WE ARE THE LEAST EXPENSIVE AS OUR PRICE INCLUDES EVERYTHING (EXCEPT VACCINES) Initial Adult: $295  (This includes Chest x-ray and EKG and the $50 certificate fee) Child (15 and under): $ 160 Renewal Over 40: $230 Under 40: $220  Child: $160 External referral from another clinic Chest -x-ray  $100   Vaccinations THIS CAN VARY DEPENDING UP WHAT IS REQUIRED BUT TYPICALLY $166 PER DOSE AND YOU TWO DOSES AS AN ADULT WITHOUT A FULL CHILDHOOD VACCINE RECORD. The cost for the Migrant Health Certificate is $50.00, the medical facility collects this fee from you as they are responsible for making the payment to migrant health on your behalf. GBM includes this in the total fee above.