What Is Flat-Fee Pricing?

Flat-fee pricing means that all required components of your immigration medical examination are included in a single, all-inclusive price. This typically covers the physician examination, all required laboratory tests, vaccine administration for any required vaccines, and completion of Form I-693.

With flat-fee pricing, you know your total cost before you arrive. There are no additional charges based on how many vaccines you need or which lab tests are required.

What Is À La Carte Pricing?

À la carte pricing means that each component of the immigration medical exam is billed as a separate line item. The advertised price typically covers only the physician examination. Laboratory tests, vaccines, and sometimes even the Form I-693 completion fee are billed separately.

Under this model, your total cost depends on how many vaccines you need and which lab tests are required — factors you may not know until the day of your appointment.

Total Cost Comparison

Here is a typical cost comparison for an applicant who needs three vaccines under each pricing model.

• Flat-fee clinic: $350–$450 total, all services included
• À la carte clinic (base exam): $150–$200
• À la carte clinic (lab tests): $100–$200 additional
• À la carte clinic (3 vaccines): $150–$450 additional
• À la carte clinic (total): $400–$850 or more

Budgeting Certainty

For applicants managing the costs of an immigration case — which can include attorney fees, filing fees, and other expenses — cost predictability matters. Flat-fee pricing allows you to budget accurately and avoid financial surprises.

À la carte pricing makes it difficult to budget because you cannot know your total cost until after your appointment, when all services have been rendered and billed.

Which Pricing Model Is Better for Most Applicants?

For most applicants, flat-fee pricing offers better value, more predictability, and a simpler experience. It eliminates the anxiety of not knowing your total cost and ensures that all required services are completed without financial barriers. When evaluating clinics, always ask for a complete price breakdown and compare total costs — not just the advertised base fee.