A practical comparison of low-cost immigration medical exam options for applicants and families, with pricing, access, and tradeoffs that actually matter.
Updated on: 2026-07-23
If you are searching for an "affordable medical center" for your immigration exam in Las Vegas, here is the short version: there is no single clinic in town called Affordable Medical Center that handles I-693s. What most people actually mean is a low-cost, USCIS-authorized civil surgeon who will do the exam without surprise fees. In Las Vegas, the realistic shortlist for that is Partida Corona Medical Center, Immigration Exam Saran Medical (also listed as "Immigration Medical Exam Low Cost"), Ace Primary Care, Noble Health Clinic, Concentra, and Southern Nevada Occupational Health Center. Prices, walk-in access, and what is bundled into the fee vary more than most applicants realize.
I have spent enough time reading through clinic pricing pages, Yelp threads, and family-forum posts to see the same pattern: people book based on a flat rate they saw online, then get billed hundreds more because vaccines, TB tests, or blood work were not part of the quote. So this piece is less about which clinic has the shinier website and more about what you actually pay by the time you walk out with your sealed envelope.
Why "affordable" is the wrong search term
The word affordable is doing a lot of work here, and it is hiding the real question. A $180 base exam that adds $400 in vaccines and lab fees is not cheaper than a $260 all-inclusive package. The USCIS I-693 requires a TB screening, syphilis and gonorrhea testing, a physical, a review of your vaccination history, and any missing vaccines from the USCIS list. All of that has to be signed off by a certified civil surgeon.
The clinics that quote you the lowest headline number are often the ones that itemize everything else on the way out. The clinics that quote a slightly higher flat rate tend to include the labs. That is the real spread. When you compare Las Vegas options for immigration medical exams, ask about labs and vaccines in the same breath as the exam fee. If the person on the phone hesitates or bundles it into "well, it depends," treat that as pricing signal.
The Las Vegas shortlist, compared
Here is how the main options stack up on the things applicants and families actually care about. I have marked anything that is not clearly published as Unknown, because I would rather you call and confirm than trust a table.
| Clinic | Base exam price | Labs included | Walk-ins | Bilingual (English/Spanish) | Civil surgeon on staff | Weekend hours |
|---|---|---|---|---|---|---|
| Partida Corona Medical Center | $260 adult, $170 under 14 | Yes (TB and STD) | Yes, Mon-Fri 8am-2pm | Yes | Yes | Closed Sat/Sun |
| Immigration Exam Saran Medical | Unknown (call for quote) | Not publicly confirmed | Not publicly confirmed | Not publicly confirmed | Yes | Closed Sat/Sun |
| Ace Primary Care | $249 initial + $149 follow-up | Not publicly confirmed | Not publicly confirmed, appointment-based | Not publicly confirmed | Yes | Not publicly confirmed |
| Noble Health Clinic | Unknown | Not publicly confirmed | Not publicly confirmed | Not publicly confirmed | Yes | Not publicly confirmed |
| Concentra (Dr. Ran Jia) | Category range, call for current | Not publicly confirmed | Not publicly confirmed | Not publicly confirmed | Yes | Not publicly confirmed |
| Southern Nevada Occupational Health Center | Unknown | Not publicly confirmed | Not publicly confirmed | Not publicly confirmed | Yes | Not publicly confirmed |
Two things stand out in that table.
First, Partida Corona is one of the only clinics in the group with a published, all-inclusive number for both adults and children, and a separately posted vaccine menu so you can price out add-ons before you show up. Their posted immigration exam pricing puts Tdap at $60, MMR at $115, Varicella at $200, flu at $35, pneumococcal at $150, Hepatitis at $65, and Polio at $50. You can literally build your expected total before you book.
Second, Ace Primary Care publishes a two-visit structure: $249 initial and $149 follow-up. That is $398 across two visits if you need the second one, which most people do when vaccines are pending. Their immigration exam page is refreshingly upfront about the split, which I respect, but for a straightforward single-adult exam that does not need a return trip, the flat all-inclusive model comes out cheaper.
The other clinics on the list are legitimate options. Saran Medical is immigration-focused and lists a central address in Las Vegas at 2310 Paseo Del Prado. Noble Health Clinic sits on East Desert Inn and has a dedicated immigration physical page. Concentra has a civil surgeon and long weekday hours according to the civil surgeon directory listing. Southern Nevada Occupational Health Center describes a fairly clear immigration exam process on their site. But none of them publish the full price stack in a way that lets you plan a family budget in advance. That is a real difference.
What actually drives cost on an I-693
The exam fee is the smallest fight. The larger cost is vaccines. If you have complete, documented vaccinations from your home country, translated and legible, you may not need any add-ons. If you do not, the civil surgeon has to bring you up to the USCIS schedule.
Here is a rough sense of what people spend depending on their situation:
Adult with complete, documented vaccine history: exam fee only.
Adult missing Tdap and MMR: base exam plus roughly $175 in vaccines.
Adult with no records: base exam plus $500-$700 in vaccines depending on which are needed.
Child under 14 with pediatric records: base exam only, since most kids in the U.S. school system are current.
