Blood Test Watchdog

Empirical Health vs Vitals Vault

Vitals Vault is cheaper to start ($99 vs $190 per year, lowest published plans). Vitals Vault scores higher overall (9.2 vs 8.6).

By Julian Caraulani · prices checked

Quick verdict

Our pick between the two: Vitals Vault

Vitals Vault scores 9.2/10 against 8.6 for Empirical Health, ahead on clinical care and access. Empirical Health can still be the better fit: it is best for heart-focused testers who want ApoB and Lp(a) with a doctor-written report for one payment.

Side by side

Empirical HealthVitals Vault
Lowest price$190/yr (one-time payment)$99/yr (one-off, no subscription)
Our score8.6/109.2/10
TreatmentsLongevity membershipsLab test orders
Medication in priceNot statedNot stated
Drugs dispensedNot statedNot stated
LabsNot statedNot stated
MembershipNot statedNot stated
InsuranceNo; self-payNo; self-pay
StatesNot confirmed: no state list found on its own site (2026-10-31)46 states (not NY, NJ, HI, RI), per its own site (2026-11-07)
Cancellation$190 panel is a one-time payment. Subscriptions auto-renew unless cancelled before period end by contacting Empirical; account closes at end of billing period. Refund policy for the panel not found.Full refund before sample collection; generally none after collection unless the lab fails.
Trustpilot3.5/5 (3 reviews)4/5 (3 reviews)
Best forHeart-focused testers who want ApoB and Lp(a) with a doctor-written report for one payment.People who want a one-time Quest panel with all fees in one price.
Prices checked2026-11-062026-11-07

Empirical Health: a closer look

Heart-focused panel of 100+ items at Quest or BioReference, with a physician-interpreted report.

In its favour

  • One-time payment, no auto-renewing membership for the panel
  • ApoB and Lp(a) included
  • Publishes its NY and NJ price

To weigh

  • Doctor video visit and care plan only in the $399 program; the $190 panel gets a physician-interpreted report.
  • Biomarker count includes calculated ratios and risk scores.
  • Medical services in 'over 30 states' with no published exclusion list.
  • Only 3 Trustpilot reviews; little independent feedback.

Vitals Vault: a closer look

One-time panels drawn at Quest with no subscription; physician order, draw fee and report are in the price.

In its favour

  • Lowest cost per measured marker we track on its $99 panel
  • Physician order and draw fee in the price
  • No subscription or auto-renewal
  • A licensed clinician reviews every result, per its page

To weigh

  • Not sold in NY, NJ, HI or RI
  • Its counts of 120+, 140+ and 160+ include calculated values; we count 66, 73 and 86 measured markers
  • In-lab draw at Quest only
  • ApoB is not in the $99 panel; Lp(a) and insulin are only in the $399 panel

Which should you choose?

Choose Empirical Health

Best for heart-focused testers who want ApoB and Lp(a) with a doctor-written report for one payment. Its lowest all-in plan is $190/yr (one-time payment).

Check Empirical Health's price

Choose Vitals Vault

Best for people who want a one-time Quest panel with all fees in one price. Its lowest all-in plan is $99/yr (one-off, no subscription).

Check Vitals Vault's price

Empirical Health vs Vitals Vault: questions people ask

Is Empirical Health or Vitals Vault cheaper?

Vitals Vault starts lower at $99 per year versus $190 at Empirical Health, comparing each program's lowest all-in plan.

Which is better, Empirical Health or Vitals Vault?

On our published score Empirical Health rates 8.6 and Vitals Vault rates 9.2. Empirical Health is best for heart-focused testers who want ApoB and Lp(a) with a doctor-written report for one payment; Vitals Vault is best for people who want a one-time Quest panel with all fees in one price.

Do Empirical Health and Vitals Vault offer the same treatments?

Empirical Health: Longevity memberships. Vitals Vault: Lab test orders.

Does either include the medication in the price?

Empirical Health: not stated. Vitals Vault: not stated.

Blood Test Watchdog compares testing services. It is not medical advice, does not interpret results and does not publish reference ranges as advice. Talk to a licensed clinician about which tests you need and what your results mean. Compare other programs.