If you are applying for a U.S. green card or adjusting your immigration status, a crucial part of the process is undergoing a medical examination conducted by a designated civil surgeon. This exam ensures that you meet the health requirements for lawful permanent residency. But one of the most frequently asked questions by applicants is: How much does it cost to take the medical exam for immigration?
At Immigration Medical Exam Center, we understand how important it is to plan ahead—both medically and financially. In this comprehensive blog, we’ll break down the costs, what’s included in the exam, what factors influence pricing, and how to prepare so you can make informed decisions.
What Is the Immigration Medical Exam?
Before diving into the cost, it’s essential to understand what the immigration medical exam entails. The U.S. Citizenship and Immigration Services (USCIS) requires this exam to ensure that applicants do not have any health conditions that would make them inadmissible to the country.
The exam must be performed by a USCIS-designated civil surgeon, and it typically includes:
- A physical examination
- Review of your medical history
- Immunization record review
- Required vaccinations
- Tuberculosis (TB) test
- Blood tests (e.g., for syphilis)
- Other lab work as required
Once completed, the doctor will fill out Form I-693, which you will submit to USCIS as part of your green card application.
Average Cost of the Immigration Medical Exam
On average, the cost of the immigration medical exam ranges between $200 and $500. However, the total amount can vary depending on several factors, including:
- The location of the clinic
- Services included in the base price
- Required vaccines or lab tests
- Your age and medical history
Let’s break it down further.
Detailed Breakdown of Potential Costs
Here’s what typically contributes to the total cost of the immigration medical exam:
1. Base Exam Fee
Most clinics charge a base fee for the physical exam and completion of Form I-693. This usually ranges from $150 to $300 depending on the state, city, and the civil surgeon’s pricing.
2. Vaccinations
Depending on your age and medical history, you may be required to receive certain vaccines to fulfill USCIS health requirements. These may include:
- Measles, Mumps, Rubella (MMR)
- Hepatitis B
- Varicella (Chickenpox)
- Tetanus-diphtheria
- Influenza (seasonal)
- Pneumococcal (for older adults)
Vaccine costs can vary significantly:
- Single-dose vaccines: $20 – $100 per dose
- Multi-dose vaccines: $50 – $150 per series
If you already have a complete immunization record, you may avoid these additional charges. Otherwise, your doctor may recommend receiving missing vaccines on-site or provide a prescription to get them elsewhere.
3. Blood Tests and TB Screening
Most applicants aged 15 or older are required to undergo:
- A blood test for syphilis (RPR or similar test): Approx. $20–$40
- A tuberculosis screening test, either:
- TB skin test (TST): $20–$50
- TB blood test (Quantiferon or T-Spot): $70–$120
Younger children may be exempt, but the civil surgeon will determine based on USCIS guidelines.
4. Follow-Up Visits or Additional Lab Work
If your test results require further evaluation or additional vaccinations, this may lead to added fees. Some clinics bundle everything into one flat fee, while others charge separately.
Sample Price Ranges from Across the U.S.
Here are a few hypothetical but realistic examples of how prices may differ based on geography:
| Location | Average Exam Cost | Notes |
| Los Angeles, CA | $400 | Includes most vaccines |
| Miami, FL | $300 | TB and labs charged separately |
| Dallas, TX | $250 | Bundled pricing for exams + labs |
| New York City, NY | $450 | Higher due to city rates |
| Phoenix, AZ | $230 | Affordable with additional vaccine costs |
Note: These are general estimates and subject to change. Always confirm pricing with your chosen clinic.
What’s Included at Immigration Medical Exam Center?
At Immigration Medical Exam Center, we believe in transparency, affordability, and excellent service. Here’s what you can expect:
✅ USCIS-Certified Civil Surgeons
✅ Same-day Appointments Available
✅ Flat Fee Options
✅ On-Site Vaccines & Labs
✅ Completed I-693 Form with Sealed Envelope for USCIS
✅ Multilingual Staff for Your Convenience
We work hard to keep our pricing competitive while ensuring full compliance with immigration regulations.
How to Reduce the Cost of Your Immigration Medical Exam
There are several ways to potentially lower your total expenses:
1. Bring Your Vaccination Records
If you already received the required vaccines, bring a valid and translated (if needed) record. This can eliminate the need for repeat doses.
2. Shop Around
Some clinics may offer bundled pricing or discounts for cash payments. Call a few offices in your area and compare prices and services included.
3. Use Health Insurance (If Applicable)
While most immigration medical exams are not covered by insurance, some clinics may bill your insurance for vaccines or lab work. Always ask ahead.
4. Check for Promotions
Some centers, including ours, may offer seasonal promotions or package deals for families applying together.
How to Prepare for Your Immigration Medical Exam
To ensure a smooth and efficient experience, follow these tips:
- Bring a government-issued photo ID (passport or driver’s license)
- Bring your vaccination records
- Know your medical history and current medications
- Do not open or tamper with your sealed I-693 envelope
- Be honest and accurate during the health interview
Frequently Asked Questions (FAQs)
Q: Can I use my regular doctor for the immigration exam?
A: No. Only a USCIS-designated civil surgeon can conduct the immigration medical exam. A regular primary care physician is not authorized for this process.
Q: How long is the medical exam valid?
A: The completed Form I-693 is valid for two years from the date of the civil surgeon’s signature.
Q: Can I get a refund if I don’t pass the exam?
A: No. Medical exam fees are non-refundable, even if follow-up treatment is required or if your application is denied for unrelated reasons.
Q: How long does it take to complete the entire process?
A: Typically, the exam and tests can be completed in one visit. Lab results may take 1–3 days. Once results are ready, you’ll receive your completed and sealed I-693 form.
Final Thoughts
The cost to take the medical exam for immigration can vary, but knowing what to expect helps you plan accordingly. At Immigration Medical Exam Center, we strive to provide reliable, affordable, and efficient services for applicants across the country.
Whether you’re preparing for your green card application or helping a family member through the process, we’re here to assist with every step of your immigration medical exam.
