Executive Health Physical: What's Included & 2026 Cost

What's Included

What's Included in an Executive Physical

Core components across reputable programs: comprehensive metabolic and hormone bloodwork, advanced lipid testing (ApoB, Lp(a)), cardiac screening (resting and stress ECG, coronary calcium scoring, echocardiogram in many programs), age- and risk-appropriate cancer screening, body composition analysis (often DEXA), vision, hearing, and skin checks, and an extended physician consultation that turns results into a written prevention plan.

Premium tiers add full-body MRI, cardiac CT angiography, genomic testing, VO2 max and fitness testing, cognitive assessment, and continuous-glucose-monitor setup. The defining feature isn't any single test — it is compression: a year's worth of specialist workups coordinated into one or two days with one accountable physician.

Cost

What an Executive Physical Costs in 2026

Pricing spans a wide band depending on program depth, institution, and whether the evaluation is a one-time visit or part of an ongoing membership. The table above breaks down the five tiers commonly used in the U.S. market. The mainstream band sits at $2,000–$6,000; elite academic programs run higher; longevity-platform memberships replace the single-visit model entirely.

Vs. Annual Checkup

Executive Physical vs. Annual Checkup

A standard annual physical is a 15–20 minute visit with basic labs, designed around insurance reimbursement. An executive physical inverts the model: hours of physician time, a test menu chosen for early detection rather than coverage rules, same-week results, and a written plan. The trade-off is cost — insurance rarely covers it — and the ongoing debate in preventive medicine about over-testing: broad screening in asymptomatic people can surface incidental findings that lead to follow-up procedures of uncertain benefit. A good program is physician-led precisely so testing is matched to age, family history, and risk rather than maximized for its own sake.

Candidacy

Who Should Get One — and How Often

Strongest candidates: adults over 40, executives and founders whose schedules crowd out routine care, anyone with significant family history (cardiovascular disease, cancer), and patients beginning a longevity or performance program who need a true baseline. Most programs recommend annual repetition; every other year is reasonable for younger, lower-risk patients. Many concierge memberships bundle an executive physical into the annual fee — often the better economics for anyone already considering both (see our concierge medicine cost guide at /hautemd/costs/concierge-medicine-cost/).

Selection

How to Choose a Program

Judge programs on physician depth rather than test-menu length: who reviews the results, what happens when something is found, and whether there is a real follow-up pathway to specialists. Confirm which components are evidence-based screening versus optional add-ons, ask how incidental findings are handled, and check whether results integrate with your ongoing physician — a stack of PDFs with no follow-through is the most common failure mode of cut-rate programs.

Haute MD

Executive Health Through Haute MD Physicians

Haute MD's concierge and longevity physicians offer executive-physical-grade evaluations inside an ongoing physician relationship rather than as a one-off visit — meaning the diagnostics get acted on, repeated, and trended over years instead of becoming a binder on a shelf. Programs across Miami, New York, Los Angeles, San Francisco, Chicago, Dallas, and Aspen combine the standard executive-physical core (advanced bloodwork, cardiac screening, cancer screening, body composition) with optional add-ons (full-body MRI, cardiac CT, genomics, VO2 max) and a written prevention plan owned by your primary concierge physician. The directory lists program scope, included imaging, and pricing per practice.