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Buying guide · Compare / which format fits me

Executive physical vs full-body scan vs longevity clinic membership: which fits you

These are three different products wearing similar marketing. An executive physical is a coordinated day with a doctor. A full-body scan is imaging, usually MRI, sold on its own. A membership is a standing relationship priced to repeat every year. Nobody selling one of them will tell you to buy a different one, so nobody in the category compares all three honestly.

Three unbranded objects on dark slate: a closed leather folder, a rolled sheet of blank film, and a matte membership card
Generated editorial image for layout context; not a product photo and not an Agewell test setup.
QUALIFY$99/mo-$54,000+/yr10 min
Answer-first

Buy an executive physical if you want one coordinated day with a physician and no annual commitment - Biograph is the only one of the four programs we reviewed that publishes a fixed price. Buy a full-body scan if imaging is the actual goal and you already have a doctor for the rest. Buy a membership only if you want repeated testing and a standing clinical relationship you will actually use across the year, and you have priced what happens if the company does not survive to deliver it.

Agewell verdict

Qualify, not default. Each format is defensible for a specific buyer; none of them is a safe default before the basics. Match the format to the job, not the marketing, and check whether the format you already bought covers the tests you are about to pay for again.

The shortlist

Executive physical - hospital

Mayo Clinic Executive Health

Quote required, no published all-in price

Rochester, Scottsdale, Jacksonville or London, usually one to three days. Strongest if you want coordinated specialist access inside a large hospital system. Its own FAQ states the total varies by campus, demographics and selected services; there is no public starting price to compare against another clinic.

Executive physical - hospital

Cleveland Clinic Executive Health

Quote required; a 2024 sheet listed a $1,346 core charge plus separate testing

A six-to-eight-hour full-day physical in Cleveland or Weston, Florida, with results placed in MyChart. The $1,346 figure is a historical core scheduling and report charge from a 2024 self-pay sheet, not a current all-in total. Do not compare it against another clinic's complete package.

Executive physical - private

Elitra Health

Quote required

A five-to-six-hour private exam in Lower Manhattan with more than two hours of stated doctor time and same-day review. No public package price for the base exam or its higher tiers; full-body CT is sold as an optional add-on, which the FDA says has not shown a net benefit for healthy, asymptomatic people.

Executive physical - private

Princeton Longevity Center

Quote required

A six-to-eight-hour exam with two physician meetings and imaging-heavy options, including coronary CT. No public price for the base exam or the Titanium upgrade; some components use ionizing radiation, which is a real variable, not a marketing detail.

Executive physical - private

Biograph

$7,500 Core / $17,500 Black, first year

The only one of these four executive-physical programs that states a price without a call, $7,500 Core and $17,500 Black when checked September 2026 (Black is up from the $15,000 this site recorded in July). One six-hour day: whole-body MRI, blood work, DEXA and VO2 max, plus physician review. Black adds CT coronary angiography and multi-cancer testing. Ask what a second year costs before assuming the first-year number repeats.

Full-body scan

Neko Health

£299 (London) / 2,750 SEK (Stockholm); no published US price

A sensor-and-blood-marker baseline with a doctor consult, not a whole-body MRI. Agewell's founder completed the Stockholm scan in June 2026. Cheapest way into a doctor conversation on this page, but it measures a narrower set than an MRI-based scan or a full executive physical.

Full-body scan

Prenuvo

$1,199-$3,999 base ($4,499 LA/Chicago, $4,999 NYC)

MRI, sold mainly as an annual membership now: Core (45-min focused scan), Comprehensive (60-min whole body) or Executive (adds brain and heart imaging), prices confirmed against Prenuvo's own page when checked September 2026 (the NYC Executive tier is now $4,999, up from $4,499). No physician-led day around it the way an executive physical has; the scan and a results review are the product.

