The Complete List of Required Services

A USCIS Form I-693 immigration medical examination involves several distinct components, all of which are required to complete the process. When evaluating the price of an immigration medical exam, you should confirm that each of the following is included.

• Physician examination by a USCIS-designated civil surgeon
• Complete medical history review
• Physical examination (vision, hearing, cardiovascular, respiratory, and more)
• TB/IGRA blood test (QuantiFERON-TB Gold or equivalent)
• Syphilis serology (RPR or VDRL)
• Gonorrhea test (for applicants 15 and older)
• Review of vaccination records
• Administration of any required vaccines
• Completion and sealing of Form I-693

Services That May Be Billed Separately

A chest X-ray is only required when the TB/IGRA blood test is positive or when clinical findings indicate the need for further evaluation. Because not all applicants need one, some clinics bill it separately. This is a reasonable exception.

Expedited processing — receiving your completed Form I-693 in 2 days rather than 3 — may also carry an additional fee at some clinics.

What to Ask Before Scheduling

Before booking your appointment, ask the clinic these specific questions to understand exactly what is included in their quoted price.

• Does your price include all required laboratory tests (TB, syphilis, gonorrhea)?
• Does your price include vaccine administration for any required vaccines?
• Is there a separate fee for completing and sealing Form I-693?
• Are there any administrative, processing, or facility fees not included in the quoted price?
• What is the total cost if I need a chest X-ray?

Why This Matters for Your Budget

Immigration cases involve significant costs — attorney fees, USCIS filing fees, and other expenses. Knowing the true total cost of your medical exam upfront allows you to budget accurately and avoid financial surprises.

A clinic that provides a clear, all-inclusive price makes the process simpler and less stressful. A clinic that advertises a low base fee but bills separately for required services can result in a much higher total cost than expected.

The Standard for Transparent Pricing

The standard for transparent immigration medical exam pricing is simple: one price that covers everything required to complete Form I-693. If a clinic cannot clearly tell you what is included in their quoted price, that is a signal to ask more questions or consider a different provider.