What this guide is best for
Direct answer: Use this when you have been quoted a price for the immigration medical exam and want to know what is official.
Best used when: USCIS charges $0 to file Form I-693. The civil surgeon sets the exam fee independently.
Two different fees, only one of them published
Key point: USCIS charges $0 to file Form I-693. The civil surgeon sets the exam fee independently.
What a good provider should make clear: Two or three civil surgeons called for an all-in quote including vaccines and any repeat visit.
Common mistake: Assuming the exam price you were quoted is a government fee. It is not, and it varies.
Questions to ask: Does that price include the vaccines, the blood test and a follow-up visit if one is needed?
Two different fees, only one of them published
Opening intent: separate the government fee, which is published and is zero, from the exam fee, which is not published at all
| Cost question | What matters |
|---|---|
| What are you really comparing? | Use this when you have been quoted a price for the immigration medical exam and want to know what is official. |
| What changes total cost? | USCIS charges $0 to file Form I-693. The civil surgeon sets the exam fee independently. |
| Where people get burned | Assuming the exam price you were quoted is a government fee. It is not, and it varies. |
| What to ask before paying | Does that price include the vaccines, the blood test and a follow-up visit if one is needed? |
Quick answer
There are two separate fees, and only one of them is published.
USCIS charges $0 to file Form I-693. The exam itself is priced by the civil surgeon, and USCIS says so directly: "Fees for immigration medical examinations are established by the civil surgeon. Fees may vary by civil surgeon."
So no official source can tell you what the exam costs. Anyone publishing a national average for it is guessing.
The fees that are published
From Form G-1055, the USCIS fee schedule, edition 05/29/26.
| Form | What it is | Filing fee |
|---|---|---|
| I-693 | Report of Immigration Medical Examination and Vaccination Record | $0 |
| N-648 | Medical Certification for Disability Exceptions | $0 |
| I-485 | Adjust status, applicant over 14 | Paper $1,440 / online $1,390 |
| I-485 | Under 14, filed with a parent’s I-485 | Paper $950 / online $900 |
| N-400 | Application for Naturalization | Paper $760 / online $710 |
| N-400 | Reduced fee, household income not over 400% of the Federal Poverty Guidelines | Paper $380 |
| I-910 | Application for Civil Surgeon Designation | $990 |
USCIS also notes that "There is often a $50 discount when filing a form online."
Fee waivers exist. Applicants who qualify under Form I-912 pay $0 for N-400.
What the exam fee usually has to cover
Since the civil surgeon sets the price, what is bundled varies. These are the components to ask about explicitly.
- The examination itself
- The tuberculosis test, and a chest X-ray if it is positive
- The syphilis blood test
- Any vaccinations you are missing
- A follow-up visit if records are incomplete
- Completing and sealing the form
Vaccines are the item most often quoted separately, and the item most likely to move the total.
Bringing your records down
The cheapest way to reduce the exam cost is to arrive with your vaccination records. Missing records mean either repeat vaccines or blood tests to prove immunity.
Only a USCIS-designated civil surgeon can perform the exam. Your own doctor cannot, unless they hold that designation.
Questions to ask when you call
- What is the all-in price, including vaccines?
- What is quoted separately?
- What happens to the price if the TB test is positive?
- Is a follow-up visit included?
- How quickly is the sealed form ready?
Common mistake: comparing two quotes where one includes vaccines and the other does not.
What to do next
Call two or three designated civil surgeons and ask all five questions. Bring your vaccination records to whichever you choose.
Educational only. Not legal or medical advice. No endorsements or rankings.