The Components of an Immigration Medical Exam

An immigration medical exam involves several distinct services, each of which contributes to the total cost. Understanding each component helps you evaluate whether a quoted price represents the true total cost or only part of it.

Typical Cost Breakdown

Here is a breakdown of the typical costs associated with each component of an immigration medical exam under à la carte pricing.

• Physician examination fee: $150–$250
• TB/IGRA blood test: $80–$150
• Syphilis serology (RPR): $20–$50
• Gonorrhea test: $20–$50
• Vaccine administration (per vaccine): $50–$200 each
• Form I-693 completion and sealing: $0–$75 (sometimes billed separately)
• Chest X-ray (if required): $100–$200
• Expedited processing (optional): $50–$150 additional

Total Cost Scenarios

The total cost of your immigration medical exam depends primarily on how many vaccines you need.

• No vaccines needed: $270–$525 (exam + labs)
• 1–2 vaccines needed: $370–$725
• 3–5 vaccines needed: $520–$1,025 or more
• Chest X-ray required: add $100–$200

Why Flat-Fee Pricing Is More Predictable

Under flat-fee pricing, you pay one amount that covers all required services regardless of how many vaccines you need. This eliminates the uncertainty of à la carte billing and allows you to budget accurately.

A typical all-inclusive flat fee ranges from $350 to $500, which is often comparable to or less than the total cost under à la carte pricing for applicants who need multiple vaccines.

What Is Not Included in Most Prices

A chest X-ray, if clinically indicated, is typically billed separately even at flat-fee clinics. This is a reasonable exception because most applicants do not require one. Expedited processing — receiving your Form I-693 in 2 days rather than 3 — may also carry an additional fee.