Objective: To calculate the curative expenditure for cardiovascular and cerebrovascular diseases (CVDs) in primary medical institutions in China，and analyze its financing structure and allocation，to provide information for policies to optimize the financing and prevention and control of CVDs. Methods: System of Health Accounts 2011 was employed to calculate CVDs' curative expenditure，and analyze the expenditure by health function，beneficiary characteristics and financing schemes. Results: In 2020，CVDs curative expenditure in primary medical institutions in China was 95.59 billion yuan，accounted for 24.75 %of curative expenditure. Of CVDs curative expenditure，more than 70 %were consumed by people aged 60 and over，and over 75 %were used for primary hypertension，coronary heart disease and cerebral infarction; nearly 60 %were spent on outpatient care. 21.50 %of CVDs curative expenditure were financed by out-of-pocket. Conclusion: Primary medical institutions play an important role in the prevention and treatment of CVDs. It needs to strengthen the capacity of CVDs prevention and treatment and optimize the financial input and medical security policy，so as to expand the security level for CVDs and recognizing key risk factors in primary medical institutions.