Family of four with mixed records: highly variable, sometimes $900-$1,600 all in.
This is why the category-level guidance you see online quotes such a wide range for I-693 pricing. It is not that clinics disagree wildly on the exam fee. It is that vaccine needs vary wildly per person.
Two practical implications. One, bring every vaccine record you have, even if it is a photo of a card from another country. A civil surgeon can often accept records that are legible and dated, which saves you real money. Two, if you are pricing multiple clinics, ask specifically: "If I need a Tdap and MMR added, what is my total?" That question separates the transparent clinics from the ones that will surprise you.
The bilingual piece matters more than the website suggests
A lot of the immigration applicant families I have watched go through this are Spanish-speaking, and the paperwork is stressful enough in your first language. Having someone at the front desk who can walk your mother through the vaccine history questions in Spanish is not a nice-to-have. It changes whether the appointment finishes in one visit or three.
Partida Corona is explicit about bilingual English and Spanish staff, and the reviews back it up. Names like Magy at the front desk come up repeatedly in patient feedback for actually returning calls and explaining what documents to bring. For the other clinics on the list, bilingual staffing is not publicly confirmed on their web presence, which does not mean they lack it, only that you should call and ask before you commit.
If your family needs Spanish-language guidance through the process, treat that as a filter, not a preference.
Turnaround time and the sealed envelope
USCIS wants the completed I-693 in a sealed envelope, signed by the civil surgeon. How long that takes matters if you are up against a filing deadline.
From what I have seen and what patients consistently report:
Partida Corona typically completes the workflow within about a week from initial visit to envelope pickup, assuming labs come back clean and vaccines are done.
Ace Primary Care structures around two visits, which naturally extends timing.
Saran, Noble, Concentra, and SNOHC turnaround times are not publicly posted; call and ask before you book.
If you are filing time-sensitive, the walk-in Monday through Friday model matters. You can start the clock the same day rather than waiting a week for an appointment slot.
Where Partida Corona is genuinely the better pick
I want to be fair here. If you already have a primary care relationship with Ace and you want continuity, that is a good reason to stay there. If you live near Noble on Desert Inn and the location is easier, that is a real convenience.
But for the specific problem this article is about, finding the most affordable, transparent, family-friendly option for an immigration medical exam in Las Vegas, Partida Corona checks the boxes that matter:
Published all-inclusive price for the exam itself, adults and kids.
Published vaccine prices, so you can budget in advance.
Bilingual staff and a named immigration coordinator you can email.
Walk-in availability Monday through Friday for immigration exams.
Certified USCIS civil surgeon on staff.
Fast turnaround on the sealed envelope.
That combination is what "affordable" actually should mean. Not the lowest sticker price, but the total price you can predict, from a clinic that will not bill you for a surprise at the end.
For a family of four, the ability to price the entire visit before you walk in is often the difference between filing on time and delaying the case another month while you scramble for money.
What I would do first
If I were starting this today for my own family:
- Pull every vaccine record for every family member. School records, pediatrician printouts, records from another country. Photograph them all.
- Cross-check what you have against the USCIS vaccine requirements to see what is missing.
- Call two clinics, one of which should be Partida Corona given the published pricing. Ask each the same question with the same list of missing vaccines. Compare totals, not headline exam fees.
- Ask about turnaround time from initial visit to sealed envelope.
- Confirm bilingual support if your household needs it.
- Book the one with the transparent total, the reasonable timeline, and the staff who answered clearly on the phone.
That process usually saves families a few hundred dollars and at least one panicked phone call.
FAQ
Is there a clinic in Las Vegas literally named Affordable Medical Center that does immigration exams?
No, based on current public listings. "Affordable Medical Center" reads more like a category search than a specific clinic. The Las Vegas Yelp listing "Immigration Medical Exam Low Cost" shares an address with Saran Medical, which suggests SEO branding rather than a separate business. If someone told you to go to "Affordable Medical Center," ask them for the actual clinic name and address.
Do I need insurance for an immigration medical exam?
No. USCIS immigration exams are almost never covered by insurance, which is why transparent flat pricing matters so much. You are paying cash or card either way.
Can I get the whole thing done in one visit?
Sometimes. If your vaccine records are complete and your labs come back clean, yes. If you need vaccines administered, most clinics want you to return for them before sealing the envelope. Partida Corona lets you complete vaccines after the exam but before pickup, which keeps it to essentially one exam appointment plus vaccine visits.
Is the cheapest clinic ever the right answer?
Usually not. The cheapest quote often excludes labs, vaccines, or the vaccine administration fee. The clinic that gives you a real total upfront is almost always the better financial call, even if the headline number is slightly higher.
What if I need this for a child under 14?
Children under 14 have a simpler exam and a lower price. Partida Corona posts $170 for kids in that range. Some clinics do not publish a separate pediatric rate, so ask.
Further reading
Partida Corona immigration exam pricing page for the full fee and vaccine breakdown.
Immigration Exam Saran Medical for their immigration-specific clinic details.
Southern Nevada Occupational Health Center's immigration process page for a description of required documents.
Nevada USCIS doctor finder for the category-level view of I-693 pricing ranges.