I-693 Medical Exam Cost

Written by:  Howmuchisit.org Staff

According to the U.S. Citizenship and Immigration Services, all applicants who are filing for an adjustment of status to that of a lawful permanent resident must submit a Form I-693, which needs to be filled out via a designated civil surgeon.

This examination, essentially, will be required to establish that the applicant is not inadmissible to the United States on public health grounds.

I-693 Medical Exam Cost
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 The cost of an I-693 medical exam

The costs of an I-693 medical exam, as per the people who did share their quotes online, claimed the costs would depend on your health insurance (if you have it), your geographical location, the doctor you choose and if you need any immunizations based on your past.

Since health insurance, most of the time, will not cover this type of exam, most claim you should be prepared to spend anywhere from $300 to $500 for the entire exam, plus some vaccinations and lab work, if you were to need all of them, for instance.  However, if you were up to date with your vaccination schedule, then the costs could be as little as $120 to $250.   Do keep in mind that some doctors may bill this type of exam as an annual examination, but greatly depending on your health insurance policy, again, if you have one, will greatly depend on the policy you have.  Be sure to check with your insurance policy to see if they would cover the I-693 medical exam, and if so, what the restrictions are.

Because the USCIS will not regulate the fees, you will find the rates will vary by physicians.

TestAverage Price Reported
Just the exam$120-$250 (about 10% less for children)
Varicella (chicken pox) titer+ $40-$65
Measles, mumps and rubella titers+ $50-$100
Immunizations+ $20-$40 each
Quantiferon Gold blood test for TB+ $75-$125
Urine test for gonorrhea+ $25-$40
Blood test for syphilis+ $45-$70
Chest X-ray+ $70-$110

NOTE:  As everyone’s health history is different, the prices for you can be much more (or less) than someone else.  Take a look at what may be needed during your medical exam and add up the costs to get an idea as to how much you may pay.  These are just estimates and price estimates designed for those who are having the testing done inside of the doctor’s office.

As we did find many people who did share the costs they paid, we compiled a list of the prices they paid, as well as the source of where we found the information inside the table below:

Quotes found online...
Quoted $120 to $220 without any vaccinations or about $460 if all vaccinations and medical exam were done at onceSOURCE
$310 for the medical exam, TB skin test, Tdap vaccine, varicella and flu shotSOURCE
$320 for all vaccines plus examSOURCE
$220 for basic but $50 more for the MMR vaccine and/or $120 for chicken pox vaccine (if needed)SOURCE
$80 for paperwork and another $120 for MMRSOURCE
$195 for all blood tests, TB test and vaccinationsSOURCE
$275 for exam, TB test, vaccination and bloodworkSOURCE
$275 for just the examSOURCE
$320 for just examSOURCE

Dr. Ilene Z Coopersmith, located in Brooklyn, New York, for example, states that the cost of a medical examination at their location is $275.  This fee will include a skin test for tuberculosis and immunization titers.  If you were to need a chest x-ray, then the fee would be an additional $40, while the confirmation of the RPR website, if positive, would be another $80.

What to bring to your appointment

Bring in the Form I-693, known as the Report of Medical Examination and Vaccination Record

A government-issued photo I.D., such as a passport or driver’s license.  For those who are younger than 14 years old, then they recommend you bring in some sort of identification, such as a birth certificate or affidavit, which displays the name, parent’s full name and date of birth.

All vaccination records, with evidence of immunizations such as DT, DTP, DTaP, Td, Tdap, OPV, IPV, MMR, Hib, hepatitis A, hepatitis B, varicella, pneumococcal influenza, rotavirus and meningococcal disease.

Health insurance card, if you have it, as some doctor’s offices will accept it.

Call the authorized doctor’s office ahead of time to know what you’re responsible for and what kind of authorized payments they can accept.  With this information, be sure to bring in the full amount on the day of your appointment.

What happens during the I-693 exam?

According to USCIS.gov, the doctor tests for any sort of communicable diseases such as tuberculosis and syphilis.  The tuberculosis test will be done in two parts, meaning you will have to come back to the office two to three days later to have your results read.  The syphilis is a simple blood test.  A chest x-ray will be taken at this time as well if required.

After these two tests are performed, your doctor will then review your immunization record and will let you know which vaccinations you require, based on your history, today.

Once the exam completes, your doctor will complete the Form I-693 and will seal the envelope for you to give to the officials.  Before the doctor seals the envelope, however, the government does recommend you receive a copy for your own records.  The USCIS will deny any envelopes which have been tampered with and/or has been opened.

In the end, the minimum requirements, as per the USCIS, will include a physical exam, all blood work, a urine test, tuberculosis testing an all vaccinations as recommended by the CDC, such as measles, mumps and rubella.

Tips to know

To save money on your vaccinations, ask your civil surgeon if you’re able to receive the injections elsewhere to save on the costs.  From what we read, you should be able to do so as long as you bring evidence back to the surgeon that the correct immunizations were done.  For some, many went to the local health department to cut down on the costs.

Always make sure you go to an approved doctor for your I-693 form as failing to do so will be money wasted since the United States will not accept it.  To find an authorized doctor, be sure to use the official doctor search at USCIS.gov.

Be sure to shop around as most offices will greatly vary in its pricing.  As long as you know which vaccinations you need ahead of time, most offices will be able to give you a quote over the phone.

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