Executive physicals cost between $2,500 and $25,000 per visit, with the average landing around $3,500-6,000. These comprehensive assessments are designed for CEOs, founders, and high-impact professionals who need to detect health risks years before they become emergencies. They go far beyond a standard annual physical. However, most insurance won’t cover them. Furthermore, a growing body of evidence questions whether the most expensive versions deliver proportional value. The Cleveland Clinic charges up to $25,000. The Mayo Clinic runs $5,000-11,000. And yet, researchers have called much of the cardiovascular screening at top hospitals “pricey and unproven.”
Executive Physical Pricing Tiers
The market breaks into three distinct tiers. Entry-level packages start at approximately $2,500. These typically include comprehensive blood work (30-40 markers), cardiovascular screening, a resting ECG, and a physician consultation. Furthermore, they provide a baseline health assessment that exceeds standard primary care visits. The consultation alone usually covers detailed lifestyle evaluation.
Mid-range programs cost $3,000-6,000. At this level, expect advanced imaging studies, extended lab panels covering 90+ biomarkers, and longer physician consultations. Additionally, these programs often include specialist referrals, stress testing, and more detailed body composition analysis. The Vanderbilt University Medical Center package falls at $3,500. Northwestern Memorial Hospital charges $3,195.
Premium programs run $6,000-25,000. The Cleveland Clinic’s premier package ranges from $5,000 to $25,000 depending on testing selected. Furthermore, the Mayo Clinic’s program costs $5,000-11,000. Atlantic Health Morristown Medical Center charges $11,000 for a full-day program including abdominal aortic ultrasound, coronary calcium scoring, cardiac stress testing, carotid ultrasound, CT imaging, and comprehensive blood panels.
What You Actually Get
The diagnostic depth varies dramatically by price point. Basic packages test 30-40 blood markers. Comprehensive packages test 90+ biomarkers covering metabolic health, hormone levels, inflammation markers, and nutrient deficiencies. That difference alone explains $2,000+ in pricing variation between tiers.
Advanced imaging is where costs escalate fastest. Full-body MRI scans, CT calcium scoring, and echocardiograms require expensive equipment and specialized technicians. Furthermore, functional assessments like VO2 max testing, DEXA scans for bone density and body composition, and resting metabolic rate measurements add another cost layer. These tests provide optimization data, not just disease detection.
The most comprehensive programs also include specialist consultations across cardiology, endocrinology, and oncology. Additionally, premium packages may incorporate genetic testing ($300-2,000), colonoscopy ($2,000-4,000), cardiac calcium scoring ($200-600), and cancer screening blood panels ($250-600). Each add-on increases both the diagnostic value and the final bill.
Who Pays: Corporate Perks vs. Self-Pay
Executive physicals are primarily self-pay. Most insurance plans do not cover them. Furthermore, Medicare specifically excludes comprehensive executive health programs. Patients are required to sign advanced beneficiary notices acknowledging they are receiving non-covered care.
Many executives receive them as corporate perks. Companies provide them to protect key personnel whose absence could damage business operations. Furthermore, research shows companies see an average return of $3.27 for every dollar invested in comprehensive preventive health programs through reduced medical costs and absenteeism.
For self-pay individuals, the expense is tax-deductible as a medical expense if it exceeds the IRS threshold. However, the out-of-pocket cost remains significant. Consequently, executive physicals remain predominantly a service for high-income professionals and corporate leadership.
The Evidence Question
Here’s where it gets uncomfortable. Researchers have questioned whether executive physical pricing reflects evidence-based value. A study published in 2025 examined cardiovascular screening at top US hospitals. It found that many offered testing described as “pricey and unproven.” Furthermore, the research noted that prestigious institutions leverage their reputations to suggest evidence-based practice where evidence is actually lacking.
The American Psychiatric Association and similar bodies have cautioned against assuming that more testing equals better outcomes. False positives from advanced imaging can trigger unnecessary follow-up procedures. Additionally, the stress and radiation exposure from certain scans must be weighed against potential benefits. Nevertheless, proponents argue that early detection of conditions like coronary artery disease justifies the investment.
Alternatives: Concierge Medicine and Longevity Clinics
The executive physical market now competes with newer models. Concierge medicine practices charge annual membership fees of $2,000-25,000 for year-round access. This model spreads costs and provides ongoing monitoring rather than a single annual event. Furthermore, longevity clinics like Fountain Life and Prenuvo offer advanced imaging with consumer-friendly pricing.
The subscription model particularly appeals to executives who want continuous health management. Instead of paying $10,000 for a one-day assessment, they pay monthly for ongoing physician access, quarterly testing, and proactive health management. Consequently, the traditional executive physical faces disruption from both above and below.
For context on how executive health fits within the broader longevity economy, see our related coverage on Blueprint Protocol costs and Peter Attia’s approach.
Take Your Next Step
Feature Article Ideas/Advertising/Brand Partnership Inquiries: Contact Social Life Magazine
Polo Hamptons Tickets, Cabanas, Brand Sponsorships: Visit Polo Hamptons
Join Our Email List: Subscribe Here
Social Life Magazine Print Subscription: Subscribe Today
Support Our Publication: Donate $5 to Social Life Magazine
Frequently Asked Questions
How much does an executive physical cost?
Executive physicals typically cost $2,500-10,000 per visit. Entry-level packages start at $2,500 with basic blood work and ECG. Mid-range programs run $3,000-6,000 with advanced imaging. Furthermore, premium programs at the Cleveland Clinic reach $25,000. The Mayo Clinic charges $5,000-11,000. Most insurance does not cover these services.
Does insurance cover executive physicals?
Generally no. Most insurance plans do not cover comprehensive executive health programs. Medicare specifically excludes them. Patients sign advanced beneficiary notices acknowledging non-covered care. However, some employers provide executive physicals as corporate perks for senior leadership. Tax deductibility may apply above IRS thresholds.
What is included in an executive physical?
Basic packages include comprehensive blood work, cardiovascular screening, and physician consultation. Mid-range adds advanced imaging and specialist consults. Furthermore, premium packages include full-body MRI, genetic testing, VO2 max assessment, DEXA scans, and specialist consultations in cardiology, oncology, and endocrinology.
Are executive physicals worth the cost?
It depends on risk factors and alternatives. Companies see $3.27 return per dollar invested through reduced absenteeism. However, researchers have questioned the evidence basis for some premium screening tests. Furthermore, concierge medicine memberships may provide better ongoing value than annual one-day assessments.
Where can I get an executive physical?
Major providers include the Mayo Clinic ($5,000-11,000), Cleveland Clinic ($5,000-25,000), Cedars-Sinai, Mount Sinai, and academic medical centers nationwide. Furthermore, private concierge practices and longevity clinics like Fountain Life offer alternatives. Most programs accept self-pay or employer-sponsored arrangements.