What is the cost for an immigration medical exam? 

TL;DR 

• USCIS does not set or regulate the price of the immigration medical exam (Form I-693). Each USCIS-designated civil surgeon sets their own fees, so prices vary widely by clinic, required labs, and vaccines. (USCIS) 

• Expect costs to reflect three buckets: (1) exam visit, (2) required lab tests (TB, syphilis, gonorrhea by age/risk), and (3) vaccinations you’re missing. (CDC) 

• EasyIME helps you compare prices, availability, and what’s included—so you find the right civil surgeon at the right price and avoid surprise add-ons. 

 CTA: Compare civil surgeons by price & availability → Book now (internal links) 

Table of contents 

1. Why there’s no single “USCIS fee” for the medical exam 

2. What drives the price (line-item breakdown) 

3. How the required tests affect your total 

4. Vaccines and why they change the final cost 

5. How to avoid overpaying (smart prep) 

6. How EasyIME helps you find the right price 

7. FAQs 

8. Sources (USCIS/CDC) 

1) Why there’s no single “USCIS fee” for the medical exam 

Inside the United States, the green card medical exam (Form I-693) must be completed by a USCIS-designated civil surgeon. USCIS is clear that it does not regulate what civil surgeons charge for the exam; clinics set their own prices. That’s why you’ll see different quotes even within the same city. (USCIS) 

USCIS also emphasizes the process points that can affect price and timing: 

• The civil surgeon completes Form I-693 and gives you a sealed envelope for USCIS plus a personal copy. 

• Fees you pay the clinic are separate from any USCIS form filing fees (there’s no USCIS fee for the medical itself). (USCIS) 

Keywords woven naturally: USCIS Approved Doctors, USCIS Civil Surgeon, Immigration Medical Examination, I-693 Medical Exam. 

2) What drives the price (line-item breakdown) 

A) Office exam fee 

The clinic’s base charge for the visit (history, physical, mental health assessment, and I-693 completion). This is the most visible number on quotes and varies by clinic features and scheduling (same-day vs. next-day). 

B) Required lab tests 

Civil surgeons must follow CDC Technical Instructions and order labs at the time of exam as required. These lab costs are either billed by the clinic or the partnering lab. (Details below.) (CDC) 

C) Vaccinations 

If your records show you’re missing vaccines required for immigration, the clinic may administer doses (or refer you). Doses and brands available locally influence this portion of the bill. (CDC) 

D) Follow-ups / retests (when applicable) 

If a lab result or symptom triggers follow-up (for example, TB evaluation per CDC), you may see additional charges (e.g., chest X-ray, repeat visit). (CDC) 

3) How the required tests affect your total 

Tuberculosis (TB) screening 

• The CDC requires IGRA blood testing for applicants age 2+, with further steps (like chest X-ray) if indicated by results or symptoms. Your cost depends on the lab the clinic uses and whether follow-up is needed. (CDC) 

Syphilis testing 

• Required for ages 18 to <45; others are tested if there’s a reason to suspect infection. Typically included as a lab add-on at the time of the exam. (CDC) 

Gonorrhea testing 

• Required for ages 18–24; others if clinically indicated. CDC notes the NAAT must be ordered by the civil surgeon at the time of exam—outside results aren’t accepted—so plan for that test to be part of your exam bill when it applies. (CDC) 

Keywords touched: Immigration Medical Exam Blood Test, I-693 Medical Examination Doctors, Immigration Exam Doctor. 

4) Vaccines and why they change the final cost 

Civil surgeons must make sure you meet immigration vaccination requirements. If you’re missing shots (for example, MMR, varicella, Tdap, polio, hepatitis B, influenza in season based on age/history), you’ll pay for the doses given or be referred to a vaccine provider. The CDC confirms the surgeon should review your records, assess immunity, administer needed vaccines, then finalize the I-693 and give it to you sealed, plus a copy. Vaccine availability/pricing varies locally (and surgeons are expected to make a good-faith effort to find appropriate formulations). (CDC) 

How to save here: bring written vaccination records (with dates) so you don’t pay for vaccines you already received. Self-reported doses without documentation don’t count. (CDC) 

5) How to avoid overpaying (smart prep) 

• Compare clinics before you book. Because USCIS doesn’t regulate fees, a little shopping can meaningfully lower your total. (USCIS) 

• Ask what’s included in the quote: exam only, or exam + labs + vaccines? (Some clinics quote the visit, then add labs/vaccines separately.) 

