How much does an immigration medical exam cost?
Ashburn, VA

How much does an immigration medical exam cost?

Ashburn, VA

How much does an immigration medical exam cost?

$250 – $650 average cost (exam & required lab tests)

Get free estimates for your project or view our cost guide below:

$250 – $650 average cost (exam & required lab tests)


Get free estimates for your project or view our cost guide below:
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Tara Farmer
Written by
Tara Farmer
Edited by
Tamatha Hazen
Fact-checked by
Kristen Cramer

Average immigration medical exam cost

An immigration medical exam costs $250 to $650 on average for the physical and mental evaluation, laboratory testing, and completion of the required documentation. Additional vaccination costs depend on your age, location, current vaccine records, health insurance coverage, and if you're a student.

Average cost of green card medical exam
Factor Average cost*
Physical exam $200 – $350
Lab tests $150 – $300
Vaccinations Varies
Average total cost $250 – $650 + required vaccines

*Positive lab results may lead to extra fees for additional screening.

Physical exam

The physical examination is a core component of the immigration medical exam. The cost for the physical exam alone ranges from $200 to $350, and insurance typically does not cover it. Some providers bundle the physical exam, lab testing, and vaccine record review with counseling for $300 to $500.

Immigration medical exam cost - Chart
Immigration medical exam cost - Chart
Immigration medical exam cost
Service Average cost without insurance
Medical exam only $200 – $350
Medical exam + labs package $300 – $500

The immigration medical exam typically includes:

  • A thorough physical examination of the eyes, ears, nose, throat, extremities, heart, lungs, abdomen, lymph nodes, skin, and external genitalia

  • A mental evaluation assessing intelligence, thought, comprehension, judgment, mood, and behavior

  • Completion of the required USCIS Form I-693

Lab tests

Laboratory tests are an essential part of the immigration medical exam to prevent communicable diseases from spreading in the United States. The total cost for these tests averages $150 to $300. However, prices vary depending on the specific tests required and the facility performing them.

The table below provides a breakdown of common lab tests and their approximate costs:

Immigration laboratory test cost by type
Test Average cost without insurance
TB test cost $50 – $350
Chest X-ray cost (if required) $100 – $500
STD testing cost $30 – $185 per test
COVID test cost $10 – $200+
Drug test cost $30 – $110
Varicella / chickenpox immunity test $20 – $70
MMR immunity test $100 – $140
Hepatitis B immunity test $100 – $140
Influenza (flu) test $50 – $150

  • Immigration screening requirements include testing for tuberculosis (TB), gonorrhea, and syphilis. Depending on your age and vaccination records, you may receive additional tests to determine which vaccines you still need.

  • A chest X-ray is typically required if you test positive for tuberculosis (TB).

Vaccines

Vaccinations are a critical component of the immigration medical exam. The Centers for Disease Control and Prevention (CDC) provides guidelines for required vaccinations, which may change periodically. As of May 1, 2024, the following vaccines are required for immigration purposes:

Immigration vaccine requirements and costs
Vaccine Average cost without insurance Required for ages: *
DTP/DTaP/DT
(pediatric formulations of tetanus, diphtheria, pertussis)
$50 – $80 2 months – 6 years old
TDAP
(tetanus, diphtheria, pertussis)
$50 – $100 7 – 10 years old (depending on vaccine history)
AND
≥ 11 years old
Polio $60 – $100 ≥ 2 months old
MMR vaccine cost $180 – $250 12 months – 64 years old
Rotavirus $150 – $200 6 weeks – 8 months old
Hib
(Haemophilus influenzae)
$20 – $60 per dose 2 – 59 months
Hepatitis A $130 – $280 1 – 18 years old
Hepatitis B $90 – $150 per dose Birth – 59 years old
Meningococcal
(MenACWY)
$150 –$300 11 – 18 years old
Varicella / chickenpox $150 – $350 ≥ 12 months old
Pneumococcal $150 – $300 2 – 59 months old (PCV)
AND
≥ 65 years old
Flu vaccine cost $20 – $65 (standard flu shot)
$50 – $110 (high-dose for age 65+)
≥ 6 months old
COVID-19 $100 – $200 ≥ 6 months

*According to CDC guidelines

  • Some facilities charge an additional $20 to $45 vaccine administration fee.

  • If you have health insurance coverage, getting vaccines through a local pharmacy is typically the most cost-effective route.

  • Some local health departments offer free or low-cost vaccinations.

Get free estimates from urgent care near you.

Green card medical exam cost factors

While the average cost of a green card medical exam is $250 to $650, prices can be as low as $0 or as high as $1,000. This wide range is due to the many factors that influence the cost, including:

  • Age: Your age may affect the types of tests and vaccinations required, potentially influencing the total cost.

  • Gender: Certain gender-specific tests may be necessary, which can affect the overall expense.

  • Location: The city and state where you undergo the exam can significantly impact the price. Urban areas and regions with higher living costs tend to have more expensive medical services.

