Cost Of Annual Physical Exam In Texas | Sidecar Health

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The average cash price for annual physical exam care in Texas is $398 at office or urgent care. Read More

Average cash price in Texas

office or urgent care $398

A common annual physical exam at office or urgent care facility in Texas includes

Units	Avg Cash price
Provider
Doctor visit provider fee First time visit Standard	1	$179
Provider fee to draw blood sample From a vein with a needle Standard	1	$15
Imaging
Provider fee for routine ekg with interpretation/report Standard Standard	1	$50
Lab
Lab fee for test to count all blood cells, just red blood cells, or to find the concentration of hemoglobin Standard Standard	1	$30
Lab fee for comprehensive metabolic panel Comprehensive Standard	1	$66
Lab fee for bundle of 3 or more lipid (cholesterol) tests Standard Standard	1	$35
Lab fee for urine test Standard Standard	1	$22
Total average cash price	$397.67

What happens during an annual physical exam?

Your annual physical exam may take anywhere from thirty minutes to an hour to complete. It will follow a fairly routine procedure.

1. Nursing staff will ask you questions about your current health status, or any changes to your lifestyle, such as increased alcohol consumption or stressful life changes (moving, marriage, etc.). They’ll also make sure your medical records are up-to-date with your current medications, discovered allergies, and recent surgeries.
2. The nurse will also perform basic vitals tests, such as checking your blood oxygen levels, blood pressure, and heart rate.
3. Then your provider will conduct a visual exam. Your practitioner will look in your eyes, ears, mouth, and nose to see if they detect any issues.
4. Then comes the physical exam. The provider will apply gentle pressure (called palpating) to your abdomen, neck, arms, and legs to check for problems. They may also test your motor functions and reflexes.

There may be more detailed tests involved if your family has a history of certain diseases, such as diabetes, hyperthyroidism, or heart disease.

What is the purpose of an annual wellness exam?

Annual wellness exams serve a couple of different purposes, almost all of them surrounding preventative care.

These exams help your medical practitioners keep consistent records of your overall well-being, as well as monitor chronic conditions and medications. Your doctor may also address everyday habits that negatively affect your health and help you adjust them accordingly.

Regular physical exams also enable your doctor to catch any unusual or concerning signs as early as possible, and allow you to get treatment as soon as possible. This is especially important as you age.

What blood tests are done for an annual physical?

Some blood tests may be necessary during your annual physical, especially if you are at particular risk for specific conditions and diseases. These tests might include a metabolic panel, a comprehensive blood count, diabetes or thyroid screening, or a lipid panel. These tests monitor for anemia, kidney and liver function, and cholesterol levels.

Be sure to check with your doctor ahead of your appointment for any rules regarding food and drink before these blood tests to ensure you’re getting the most accurate results possible.

Is a comprehensive wellness visit the same as an annual physical exam?

Your annual physical exam is going to be more thorough and take longer than a comprehensive wellness visit. Wellness visits typically only include a visual examination and the updating of your medical history.

Comprehensive wellness visits are covered by most insurance plans, while annual physical exams are not always covered. Contact your insurance company before you go to your appointment to confirm your benefits.

Do you need to get a comprehensive physical exam every year?

No, you do not need to get a comprehensive physical every year. Though wellness visits should be performed every year, a comprehensive physical doesn’t need to happen that often. If you are generally healthy, having these exams every three to five years is recommended.

Yearly comprehensive physicals might be called for if you are at high risk for a particular disease or condition such as cancer or heart disease, or if you participate in sports.

At what age should you start getting your annual physical?

Most people will get annual exams throughout their childhood, but these are less intensive than adult exams. At around age 18, you should get your first comprehensive physical exam.

This is the same for everyone, regardless of gender, though there are a couple of gender-specific tests your doctor may prescribe. Women specifically should start having annual gynecological physicals at between 13 and 15 years old. However, a pelvic exam is not necessary until the age of 21, unless there are specific gynecological concerns. Men should start having regular prostate exams at about 50 unless otherwise recommended by their doctor.

About the annual physical exam Average Cash Prices

This procedure is most commonly performed at urgent care.

Urgent Care/Office

Seeking medical care at a doctor's office or an urgent care facility is almost always more affordable than going to a hospital for treatment, but you may not be able to receive the full-range of care and support services available at a hospital, such as advanced imaging services and more extensive surgical procedures. Procedures may not be performed at your doctor's office or at urgent care, so you need to call the office first to confirm treatment options and cost.

The cost of other services

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Cost of annual physical exam by state

Cost of annual physical exam by state

• Alabama
• Alaska
• Arizona
• Arkansas
• California
• Colorado
• Connecticut
• Delaware
• Florida
• Georgia
• Hawaii
• Idaho
• Illinois

• Indiana
• Iowa
• Kansas
• Kentucky
• Louisiana
• Maine
• Maryland
• Massachusetts
• Michigan
• Minnesota
• Mississippi
• Missouri
• Montana

• Nebraska
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• New York
• North Carolina
• North Dakota
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Rhode Island

• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Vermont
• Virginia
• Washington
• West Virginia
• Wisconsin
• Wyoming

* Savings estimate based on a study of more than 1 billion claims comparing self-pay (or cash pay) prices of a frequency-weighted market basket of procedures to insurer-negotiated rates for the same. Claims were collected between July 2017 and July 2019. R.Lawrence Van Horn, Arthur Laffer, Robert L.Metcalf. 2019. The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers. Health Management Policy and Innovation, Volume 4, Issue 3.

Sidecar Health offers and administers a variety of ACA compliant major medical plans. Coverage and plan options vary and may not be available in all states.

Your actual costs may be higher or lower than these cost estimates. Check with your provider and health plan details to confirm the costs that you may be charged for a service or procedure. You are responsible for costs that are not covered and for getting any pre-authorizations or referrals required by your health plan. Neither payments nor benefits are guaranteed.

The site is not a substitute for medical or healthcare advice and does not serve as a recommendation for a particular provider or type of medical or healthcare.