Nao Medical
I-693 cost guide

Immigration exam pricing should be clear before you commit

See the core price, what it includes, and what can still add cost before you book.

  • $350 public core package
  • Optional $150 expedited review in select cases
  • Transparent explanation of vaccine and follow-up add-ons
  • Outside records can reduce repeat work

Start with the core package

Nao Medical’s public positioning starts with a $350 core package instead of forcing applicants to guess what the basic process costs.

Not every applicant has the same add-ons

Vaccines, titers, chest X-rays, and confirmatory testing depend on your records and your case, which is why a fake flat price is not the best trust signal.

The best cost control is preparation

Clear records, translated vaccine documents, and prior treatment paperwork reduce the risk of duplicate charges.

What the $350 core package covers

  • The civil surgeon exam itself.
  • Core immigration lab work used in the normal I-693 process.
  • Coordination for records review, required steps, and the final packet process.

What can add cost

  • Vaccines you still need for age-based USCIS requirements.
  • Titers when records are incomplete or unclear.
  • Chest X-rays or confirmatory follow-up when screening requires it.
  • The optional $150 expedited fee when faster review is available and approved for the case.

How applicants usually reduce the total

  • Bring complete vaccine records with clear dates.
  • Bring certified English translations for any non-English vaccine documents.
  • Bring prior TB, syphilis, or treatment records if they already exist.
  • Tell the team early if an attorney deadline makes expedited review relevant.

What Nao can still handle for you

  • Required vaccines can be completed through Nao Medical at standard self-pay pricing.
  • Applicants can also bring outside records if they already handled vaccines elsewhere.
  • Nao’s concierge team helps keep the paperwork, lab work, and final civil surgeon visit coordinated.

CDC vaccination guidance

The best official reference for why vaccine requirements can change based on age and records.

Related guides

Open the page you need next for pricing, locations, or paperwork.

Frequently asked questions

Common questions based on the information on this page.

How much is the main immigration exam package at Nao Medical?

The core package starts at $350.

Do expedited cases cost more?

Yes. Expedited processing is available for an additional $150 in select cases.

Why is the final price not always exactly the same?

Vaccines, titers, chest X-rays, and confirmatory follow-up depend on your records and the clinical requirements of your case.

Does insurance usually cover an immigration medical exam?

Immigration medical exams are typically self-pay. The public package is positioned separately from regular insurance-based care.

Can outside vaccine records reduce repeat vaccine costs?

Yes. Reliable outside records can reduce repeat vaccine work if they are complete, readable, and properly translated when needed.

What happens if TB screening or another test needs follow-up?

A positive screen or incomplete result can add an extra step, such as a chest X-ray or additional review, before the final packet is ready.

Can I still start the process if I do not know the exact final vaccine cost yet?

Yes. The base package can still be explained up front, and the team can outline the likely add-ons after your records and clinical needs are reviewed.