The Advertised Price Is Not Always the Total Price

When you search for immigration medical exam pricing, you will find a wide range of advertised fees. Some clinics list prices that appear significantly lower than others. Before assuming those clinics are a better deal, it is important to understand what that price actually includes.

Many clinics advertise only the base examination fee — the cost of the physician visit itself — without including the laboratory tests and vaccines that USCIS requires as part of every Form I-693 examination.

À La Carte Pricing: How Hidden Costs Add Up

Under an à la carte pricing model, each component of the immigration medical exam is billed separately. The base exam fee covers only the physician evaluation. Laboratory tests such as the TB/IGRA blood test, syphilis test, and gonorrhea test are each billed as separate line items. Vaccines are billed individually, often at retail rates. By the time all required services are added, the total cost can be substantially higher than the advertised price.

• Base exam fee: advertised price (often $150–$250)
• TB/IGRA blood test: $50–$150 additional
• Syphilis and gonorrhea testing: $30–$80 additional
• Each required vaccine: $50–$200 per vaccine
• I-693 completion and sealing fee: sometimes billed separately

Flat-Fee Pricing: What It Means

A flat-fee model bundles all required components — the physician examination, required laboratory tests, vaccine administration, and Form I-693 completion — into a single transparent price. You know your total cost before you arrive.

Flat-fee pricing eliminates the uncertainty of à la carte billing and makes it easier to budget for your immigration process. It also reduces the risk of unexpected charges after your appointment.

How to Compare Clinics Accurately

To make a true cost comparison between clinics, ask each one the same set of questions before scheduling.

• Does the price include all required laboratory tests?
• Does the price include vaccine administration for any required vaccines?
• Is there a separate fee for completing and sealing Form I-693?
• Are there any administrative or processing fees not included in the quoted price?
• What is the total cost if I need three or more vaccines?

The True Value of Transparent Pricing

Choosing a clinic based on the lowest advertised price without understanding what is included can result in a higher total cost and a frustrating experience. A clinic that offers a clear, all-inclusive flat fee provides predictability, reduces stress, and ensures you are not surprised by additional charges on the day of your appointment.