If you’re applying for a U.S. green card (permanent residency), one of the essential steps in the process is completing the I-693 medical exam. The Form I-693, Report of Immigration Medical Examination and Vaccination Record, must be filled out by a USCIS-designated civil surgeon to ensure that applicants are not inadmissible to the U.S. on public health grounds.
As one of the most crucial parts of the immigration process, many applicants have one pressing question in mind: How much does the I-693 exam cost? In this article, we’ll provide a detailed explanation of the typical cost, what influences it, and what is included in the pricing.
What Is the I-693 Medical Exam?
Before discussing costs, it’s important to understand what the I-693 exam involves.
The I-693 medical exam is conducted by a certified civil surgeon who is authorized by the U.S. Citizenship and Immigration Services (USCIS). The exam assesses whether the applicant has any medical condition that could make them inadmissible under U.S. law. These conditions include communicable diseases of public health significance and certain mental or physical disorders.
The medical exam typically includes:
- Physical examination
- Review of medical history
- Required vaccinations
- Tuberculosis testing (skin or blood test)
- Blood test (as needed based on age and health)
- Other lab tests (based on medical history)
Once completed, the civil surgeon fills out Form I-693 and seals it in an envelope for submission to USCIS. The applicant must not open this envelope before submitting it to the immigration authorities.
How Much Does the I-693 Exam Cost?
There is no fixed or standardized price for the I-693 exam across the United States. Costs can vary depending on several factors, including:
- Location and clinic
- Physician or civil surgeon’s fees
- Lab testing charges
- Vaccination costs
- Follow-up tests (if needed)
Let’s break down the typical cost ranges.
1. Civil Surgeon Consultation Fee
This is the base fee charged by the physician for conducting the exam and completing Form I-693.
- Typical Range: $150 – $300
This fee may include:
- Medical history review
- Basic physical exam
- Completing the necessary paperwork
Some clinics bundle lab tests and vaccinations into the consultation fee, while others charge separately.
2. Laboratory Testing Fees
Depending on your age and medical history, several lab tests may be required. These may include:
- Tuberculosis (TB) test (skin or blood)
- Syphilis test (blood test)
- Gonorrhea test (urine test)
Average Cost:
- TB Test: $30 – $70
- Syphilis Test: $15 – $50
- Gonorrhea Test: $25 – $60
If additional testing is required based on initial results, this could increase your total cost.
3. Vaccination Costs
USCIS requires proof of certain vaccinations for immigration purposes. These may include:
- MMR (Measles, Mumps, Rubella)
- Hepatitis B
- Varicella (Chickenpox)
- Tdap (Tetanus, Diphtheria, Pertussis)
- Influenza (seasonal)
- And others depending on age and medical history
If you do not have records of these vaccinations, or if the physician determines that additional doses are needed, you will be required to receive them.
Estimated Vaccination Costs:
- Each vaccination: $25 – $150
- Multiple vaccines may be needed, so costs can add up quickly.
Tip: If you already have your vaccination records, bring them with you to avoid repeat doses and reduce costs.
4. Document Preparation & USCIS Sealing
While often included in the consultation fee, some clinics may charge a small fee for sealing the e I-693 Form and preparing it for submission.
Cost: $0 – $25
5. Optional Services
Some immigration medical exam centers may offer additional services such as:
- Same-day completion
- Expedited paperwork
- Assistance with vaccination records
Cost: Varies by provider
Total Estimated Cost of I-693 Exam
Based on the factors listed above, here’s a general price range:
| Component | Estimated Cost |
| Civil Surgeon Exam Fee | $150 – $300 |
| Lab Tests | $50 – $150 |
| Vaccinations | $50 – $400 |
| Document Fee | $0 – $25 |
| Total | $250 – $875 |
Average National Cost: Around $400 – $500
Prices may be lower or higher depending on your location, insurance coverage (if any), and what services your selected provider offers.
What Can Affect the I-693 Exam Cost?
Several factors influence the final cost of your I-693 medical exam:
1. Geographic Location
Prices tend to be higher in major metropolitan areas (such as New York, San Francisco, or Los Angeles) due to increased living and operating costs. Smaller cities or rural areas may have lower rates.
2. Vaccination History
If you already have documented proof of all required vaccinations, your exam will likely be cheaper. Missing or incomplete records could result in additional vaccine costs.
3. Age and Health Conditions
Certain tests are required only for individuals within specific age brackets. Children and elderly individuals may not need all the tests listed above. Likewise, chronic health issues may require additional follow-up or consultation.
4. Clinic Policies
Some immigration medical centers, like Immigration Medical Exam Center, offer package deals that bundle the consultation, lab tests, and vaccinations into a single, affordable price.
Why Choose Immigration Medical Exam Center?
At Immigration Medical Exam Center, we understand that the I-693 process can be stressful and expensive. That’s why we offer:
- Affordable, all-inclusive pricing
- USCIS-certified civil surgeons
- On-site lab testing and vaccinations
- Fast turnaround times
- Personalized assistance for each applicant
- Flexible appointment scheduling
We are committed to helping you complete your immigration medical exam smoothly and efficiently without overpaying.
Our transparent pricing and bundled packages ensure you don’t face any hidden fees or surprises.
Tips to Reduce Your I-693 Exam Cost
Here are a few simple ways to keep your costs under control:
- Bring Vaccination Records: Always bring your immunization records. It may save you hundreds in vaccination costs.
- Compare Providers: Call multiple clinics in your area to compare pricing and see if they offer bundled services.
- Ask About Packages: Many clinics, like Immigration Medical Exam Center, offer packages that can significantly lower your total cost.
- Avoid Unnecessary Retests: Follow all instructions provided by the civil surgeon to avoid having to redo parts of the exam.
- Schedule Strategically: If your immigration application timeline allows, book your appointment during non-peak times when clinics may offer discounts or faster service.
Frequently Asked Questions (FAQs)
Q1: Is the I-693 exam covered by health insurance?
A: Most insurance plans do not cover the I-693 immigration medical exam since it’s not deemed medically necessary. However, you can check with your provider to see if they’ll cover specific lab tests or vaccinations.
Q2: How long is the I-693 Form valid?
A: The I-693 Form is valid for two years from the date it is signed by the civil surgeon.
Q3: Can I go to any doctor for the I-693 exam?
A: No. You must visit a USCIS-designated civil surgeon. Only they are authorized to complete and sign Form I-693.
Q4: What if I need multiple visits to complete the exam?
A: Some applicants may need follow-up visits if additional tests or vaccinations are required. Your civil surgeon will inform you of this during your initial consultation.
Final Thoughts
The I-693 exam is a vital step toward your green card approval, but it doesn’t have to break the bank. By choosing a trusted and affordable provider like Immigration Medical Exam Center, you can complete your immigration medical exam quickly, affordably, and stress-free.
