If you drive a truck or bus for a living, you already know the rule: no medical card, no work. So let’s answer the question every driver asks before anything else — how much does a DOT physical cost? At PassQual Health in Miami Gardens, the answer is $50, flat. Not $50 plus an “office visit” charge. Not $50 unless your blood pressure needs a second reading. Fifty dollars, from the moment you sit down to the moment you walk out with your certificate. I want to break down exactly what that $50 covers, because the same federal exam sells for $75, $100, even $150+ a few miles down the road — and you deserve to know why.

What the $50 DOT physical cost actually covers

Here’s what’s inside that single price: The complete FMCSA exam, performed by Dr. Hendry Perez Pascual, MD — a certified medical examiner listed on the FMCSA National Registry. That listing matters: federal rules only accept a DOT physical performed by a National Registry examiner, so always confirm it before you book anywhere. Every required test. Vision check, hearing check, blood pressure and pulse, and the urine dipstick that screens for protein, blood, and sugar. No “lab fee” appears later — the urinalysis is part of the exam, and no, it is not a drug test. The paperwork, done right. Your Medical Examination Report (Form MCSA-5875) completed, and your Medical Examiner’s Certificate (Form MCSA-5876) — the medical card — issued the same day when you qualify. Electronic reporting for CDL drivers. Since June 2025, exam results are transmitted electronically to FMCSA so your state record updates. There’s no separate “filing fee” for that here. That’s the whole visit. One price, one trip, about 30 minutes.

Why do other clinics charge $75–$150 for the same exam?

Here’s the part drivers should understand: the DOT physical is standardized by federal regulation. Every National Registry examiner uses the same form, the same vision and hearing standards, the same blood pressure guidance. Surveys put the typical price around $95–$140, with a common range of $75–$150 and some markets over $200 — but a higher price doesn’t buy a different exam or a longer card. What the price spread usually reflects is business model, not quality. And watch for quiet add-ons: some offices bill a separate visit fee, or charge again if your blood pressure needs a recheck. The one question that protects you anywhere: “Is that price all-in — exam, certificate, and any same-visit recheck?” At PassQual, it is.

Does insurance cover a DOT physical?

Usually no. The DOT physical is an occupational certification exam, not treatment for an illness, so most health plans don’t touch it. That means nearly every driver pays out of pocket — which is exactly why the number that matters is the total number, not a teaser rate. Our $50 is the total.

Who pays — you or your employer?

If you drive for a carrier, ask before you book: many companies pay for the physical or reimburse it, and some send drivers to a contracted clinic. You’re generally free to choose your own National Registry examiner if you’re paying — and plenty of drivers from Miami Gardens, Hialeah, and Opa-locka do exactly that to skip a long wait at a chain clinic. If you’re an owner-operator, it’s your cost, and it’s commonly treated as a business expense — ask your tax preparer.

The honest fine print

There are things no exam fee covers, at any clinic: if your situation requires a cardiologist’s clearance letter, a sleep study, or the insulin-diabetes form (MCSA-5870) from your treating clinician, those come from your own doctors. What you won’t find at PassQual is padding on the exam itself. Walk in with the right paperwork — here’s what to bring to a DOT physical — and the $50 visit stays a one-trip errand. Note: The $50 buys the exam and an honest determination under FMCSA standards — no examiner, at any price, can sell you a medical card. What a good examiner does is tell you exactly where you stand, and if a health condition means a shorter card, help you keep driving legally while you manage it. ➡️ Ready to get it done? If you’re searching for a DOT physical near me in Miami Gardens, here’s the full rundown of how we handle the exam at PassQual Health.

📋 BOOK YOUR EXAM

$50 flat — complete DOT physical and medical certificate, no add-ons. Dr. Hendry Perez Pascual, MD — FMCSA National Registry certified medical examiner Bilingual clinic · Same-week appointments 📞 (786) 677-9922 📍 18706 NW 67th Ave, Miami Gardens, FL 33015 → Book now