  • Facility & provider: Rates and services vary depending on the medical facility and civil surgeon you visit. Vaccines are typically cheaper at drug store pharmacies or the local health department than at private medical facilities.

  • Medical history: Your personal medical history may necessitate additional tests or follow-up appointments, increasing the cost.

  • Insurance: While most insurance plans do not cover immigration medical exams, some may partially cover certain aspects of the examination or required vaccinations.

  • Student status: Some educational institutions may offer discounted or free services to international students.

  • Payment method: Some providers offer discounts for cash payments or charge additional fees for credit card transactions.

What to expect at a green card medical exam

Understanding the immigration medical exam process can help you prepare with confidence. Be sure to bring all the required information and documentation with you to your first appointment to avoid delays and extra fees.

Here's what you can expect:

  • Medical history review: The civil surgeon will review your medical history and ask questions about your health.

  • Physical & mental examination: You'll receive a thorough physical and mental health evaluation to look for certain medical conditions and mental disorders associated with addiction, drug abuse, or harmful behavior.

  • Laboratory tests: Depending on your age and medical history, you may need to undergo various blood and urine tests for communicable diseases.

  • Vaccination review: Your vaccination records will be reviewed, and you may need to receive additional vaccines if required.

  • Form I-693 completion: The civil surgeon will complete Form I-693, which you'll need to submit with your immigration application.

The process typically requires at least two visits—one for the exam, testing, and records review, and a second visit once your test results are in and the facility can complete the required paperwork.

Immigration medical exam FAQs

Can I use HSA funds for an immigration medical exam?

Yes, you can typically use your Health Savings Account (HSA) funds to pay for an immigration medical exam. The IRS considers these exams as qualified medical expenses.

Does insurance cover an immigration medical exam?

Most health insurance plans do not cover immigration medical exams as they are considered administrative rather than medically necessary. However, some plans may cover certain aspects of the exam or required vaccinations. Check with your insurance provider for specific coverage details.

What do they check for in an immigration medical exam?

An immigration medical exam checks for:

  • Communicable diseases

  • Harmful mental or physical disorders

  • Signs of potential drug abuse or addiction

  • Required vaccinations

How can you fail an immigration medical exam?

You may fail an immigration medical exam if you:

  • Have a communicable disease of public health significance

  • Don't provide proof of required vaccinations (or a waiver for them if you have an approved exception)

  • Have a physical or mental disorder associated with harmful behavior

  • Have a drug addiction or abuse drugs

How long is a medical exam valid for immigration to the USA?

The U.S. Citizenship and Immigration Services (USCIS) recently issued the following policy alerts: "Effective April 4, 2024, any Form I-693 that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire. You can use it indefinitely as evidence that you are not inadmissible on health-related grounds.

Additionally, as of November 13, 2024, immigration medical exams are valid indefinitely for certain Afghan nationals who arrived in the United States during “Operation Allies Welcome."

What should I bring to my immigration medical exam?

You should bring the following items to your immigration medical exam:

  • Valid government-issued photo ID

  • Vaccination records

  • Medical and mental health records

  • List of current medications

  • Payment for the exam

  • Form I-693 (Some facilities provide this form.)

Call before your appointment to confirm the facility's specific requirements. In most cases, all documents must be in English, and you may need to bring a translator with you if you do not speak English.

When should I submit my immigration medical exam?

It's generally recommended to submit your medical exam results along with your green card application. However, you can also submit it after filing your application if necessary.

How long does a medical exam for immigration take?

The medical exam for immigration typically takes 30 minutes to 2 hours. However, you may need to return for follow-up visits or to receive vaccinations, which could extend the process over several days or weeks.

Get free estimates from urgent care near you.
A doctor checking a male patient's blood pressure during an immigration medical exam, also called a green card medical exam
A doctor checking a male patient's blood pressure during an immigration medical exam, also called a green card medical exam

Finding a doctor for your green card medical exam

To ensure your immigration medical exam is valid, you must visit a civil surgeon authorized by U.S. Citizenship and Immigration Services (USCIS). Consult with an immigration attorney near you for the most up-to-date information regarding immigration medical exam requirements and procedures.

Here are some steps to find an approved doctor:

  • Visit the USCIS website and use their Find a Doctor tool.

  • Contact your local health department for recommendations.

  • Ask for referrals from immigration attorneys or community organizations.

  • If you're a student, inquire with the student health services department or office for international students.

Questions to ask before an immigration medical exam

Asking some key questions can help you make an informed decision when choosing a medical facility and be well-prepared for your immigration medical exam:

  • What is the total cost of the exam, including any potential follow-up visits?

  • Do you offer any package deals that include lab tests and vaccinations?

  • What forms of payment do you accept? Do you offer a discount if I pay with cash?

  • How long does it typically take to complete the exam and receive the results?

  • What do I need to bring with me to the medical exam?


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