Full-body scan

Function / Ezra Scans

$899-$999 base; $1,499 with spine; $3,999 skeletal/neuro

The cheapest MRI entry point here, but the base 22-minute scan explicitly excludes chest, lungs, heart, breasts, arms/legs, spine and intestines. Read the exclusion list before assuming "whole body" means whole body.

Ongoing membership

Fountain Life

BASE $595/yr reported; official CORE $10,500/yr, APEX $21,500/yr (marked sold out when checked)

Repeated imaging, genomics and biomarkers with a standing care team, priced as an annual relationship rather than a one-time day. The spread between the reported BASE price and the official six-figure-adjacent APEX tier is wide enough that the tier you can actually book matters more than the brand name.

Ongoing membership

Next Health

$99/mo Medicine 4.0 · $199/mo Optimize · $299/mo Premier

The cheapest legible membership entry on this page: quarterly biomarker testing and provider consults at $99 a month. Get much more skeptical when the conversation moves from testing and lifestyle toward peptides, hormones or IV add-ons billed separately from the base membership.

Ongoing membership

HOOKE London

£19,500-£54,000/yr (Performance £22,000/6mo)

The clearest tiered pricing of the three memberships here, and the most expensive. Worth shortlisting only if you will actually use repeated consultations and testing across the year, not for a single baseline.

The three formats, in one sentence each

An executive physical is one coordinated day (occasionally two or three) with a physician, inside a hospital system or a private clinic, with no annual commitment required. A full-body scan is an imaging purchase, usually MRI, sold on its own or bundled into a light annual rescan plan, with the scan itself as the product rather than a broader physical. A longevity clinic membership is a standing clinical relationship, priced to repeat every year or every month, built around the idea that one measurement is less useful than a tracked series of them.

The three formats overlap enough in their marketing pages that a buyer can end up comparing a $299 scan against a $54,000 membership as if they were competing products. They are not. They answer different questions: "what does my body look like right now," "what does a doctor think about my whole picture today," and "who is watching this over time."

Nobody selling one format will tell you to buy a different one

Every provider on this page sells exactly one of the three formats, which is the practical reason a clean three-way comparison is hard to find: a membership brand's own blog ranking executive-physical competitors, or a scan provider's pricing page, is not going to volunteer that a $299 baseline scan might be all a specific reader needs.

The starkest data point is not price, it is disclosure. Of the four hospital or private executive-physical programs on this page, only Biograph states a number before you talk to anyone. Mayo, Cleveland Clinic, Elitra and Princeton Longevity Center all require a quote, and Cleveland's only public figure is a 2024 core charge that predates optional testing. Next Health and HOOKE London, by contrast, publish full tiered pricing tables. Price transparency is not a proxy for quality here; it is simply a fact worth knowing before you pick up the phone.

The overlap: what you can end up paying for twice

DEXA body composition, a broad blood panel and VO2 max testing show up inside Biograph's Core day, inside Fountain Life's and HOOKE's membership tiers, and as add-ons at Next Health. If you do an executive physical this year and join a membership next year, ask exactly which of those baseline tests the membership repeats and on what schedule, rather than assuming a second, more expensive purchase automatically means more information.

The reverse overlap matters too: a full-body scan does not include the physician conversation, nutrition input or exercise-physiology review that Biograph, Elitra and Princeton bundle into their day. Buying a $2,499 Prenuvo scan does not make a $7,500 Biograph day redundant, and buying Biograph does not make a dedicated MRI scan redundant if imaging depth is what you actually wanted. Match the purchase to the specific gap, not to the biggest number on the page.

Radiation, incidental findings and who owns the follow-up

The imaging-heavy end of this comparison carries a documented risk the marketing rarely states in the same paragraph as the price. A 2025 systematic review pooling 9,024 asymptomatic people found a confirmed-cancer detection rate of 1.57 percent from full-body MRI screening, and an earlier review of 5,373 subjects found 32.1 percent had a critical or indeterminate incidental finding, 16.0 percent of which were later confirmed false positives. That risk applies most directly to Prenuvo, Function/Ezra and the CT-based options inside Elitra and Princeton, not to a scan-free membership tier or a lab-only checkup.

