kareo at $99/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Hippo Manager or Kareo?
Hippo Manager starts at On request and Kareo at $99/month.
Does Hippo Manager or Kareo run on more platforms?
Hippo Manager runs on Web, iOS, Android. Kareo runs on Web, Mobile.
What is Hippo Manager best used for?
Hippo Manager is most often used for a new clinic opening with no server, no it provider and a need to be running within weeks, a mobile or house call veterinarian working from a tablet between appointments, a two doctor practice replacing a legacy on-premise system and wanting predictable monthly cost, a veterinary teaching programme needing many inexpensive logins on shared records. Of those, a new clinic opening with no server, no it provider and a need to be running within weeks and a mobile or house call veterinarian working from a tablet between appointments are not what Kareo is typically brought in for.
What can Hippo Manager do that Kareo cannot?
Hippo Manager covers Cloud patient records, Invoicing and payments, Inventory, Laboratory results. Kareo covers Electronic Health Records, Patient Portal, Medical Billing, Payment Processing. Both handle Scheduling.

Answered from the vendors’ own pages

Hippo Manager: Is this veterinary software?

Yes. Hippo Manager is a veterinary practice management system for animal clinics, unrelated to similarly named products in other software categories.

Kareo: Does Kareo publish its pricing?

No. Kareo (now rebranded as Tebra) uses custom per-practice pricing that varies based on the number of providers, features needed, and implementation requirements. Pricing is determined during a demo with the sales team.

Source
Hippo Manager: How is it priced?

As a flat monthly fee per user with the feature set included, rather than a base licence plus paid modules.

Kareo: Are there discounts for adding multiple modules?

Yes. Tebra states that many practices qualify for bundled pricing or volume incentives when adopting multiple modules like EHR, billing, and patient experience tools together.

Source
Hippo Manager: Does it suit an emergency or referral hospital?

Not well. Inpatient workflow depth is limited and specialist practices should look at systems built for that setting.

Kareo: What are the additional costs for controlled substance prescribing?

For providers who prescribe controlled substances, EPCS setup costs approximately $75 per provider as a one-time fee, and PDMP integration costs $500 one-time per facility plus around $50 per user per year.

Source
Hippo Manager: Is there an on-premise version?

No. It is browser only, which means no server to maintain and no offline working.

Kareo: Does Kareo offer a free trial?

Kareo's website does not mention a free trial option. Access to pricing and trial arrangements requires contacting the sales team to request a demo.

Source
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