• Bring your vaccine records to reduce shots you might otherwise pay for. (CDC) 

• Confirm lab logistics (drawn on-site vs. external lab) so you know whether lab charges are bundled or billed by a third party. 

• Plan for follow-ups if a result requires it (e.g., TB work-up). (CDC) 

• Keep the envelope sealed. After results are in, the civil surgeon completes the I-693 and gives you a sealed envelope for USCIS (plus a copy for your files). Opening it can cause delays or re-work. (USC

6) How EasyIME helps you find the right price (without compromise) 

Transparent apples-to-apples comparison 

• EasyIME lets you compare civil surgeons by price & availability and see what’s included (exam only vs. exam+labs+vaccines). That helps you find the cheapest immigration medical exam that still checks every USCIS/CDC box. 

Verified I-693 process 

• We partner with USCIS-designated civil surgeons and highlight clinics that follow CDC Technical Instructions (ordering required tests at the time of exam and properly completing/sealing the I-693). (CDC) 

Time-saving scheduling 

• Pick the appointment slot that fits your timeline. Many clinics offer next-day or same-week availability; you’ll see it up front so you can plan around RFE or filing deadlines. 

Reduce surprise add-ons 

• Because you can see line-items and bring correct vaccine records, you’re less likely to pay for unneeded doses—and more likely to get an accurate “all-in” estimate before you go. 

CTA: Compare civil surgeons by price & availability → Book now (internal links to your “Find An Immigration Doctor” flow) 

Keywords woven: Find Immigration Doctor, USCIS Doctor Locator, USCIS Approved Doctors for Medical Exam, Cheapest immigration medical exam, Green Card Exam Doctor. 

FAQs 

Does USCIS publish an official price list? 

 No. USCIS explicitly states it does not regulate civil surgeon fees and pricing varies. Always compare. (USCIS) 

Why do quotes vary so much? 

 Clinics price differently and local vaccine/lab costs differ. Your age, vaccine history, and which tests apply (TB for 2+, syphilis and gonorrhea by age/indication) also change the total. (CDC) 

Is there a USCIS fee for the medical exam? 

 No. The medical is not a USCIS fee; it’s paid to the clinic. (USCIS filing fees are separate and listed in the USCIS Fee Schedule/Calculator.) (USCIS) 

Can I lower vaccine costs? 

 Bring written records (with dates). The civil surgeon accepts valid documentation and only gives what you still need. They’re also expected to make a good-faith effort to find appropriate vaccine formulations locally. (CDC) 

Do I have to redo labs I already did elsewhere? 

 For some items (e.g., gonorrhea NAAT), CDC requires the civil surgeon to order testing at the time of exam, so outside results aren’t accepted. Plan for those lab costs when applicable. (CDC) 

What happens after the visit—do I pay again to submit the form? 

 No additional USCIS medical fee. After results are back, the civil surgeon completes I-693, gives you a sealed envelope for USCIS, and a copy for your records. Keep the envelope sealed. (USCIS) 

Clear next steps 

• Find USCIS-approved doctors: Start with USCIS’s Find a Civil Surgeon tool to confirm designation. Then use EasyIME to compare prices & availability and select your Green Card medical doctor. (USCIS) 

• Book now: Bring photo ID and vaccination records. Ask the clinic what’s included (exam, labs, vaccines) so your quote matches your final bill. 

CTA: Compare civil surgeons by price & availability → Book now 

Sources (USCIS/CDC) 

• USCIS — Finding a Medical Doctor (“We do not regulate the fees that civil surgeons charge…”). (USCIS) 

• USCIS — Vaccination Requirements (fee statement; clinic rates vary). (USCIS) 

• USCIS — Form I-693 page (exam overview; sealed envelope/copy). (USCIS) 

• USCIS — Policy Manual, Vol. 8, Part B, Ch. 4 (sealed packets and corrected forms). (USCIS) 

• CDC — Technical Instructions for Civil Surgeons (exam scope; required testing at time of exam). (CDC) 

• CDC — TB Technical Instructions (IGRA for ages 2+; follow-up if indicated). (CDC) 

• CDC — Syphilis Technical Instructions (who must be tested). (CDC) 

• CDC — Vaccination Technical Instructions (review records, administer needed vaccines, seal I-693; Table 1 age-based requirements). (CDC) 

• CDC — Panel Physician Vaccination page (documentation standards; self-report doesn’t count—applies similarly to civil surgeons for acceptable records). (CDC) 

• USCIS — Fee Calculator and G-1055 Fee Schedule (USCIS filing fees are separate from medical). (USCIS)