An immigration medical exam costs between $200 and $500 for most applicants in the United States, with the national average sitting around $250 to $400 when the base exam, required blood tests, and the sealed Form I-693 are included. Vaccinations, chest X-rays, and follow-up visits are typically billed separately and can add considerably to that total depending on your vaccination history and lab results.
If you are preparing your green card application and trying to budget for this step, the sections below break down exactly what drives the cost, what surprises to expect, and what you can do before your appointment to keep the total as low as possible.
The national price range: what most applicants pay
USCIS does not regulate how much civil surgeons charge for immigration medical exams. Each clinic sets its own fee, which is why you will find quotes ranging from under $200 to over $600 for what is technically the same exam.
In practice, most applicants across the United States pay between $250 and $500 for the full process, including the physical exam, required lab tests, and the completed I-693 in a sealed envelope. Prices tend to be higher in large metropolitan areas and lower in smaller cities or suburban clinics, where overhead costs are lower and competition is stronger.
What the base fee includes (and what it doesn’t)
This is where most of the confusion around pricing comes from. When a clinic quotes you a base price, it typically covers the physical examination by the civil surgeon, the QuantiFERON-TB Gold blood test for tuberculosis, the syphilis blood test for applicants 15 and older, the review of your vaccination records, and the completion and sealing of Form I-693.
What the base fee almost never includes: vaccinations, a chest X-ray if one is needed, titer blood tests to confirm immunity for vaccines you cannot document, and additional follow-up visits if any results require them.
Vaccinations
If your vaccination records are incomplete or unavailable, you will need to receive the missing vaccines during or after your appointment. Depending on how many doses you are missing and which vaccines are required for your age group, this can add anywhere from $50 to several hundred dollars to your total. Bringing complete vaccination records to your appointment is the single most effective way to reduce your final bill.
Vaccines can be administered at the civil surgeon’s clinic at an additional cost, or at your local pharmacy or health department, which is often significantly cheaper. At Medical Exams of Tampa, vaccinations can be provided at the clinic or obtained at your preferred pharmacy before the appointment.
Chest X-ray
A chest X-ray is not part of the standard exam fee. It is only ordered if your QuantiFERON-TB blood test comes back positive. If that happens, the X-ray is required before the civil surgeon can complete your Form I-693, and it will be billed separately. The cost varies by provider but typically falls between $60 and $150.
Follow-up visits
If your lab results require additional evaluation, or if your vaccination record cannot be completed in a single visit, you may need to return to the clinic. Ask your provider upfront whether follow-up appointments are included in the base fee or billed separately.
Why prices vary so much between clinics
Three factors explain most of the price variation you will see when comparing civil surgeons:
The first is what the base price actually includes. Some clinics advertise a low entry price but charge separately for lab tests, paperwork completion, and the sealed envelope. Others offer an all-inclusive package that covers the full standard exam. Always ask exactly what is and is not covered before booking.
The second is location. Clinics in high-cost urban areas charge more than those in suburban or mid-size cities. Florida, and Tampa specifically, tends to fall in the mid-range nationally, making it a more affordable option than clinics in states like California or New York.
The third is your vaccination history. An applicant who arrives with complete, documented records spends significantly less than one who needs multiple vaccines on the day of the exam.
How much is the immigration medical exam in Tampa?
At Medical Exams of Tampa, the immigration medical exam costs $270 for adults and $220 for children. This fee includes the basic medical exam, the required blood tests, the review of your immunization records, and the certified, sealed Form I-693 ready for submission with your I-485.
Vaccinations are not included in this price and can be administered at the clinic at an additional cost, or you can choose to get them at your preferred pharmacy before the appointment. The clinic accepts payment in cash or credit card, and you do not need to be fasting before the exam.
Compared to the national average and to other civil surgeon clinics in Florida, these prices place Medical Exams of Tampa at the more affordable end of the market, without sacrificing the accuracy and certification that your green card application requires.
Does insurance cover the immigration medical exam?
In most cases, no. Health insurance plans do not cover immigration medical exams because USCIS classifies them as immigration requirements, not medical necessities. You will almost certainly pay out of pocket for the exam itself and for any required lab work.
Some insurance plans may partially cover vaccinations if they are administered as part of your preventive care. Checking with your insurer before the appointment is worth a few minutes of your time, particularly if you expect to need several vaccines. HSA and FSA funds can often be used for immigration medical exam costs, so if you have either of those accounts, they are worth considering.
Book your immigration exam in Tampa with no surprises
If you are ready to move forward with your green card application, Medical Exams of Tampa offers verified immigration medical exams in Tampa with clear, upfront pricing: $270 for adults and $220 for children, bilingual staff.
Call 813-249-0001 to schedule or ask any questions before your visit. No hidden fees, no surprises.
