If you're a commercial driver, understanding how much does a DOT physical cost helps you budget and avoid surprise fees. In 2026, prices range from $50 to $200 depending on location, insurance, and clinic type. This guide breaks down costs at CVS, Concentra, urgent care centers, and provides state-specific estimates for Texas, California, New York, Florida, and more.
$80 – $150
Without insurance: $80–$200
With insurance: $0–$75 (after copay)
$120 – $220
Physical: $80–$150 + Drug screen: $40–$70
CVS MinuteClinic: $99–$129
Community health centers: $50–$80
A Department of Transportation (DOT) physical is a mandatory exam for commercial motor vehicle (CMV) drivers under FMCSA regulations. It ensures you're physically fit to operate a truck, bus, or other heavy vehicle. The exam checks vision, hearing, blood pressure, urinary analysis, and overall health. How much does a dot physical cost depends on where you go, but skipping it isn't an option — your CDL medical card expires every 24 months (or less if certain conditions exist). In 2026, rates have slightly increased due to inflation, yet competitive pricing remains at retail clinics.
If you're paying out-of-pocket (no insurance or employer coverage), you'll typically spend $80 to $150 for a standard DOT physical. However, high-cost states like New York or California can reach $200. Below is a detailed comparison of major national providers:
| Provider / Location Type | Average Cost (No Insurance) | Average Cost (With Insurance) | Notes |
|---|---|---|---|
| CVS MinuteClinic | $99 – $129 | Copay $20–$50 (if in-network) | Online booking, nationwide, quick results |
| Concentra | $89 – $149 | Varies by plan; $30–$60 copay | Specialized in occupational health, drug tests extra |
| MedExpress | $95 – $145 | Copay $25–$55 | Walk-in urgent care, offers DOT exams |
| Patient First | $100 – $160 | Copay $25–$70 | Mid-Atlantic & South locations |
| Kaiser Permanente (members) | $70 – $120 (non-members higher) | Often $0–$40 with Kaiser plan | Members only for best rates |
| Independent Urgent Care | $80 – $200 | Copay $30–$75 | Prices vary widely; call ahead |
| Community Health Center | $50 – $85 | Sliding scale / low cost | Great uninsured option, limited availability |
How much does a dot physical cost in Texas, California, Florida, or Illinois? Here are average out-of-pocket ranges for key states. Always confirm with local clinics.
| State | Typical Cost Range (No Insurance) | Popular Providers |
|---|---|---|
| California | $110 – $200 | Concentra, CVS, urgent care |
| Texas | $75 – $140 | CVS MinuteClinic, Concentra, CareNow |
| New York (NY) | $100 – $190 | MedExpress, CityMD, Concentra |
| Florida | $80 – $145 | Patient First, CVS, independent clinics |
| Illinois | $85 – $150 | Concentra, CVS, Physicians Immediate Care |
| Georgia (GA) | $75 – $130 | Concentra, MedStop, CVS |
| Ohio | $70 – $135 | CVS, OhioHealth urgent care |
| Virginia | $85 – $145 | Patient First, CVS, Concentra |
| Louisiana | $80 – $140 | Urgent Care Eleven, CVS |
| Alabama | $70 – $120 | American Family Care, CVS |
| Michigan | $80 – $140 | Concentra, CVS, Beaumont Urgent Care |
| Spokane, WA | $85 – $155 | MultiCare Indigo, Concentra, CVS |
💡 Tip: In rural areas or smaller towns, DOT physical costs often trend lower ($65–$100). Use “how much does a dot physical cost near me” + your zip code for real-time quotes.
If you have health insurance (PPO, HMO, or employer group plan), many plans cover DOT physicals as preventive care or occupational health service. However, some classify it as a “work-related exam” and may not cover it unless required by your employer. Typical out-of-pocket with insurance: $0 – $75 copay. Always check if the clinic is in-network. For Medicare, traditional Medicare doesn't usually cover DOT physicals because they're not deemed medically necessary, but Medicare Advantage plans might include limited coverage. Employers often reimburse the cost — keep your receipt.
✅ Pro tip 2026: Many clinics now offer digital check-in; pre-register online to lock in lower rates.
Employers often require a DOT drug test (urine analysis for amphetamines, cocaine, opiates, PCP, cannabis) alongside the physical. The drug test is separate and adds $40–$65. Combined total: $120–$220. Some Concentra and CVS locations offer a package price — ask for “DOT physical + drug screen bundle.”
⏱️ Total time: 30–60 minutes. Same-day certificate if you pass.
Session rates & insurance coverage
Adjustment pricing nationwide
Heart test price comparison
CVS MinuteClinic charges between $99 and $129 without insurance, depending on location. With insurance, your copay typically ranges $20–$50. Schedule online for guaranteed pricing.
Concentra's DOT physical averages $89–$149 out-of-pocket. Drug tests are extra ($45–$60). Many Concentra centers offer employer discounts; call ahead for exact pricing in your city.
Some health insurance plans cover DOT physicals as preventive care, especially if you have an occupational rider. However, many do not because it’s work-related. Always verify with your provider and bring your card — you might only pay a copay ($10–$40).
In Texas, you can find DOT physicals for $75–$140 without insurance. CVS MinuteClinic (Dallas, Houston, Austin) offers $109 flat rates, while independent clinics sometimes charge as low as $80.
Most drivers require a DOT physical every 24 months. However, if you have a medical condition (hypertension, diabetes, sleep apnea), your certificate may be valid for only 12 months or less.
A bundle of DOT physical + drug test ranges from $120 to $220. CVS and Concentra both offer combo packages, with national average around $160. Ask for bundle pricing to save $15–$30.
If you fail, you cannot drive commercially until the issue is resolved. You may need a follow-up exam or specialist clearance (e.g., cardiologist). Some clinics charge a reduced re-examination fee ($40–$70).
Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice. DOT physical requirements vary by state and FMCSA regulations. Always consult a certified medical examiner or your employer for official guidance regarding your health and compliance.