Here, it's $125 flat. Cash or card, no insurance required, no surprise add-ons.
Around the country DOT physicals run anywhere from about $50 to $300. Urgent-care chains often charge $120–$200 and treat you like exam #47 of the day, between stitches and strep throats. Hospital occupational-health departments run higher still. A dedicated DOT exam operation keeps it simple: one flat price, drivers all day, in and out fast.
Usually not — most health plans treat it as an occupational exam, not preventive care. That's why nearly every driver pays cash. Some employers reimburse; you'll get a clean receipt either way. If your company sends multiple drivers, ask about fleet pricing.
The exam fee is the small number. A rushed exam with high blood pressure on the cuff can turn a 2-year card into a 1-year card — doubling your exams and your risk of a surprise downgrade. Read the pass guide before you come in; the goal is certifying you for the full two years.