Immigration Medical Exam Cost: Average Fees Explained

The immigration medical exam is required for many people applying for a green card from inside the United States. A USCIS-designated doctor, called a civil surgeon, completes the exam and signs Form I-693. USCIS does not charge a filing fee for the form itself, and it does not set what civil surgeons charge. Each doctor or clinic sets its own price, so the same exam can cost noticeably different amounts depending on where you go.

This page covers the cost only, not medical questions about the exam. The figures below come from a published consumer guide and from clinic fee pages, and they were checked on Oct 13, 2026. Always confirm the current price with the office before you book.

LegalClarity reports that the base package typically runs $250 – $500, including the physical exam, lab work, and the completed, sealed form. Vaccines you are missing are usually billed on top, and the total depends on which doctor you choose and how many shots you need.

That range reflects what many applicants pay across the country. Clinics in higher-cost areas can be above it, and some clinics in lower-cost areas charge less.

Some health systems post their exam price publicly. These examples show how a single published price can fall inside or near the typical range.

UC San Diego Health lists $490 and says the price includes basic labs and vaccine recommendations. Vaccinations and extra testing, imaging, or treatment for an infectious disease are not included. The University of Mississippi Medical Center lists $435 for a typical visit and notes that the final price depends on the patient's age and what is required.

Those two are examples, not a complete survey. Many private clinics list prices on their own sites, and many give quotes by phone.

Before you book, ask the office to list what its price covers. Common questions:

• The exam itself. The physical and the review of your medical history and records.
• Lab tests. Some offices include required lab tests, and some bill them separately.
• Vaccines. If your records show vaccines are missing, the office may offer them for an added charge, billed per dose. You can sometimes get vaccines elsewhere, such as at a health department or your regular doctor, and bring the records.
• Follow-up testing. If a result needs more review, the office may charge for additional visits or tests.
• Completing and sealing the form. Some offices charge an administrative fee for the paperwork.
• Copies and records. Ask about the cost of extra copies of your records.

An itemized quote lets you compare offices fairly. A low base price can end up higher once labs and vaccines are added.

Usually not for the immigration exam itself. The University of Mississippi Medical Center says insurance typically does not cover immigration physicals, and UC San Diego Health lists its exam as self-pay. Some separate items, such as vaccines or lab work, may be billed to insurance by some offices. Call your insurer and the clinic to find out what applies to you.

• Location. Offices in expensive metro areas often charge more than those in smaller cities.
• Type of practice. A hospital system, an urgent care clinic, and a private practice can all price differently.
• Missing vaccines. Each dose adds to the total.
• Age. Requirements and tests differ by age, which can change the lab work and the price.
• Same-day or after-hours service. Some offices charge extra for rush appointments.
• Family bookings. Each family member needs their own exam, and some offices offer a family rate, so ask.

Only a civil surgeon designated by USCIS can complete Form I-693. Use the USCIS doctor locator at my.uscis.gov/findadoctor to find designated doctors near you, then call several to compare prices and availability. USCIS encourages applicants to compare fees before booking.

For questions about your health, your vaccination records, or what the exam involves, speak with the civil surgeon or another licensed physician. This page cannot answer those.

1. Call at least three designated offices and ask for the total price in writing.
2. Ask what the base price includes and what is billed separately.
3. Gather your vaccination records before the appointment so the office can tell what is missing.
4. Ask whether you may receive needed vaccines from another provider.
5. Ask about payment methods and any deposit.
6. Confirm timing. Check USCIS instructions for when to schedule the exam relative to your application, since the validity of the signed form is tied to your case.