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Immigration Medical Exam Cost in Canada: What’s Included and What Affects the Price

Couple smiling while reviewing a map of Canada on a laptop next to a Canadian passport, planning their Express Entry permanent residence application

August 11, 2026

Home > blog > Immigration Medical Exam Cost in Canada

Before booking your immigration medical exam, most applicants want to know the same thing: how much will this cost? The fee for an Immigration Medical Exam (IME) in Canada varies depending on your age, the tests required, and the clinic you choose. Understanding what is included in the base fee, and what may be billed separately — can help you plan and avoid surprises.

What Is Typically Included in an IME Fee?

Most panel physician clinics charge a fee that covers:

  • A complete physical examination by the panel physician.
  • Urinalysis (urine test) to check for signs of kidney disease or diabetes.
  • Serology (blood tests), including HIV and syphilis screening — required for applicants 15 years and older.

The chest X-ray, required for applicants 11 years and older, may or may not be included in the base fee depending on the clinic. Always confirm this when booking.

What Factors Affect the Price?

  • Age: Children require fewer tests, so fees are typically lower. Blood tests begin at age 15; chest X-ray begins at age 11.
  • Number of tests required: Older applicants or those with specific health histories may need additional follow-up tests.
  • Specialist referrals: Billed separately if the panel physician determines they are needed.
  • Clinic location: Panel physician clinics set their own fees independently.

Who Gets an IME at No Cost?

Eligible refugees and asylum seekers covered under Canada's Interim Federal Health Program (IFHP) may receive their immigration medical exam at no cost. At Immedex, qualifying refugees pay $0. Bring your documentation and our staff will confirm eligibility.

Does IRCC Reimburse the IME Fee?

No. IRCC does not cover or reimburse the cost of your immigration medical exam, regardless of the outcome of your application. The exam fee is non-refundable once services have been rendered.


Questions to Ask Before Booking

  • Is the chest X-ray included in the base fee, or billed separately?
  • Are there different fees for adults versus children?
  • Are there additional fees for lab processing or results submission?
  • What payment methods are accepted?
  • Is same-day or walk-in availability offered?

Ready to book your immigration medical exam?

View our current pricing or schedule a same-day appointment at Immedex, an IRCC-accredited panel physician clinic in Scarborough serving the GTA. All tests completed in one visit.

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IMMEDEX Immigration Medical Exam Center LOGO

Hours

Mon-Sat: 8h-17h
Sun: Close

Location

IMMEDEX Clinic
520 Ellesmere Rd, Unit 405
Scarborough, ON, M1R 0B1