A plain-language breakdown of what an immigration medical exam actually costs in Las Vegas, why prices vary so much, and how to avoid the surprise vaccine bill at the end.
Updated on: 2026-09-03
At Partida Corona Medical Center, an adult USCIS immigration medical exam costs $260, one time, and that price includes the initial TB and STD lab testing plus all the documentation you need for your I-693. For children under 14, it's $170. Vaccines, if you still need them, are billed separately based on what you've already completed. That's the short answer. If you want to understand why that number matters and why other clinics quote you something wildly different, keep reading.
The reason people ask about cost without insurance is simple: almost nobody's health insurance covers this exam. It's an immigration requirement, not a treatment, so most plans treat it as out of pocket. That surprises people. They call around expecting insurance to soften the blow, and then they're staring at a full-price quote with no cushion.
What the exam actually is, and why it's not covered
The USCIS civil surgeon exam is the medical portion of your green card application. A civil surgeon, a doctor specifically designated by USCIS, examines you, reviews your vaccination history, orders required lab work, and completes Form I-693. That form goes back to you in a sealed envelope, and you submit it with your immigration paperwork.
The exam checks for conditions USCIS cares about: tuberculosis, certain sexually transmitted infections, and whether your vaccinations are up to date. It is not a general physical. Your regular doctor cannot do it unless they're a designated civil surgeon. That designation is the whole reason clinics can charge what they charge.
Because it's tied to immigration and not to a diagnosis or illness, it falls outside what most insurance considers medically necessary. So the question isn't really "will insurance cover it." It's "what's the real all-in number I'll pay."
The base exam price versus the total you actually pay
Here's where people get burned. A clinic advertises a low base price, say $150, and it sounds great. Then you show up, the doctor reviews your records, and you find out you need three vaccines and a TB blood test that weren't included. Suddenly your $150 exam is $400 and you didn't budget for it.
The base exam and the total bill are two different things. Two costs drive the gap:
- Lab testing. TB screening and STD testing are required. Some clinics bundle these into the exam price. Others quote them as add-ons.
- Vaccinations. USCIS requires specific vaccines. If you don't have documented proof you've had them, you either get them at the clinic or you go find them elsewhere and come back.
At Partida Corona Medical Center, the $260 adult price already includes the initial TB and STD lab work. That's deliberate. The pain point we hear over and over is people who got quoted one number and paid another. So the lab work that everyone needs is in the price, and the only variable left is vaccines, which genuinely depend on your personal history.
Immigration exam cost comparison in Las Vegas
Prices around the valley range roughly from the low $100s to well over $300 for the base exam, and the spread widens fast once labs and vaccines enter the picture. Here's how to read a quote instead of just reacting to the headline number.
| What you're paying for | Question to ask | Why it matters |
|---|---|---|
| Base exam + I-693 | Is the completed form included? | Some places charge extra to fill out and seal the form |
| TB testing | Is it bundled or added later? | This is required for everyone, so a "low" price without it is misleading |
| STD testing | Bundled or separate? | Same logic; required lab work shouldn't be a surprise |
| Vaccines | Priced per shot, and only what I need? | You should never pay for vaccines you already have |
| Document turnaround | How long until I get the sealed envelope? | Delays can stall your whole application |
A quote is only comparable when you know which of these are inside the number. My read after seeing how people shop this: the clinic with the lowest advertised base price is often the most expensive once you total everything. Ask what's included before you book, not after you're in the chair.
What vaccines cost, and why you might not need all of them
Vaccines are the wildcard. This is the part of the bill nobody can predict for you over the phone, because it depends entirely on what you've already had and can document.
USCIS requires proof of immunity for a set list of vaccines. If you have records, you might owe nothing extra. If you don't, you pay per vaccine. Approximate pricing at Partida Corona Medical Center looks like this:
- Tdap: $60
- MMR: $115
- Varicella: $200
- Influenza: $35
- Pneumococcal: $150
- Hepatitis: $65
- Polio: $50
You only pay for what you actually need. If your records show you're covered for MMR and Tdap, those come off the bill entirely. And vaccines don't have to happen the same day as the exam. You can complete them after the exam and before you pick up your documents, which helps if you need to space out the cost or hunt down old immunization records first.