The American College of Radiology's 2023 position is blunt: there is no documented evidence that total-body screening is cost-efficient or extends life in people with no symptoms or risk factors. That does not make every scan irrational, but it means the follow-up question, who reviews an abnormal result and how fast, is worth pricing into every format on this page, including the memberships. Fountain Life and Next Health both describe physician review as part of the product; ask each provider directly how quickly an abnormal result reaches a named clinician, not just whether a result "gets flagged."

The decision fork

If you want one coordinated day, a written report, and no annual commitment, and you can tolerate calling for a price, choose an executive physical. Pick Biograph if price transparency matters more than hospital-system prestige; pick Mayo, Cleveland Clinic, Elitra or Princeton if coordinated specialist access or a specific location matters more than knowing the price up front.

If imaging is the actual goal, you already have a primary-care doctor for everything else, and you want to control when you repeat the test, choose a full-body scan. Neko is the cheapest low-radiation baseline where it operates; Prenuvo and Function/Ezra are the MRI-depth options, and the exclusion list on the base Function/Ezra tier is the first thing to check, not the price.

If you want repeated testing and a standing clinical relationship you will genuinely use across the year, and you have already asked what happens to your records if the company folds, choose a membership. Next Health is the cheapest legible entry at $99 a month; Fountain Life and HOOKE sit at the expensive end and only make sense if the annual cadence, not the first day, is the product you are buying.

When none of the three is the answer

If you have not yet covered blood pressure, ApoB and a one-time Lp(a), HbA1c, body composition, a strength and cardio benchmark, sleep regularity, and named a clinician who owns abnormal results, none of these three formats is the first purchase. The Baseline Month lays out how to clear that threshold in a month, and our purchases-to-skip guide covers which of the expensive options above are worth delaying until a named condition changes the math.

This is not medical advice, and nothing here overrides a real symptom, a real family history or a clinician's specific referral. It is a format map for a healthy buyer trying to spend in the right order.

FAQ

Is an executive physical worth it?

It can be, if you want one coordinated day with a physician and value hospital-system or concierge coordination. It is a weaker purchase if you expect a fixed price up front: of the four programs reviewed here, only Biograph publishes one. Mayo, Cleveland Clinic, Elitra and Princeton all require a quote.

Is a full-body scan better than an executive physical?

Not automatically. A scan is an imaging purchase; an executive physical bundles imaging or lab work with physician time, history-taking and a same-day plan. If imaging depth is the actual goal, a dedicated scan can be cheaper. If you want a doctor to interpret your whole picture in one sitting, an executive physical or a membership day covers more ground.

Does insurance cover any of this?

Generally no. Executive physicals, full-body scans and longevity memberships are typically self-pay, elective products, not services billed through standard insurance. Confirm the payment terms directly with each provider before booking; do not assume any of the prices above are reimbursable.

What is the difference between Biograph and Fountain Life?

Biograph sells one intensive assessment day priced as a first-year membership ($7,500 Core, $17,500 Black); Fountain Life is built as a true recurring annual relationship with repeated imaging and biomarkers across tiers from a reported $595 BASE up to a $21,500 APEX tier. Biograph is closer to an executive physical with a membership wrapper; Fountain Life is closer to a standing clinical relationship.

Do I need a full-body scan if I already had an executive physical?

Only if the executive physical you booked did not include the imaging you wanted. Some programs, like Biograph and Princeton, already include whole-body MRI or CT; others, like Mayo and Cleveland Clinic in their standard protocol, do not make imaging a default. Ask exactly what was scanned before paying for a second, separate scan.

What we read

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By David Persson · Updated 2026-09-21 · Corrections: hi@agewell.guide

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