Last updated: March 2026

How Much Does Sports Physical (Pre-Participation Exam) Cost?

Without Insurance
$50 – $150
Average: $100
With Insurance
$0 – $50
Average: $25
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Cost Breakdown by Type

Type / Procedure Without Insurance With Insurance
Basic Sports Physical $50 – $100 $0 – $25
Sports Physical at Retail Clinic $50 – $75 $15 – $40
Sports Physical with EKG $100 – $250 $25 – $75
School/Camp Physical $50 – $100 $0 – $25

CPT/ADA Code: CPT 99395

What Affects the Cost

  • Facility type (freestanding center vs. hospital — hospitals cost 2-3x more)
  • Geographic location
  • Complexity of the visit or test
  • Whether additional tests or procedures are needed
  • In-network vs. out-of-network provider
  • Time of day (emergency/after-hours may cost more)

Insurance Coverage

Typical coverage: May not be covered as preventive; some plans cover when combined with annual well-child visit

Most diagnostic tests and urgent care visits are covered when medically necessary with a doctor's order. You'll pay your deductible first, then coinsurance (typically 20-40%). Preventive screenings are covered at $0 under the ACA. Always use in-network providers to avoid surprise bills.

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How to Save Money

  • Freestanding facilities cost 50-70% less than hospital-based
  • Ask for cash-pay pricing upfront — often 40-60% less than billed rate
  • Compare prices on MDsave.com or Healthcare Bluebook
  • Use urgent care instead of ER for non-emergencies (save $1,000+)
  • Telehealth visits cost $50-$100 for many conditions
  • Check if the service qualifies as preventive care ($0 with insurance)

Related Procedures & Costs

Frequently Asked Questions

A sports physical costs $50-$100 at most clinics. MinuteClinic and urgent care offer them for $50-$75. Some pediatricians include it in the annual well-child visit at no extra cost. Community events sometimes offer free sports physicals.

Coverage varies. Many plans do not cover standalone sports physicals because they are not considered preventive care. Tip: Schedule the sports physical during your child's annual well-child visit, which is covered at 100% under the ACA.

Most schools and sports leagues require a new sports physical every 12 months. Some states accept them for up to 24 months. Check with your school district or sports organization for specific requirements.

Disclaimer: Costs shown are estimates based on national averages and may vary by location, provider, and insurance plan. This information is for educational purposes only and is not medical advice. Consult your healthcare provider and insurance company for exact costs. Read full disclaimer.
Sources: FAIR Health Consumer, Healthcare Bluebook, CMS Medicare Fee Schedules, GoodRx, and published clinical pricing data. Last updated: 2026-03-15.