Bring whatever vaccination history you have. A shot record from your home country, a printout from a previous doctor, a childhood immunization card. Anything documented can save you real money. This one habit saves people the most.
Why "cheapest" and "best value" aren't the same thing
I've watched people chase the lowest sticker price and end up paying more in time, stress, and repeat visits. A clinic that's $40 cheaper but takes three weeks to hand back your sealed I-693 isn't saving you anything if your filing deadline is close.
Value in an immigration exam is really three things stacked together:
- Transparent pricing so you're not ambushed at checkout.
- Turnaround speed so your document doesn't hold up your application.
- Someone who can explain the process in a language you understand.
That last one gets underrated. A lot of applicants are going through the U.S. immigration system for the first time, and the paperwork is confusing enough without a language barrier on top of it. Bilingual staff who walk you through each step, in English or Spanish, remove a whole category of stress. Reviewers mention this constantly: clear explanation of each step, questions answered on the phone before booking, no hidden fees. That's the difference between a clinic and a clinic you'd send your family to.
What to expect at the appointment
The visit itself is usually quicker than people expect. Walk-in and same-day appointments are available, which matters when you've got a deadline or you took time off work and don't want to come back twice.
A typical flow:
- Check in and hand over your ID, immigration paperwork, and any vaccine records.
- The doctor reviews your history and does the physical exam.
- Blood draw and any required lab testing.
- Vaccines if needed, either that day or on a follow-up before pickup.
- You return to collect your sealed I-693 envelope once results are back.
Do not open the envelope. USCIS wants it sealed. If you break the seal, you may have to redo part of the process. This is one of the most common avoidable mistakes.
What I'd sort out before booking
If you're trying to keep the total predictable, handle these before you walk in:
- Find your vaccine records. This is the single biggest lever on your final cost.
- Confirm what the base price includes. Specifically ask whether TB and STD testing are bundled.
- Ask about turnaround time. Match it against your filing deadline.
- Bring the right paperwork. Government ID and your immigration documents.
- Ask about language support if you'd be more comfortable handling this in Spanish.
Sort those out and the exam stops being a mystery bill and becomes a known number.
FAQ
Does insurance ever cover the USCIS immigration medical exam?
Rarely. Most plans treat it as a non-covered service because it's an immigration requirement rather than treatment for an illness. Budget to pay out of pocket. If you want to be sure, call your insurer, but don't count on coverage.
How much is the immigration exam for a child in Las Vegas?
At Partida Corona Medical Center, the exam for children under 14 is $170. It includes the required medical exam and all immigration documentation, with no hidden fees. As with adults, any needed vaccines are billed separately based on what the child still needs.
Can I lower the cost of my exam?
Yes, mostly by bringing documented proof of vaccines you've already had. Vaccines are the part of the bill that varies, and you never pay for ones you can document. The exam and required lab work are fixed, so your vaccination history is where the real savings live.
Is a walk-in exam more expensive than a scheduled one?
No. The price is the same whether you walk in or book ahead. Walk-in availability is about convenience and speed, not a premium. If you have a tight deadline, same-day service can save your filing timeline.
Why is one clinic $150 and another $260?
Usually because they include different things. A lower base price often excludes TB and STD testing or the completed I-693, which get added later. Compare the total after labs and required documentation, not the advertised headline, and the gap usually shrinks or reverses.
The bottom line on cost
Budget for the base exam plus whatever vaccines you can't document. At Partida Corona Medical Center that's $260 for adults or $170 for kids under 14, with TB and STD lab work already included, and vaccines priced individually so you only pay for what you need.
The clinics worth your money are the ones that tell you the full number up front, get your sealed I-693 back to you fast, and can walk you through the process in the language you actually speak. Pay attention to those three things and the price question mostly takes care of itself.