- March 17, 2026
Disclaimer: This article is for educational purposes only and does not replace professional medical advice. If you or someone you love is experiencing a mental health emergency, call 988 (Crisis Lifeline) or 911 immediately.
The cost of an immigration medical exam in Georgia typically ranges between $250 and $600, depending on the civil surgeon, required vaccines, and lab testing. The exam includes a physical examination, tuberculosis screening, blood tests, and completion of the United States Citizenship and Immigration Services (USCIS) Form I-693 by a USCIS-designated civil surgeon.
As of December 2, 2024, Form I-693 must be submitted simultaneously with Form I-485, so budgeting and scheduling your exam well in advance are essential. Clinics offering on-site vaccines, lab testing, and chest X-ray services often complete the process faster and at a lower total cost.
Why Immigration Medical Exam Costs Can Vary
Immigration medical exam pricing is not regulated by USCIS. Every USCIS-designated civil surgeon sets their own fees, so costs vary by provider, location, and the specific services each applicant requires.
What makes this more complicated is how clinics structure their pricing. Some advertise a low base fee but require patients to visit outside labs or pharmacies for vaccines and testing, which increases both the total cost and the number of appointments needed. Others bundle everything under one roof, offering a more predictable experience from start to finish.
Costs can vary based on:
- Vaccination requirements based on your age and documented history
- Required laboratory testing (HIV, syphilis, gonorrhea, TB screening)
- Whether a chest X-ray is needed following TB results
- The civil surgeon’s fee structure – flat fee vs. itemized billing
- Your location within Georgia and the clinic’s regional pricing
Understanding what drives the cost helps you budget accurately and choose the right provider for your situation.
Average Immigration Medical Exam Cost in Georgia
Most immigration medical exams in Georgia fall within a predictable range. Based on current civil surgeon pricing across the state:
| Cost Component | Estimated Range |
| Base exam fee (physical + Form I-693 completion) | $150 – $350 |
| Laboratory testing (TB, HIV, syphilis, gonorrhea) | $150 – $300 |
| Vaccines (per vaccine, if needed) | $20 – $150 each |
| Chest X-ray (if required) | $100 – $250 |
| Total estimated range | $250 – $600+ |
Typical cost ranges to keep in mind:
- Immigration medical exam base fee: $250 – $350
- Additional vaccines: varies by vaccine and number needed
- Laboratory testing: may be included in base fee or billed separately
- Chest X-ray (if required): additional cost
Do Immigration Costs Differ for Children?
Yes. When families file together, each child requires their own immigration medical exam, but the cost is typically lower than that of an adult exam. Fewer lab tests apply for younger children (HIV testing starts at 15; syphilis and gonorrhea testing starts at 18), and the physical exam is more straightforward.
The main variable is vaccines – children who have not followed the standard U.S. immunization schedule may need several catch-up shots, which adds to the total. When scheduling for the whole family, ask for per-person pricing upfront to avoid surprises.
Always confirm exactly what is included in the quoted price before booking. A lower headline number does not always mean a lower total cost.
What Is Included in the Immigration Medical Exam Fee?
The base exam fee at most Georgia civil surgeon clinics covers the core services required to complete Form I-693. Understanding what is included helps avoid unexpected charges.
Most exam fees include:
- Medical history review
- Physical examination
- Completion and sealing of USCIS Form I-693
- Documentation and administrative processing
Some clinics also include lab testing in the base price – others bill it separately. This is one of the most important questions to ask upfront.
Additional Costs That May Apply
- Required vaccinations – if your records are incomplete or vaccines are missing from the CDC immigration schedule
- Tuberculosis testing – TB skin test or blood test (IGRA)
- Chest X-ray – required if TB screening returns a positive result
How On-Site Services Help Reduce Costs and Delays
- In-house vaccinations
- On-site lab testing
- Chest X-ray at select locations
Trusted Medical Care, Wherever You Are
With established offices in:
Why Accurate Form Completion Matters
Cost is one part of the equation. The other part is quality.
Errors or omissions on Form I-693 are among the most common triggers for a USCIS Request for Evidence (RFE). Common documentation mistakes include missing civil surgeon signatures, using an outdated edition of the form, incomplete vaccination records, or an improperly sealed envelope. Any of these can delay your green card timeline significantly – and may require you to repeat portions of the exam.
Choosing a civil surgeon who regularly completes immigration exams, rather than occasionally, reduces this risk considerably. Benefits of choosing an experienced provider include:
- Reduced risk of RFEs
- Accurate and complete Form I-693 documentation
- Familiarity with current USCIS requirements and recent rule changes
- Professional guidance throughout the process
Why Experience Matters for Immigration Medical Exams
Immigration medical exams require strict adherence to USCIS regulations that change more frequently than most applicants realize. Between the December 2024 simultaneous filing requirement, the January 2025 removal of the COVID-19 vaccine mandate, and the June 2025 Form I-693 validity update, there have been three significant policy shifts in under a year.
Providers with deep experience in immigration medical exams – handling high volumes regularly, not as an occasional add-on to a general practice – are better equipped to stay current on these changes and apply them correctly every time. This expertise directly protects your application.
How Insurance May Apply to Vaccines
The immigration medical exam itself is typically not covered by standard health insurance, as USCIS classifies it as an immigration requirement rather than a medical treatment. However, some components may qualify for partial coverage.
It is worth contacting your insurer before your appointment to ask specifically about:
- Required vaccinations (some plans cover vaccines regardless of why they are administered)
- TB blood test (IGRA) – often covered as a diagnostic lab test
- Any immigration-related riders on your plan
Do not assume coverage – confirm it in advance and plan to pay out of pocket for the majority of the exam cost.
Tips for Saving Money on Your Immigration Medical Exam
With some advance planning, there are practical ways to reduce your spending without compromising quality.
Bring complete vaccination records: The most effective cost-reducing step available to you. Every vaccine you can document is a vaccine you do not need to receive again. Bring all records, even from childhood or from another country.
Ask about titer testing: If you have received vaccines but have no documentation, titer testing (a blood test that confirms immunity) may cost less than getting the MMR or varicella vaccine again.
Confirm pricing in advance: Ask the civil surgeon’s office for a detailed breakdown of what is included in the base fee and what is billed separately. A few minutes on the phone before booking can prevent unexpected charges.
Choose clinics with on-site services: Clinics that handle vaccinations, labs, and imaging in-house reduce the total number of appointments needed and often lower the overall cost.
Compare civil surgeons: USCIS does not prohibit comparison shopping. Calling two or three local civil surgeons to compare fees is a reasonable step – just weigh price against experience and completeness of services offered.
How to Prepare for Your Appointment
Coming prepared means your exam can be completed in as few visits as possible, which also keeps costs lower.
Bring the following to your immigration medical exam:
- Government-issued photo ID (passport preferred)
- Complete vaccination records
- Immigration paperwork (I-485 filing details if available)
- Medical records for any chronic conditions or prior hospitalizations
- Health insurance card
- Payment for exam fees
This allows the civil surgeon to complete Form I-693 accurately and efficiently, without unnecessary follow-up visits.
Immigration Medical Exams Available Across North Georgia
Windermere Medical Group’s USCIS-certified civil surgeons conduct immigration medical exams at convenient locations across North Georgia, with Monday through Saturday availability to accommodate working applicants and families. In-house lab services mean faster turnaround on required test results, and experienced staff ensures Form I-693 is completed accurately – reducing the risk of RFEs and keeping your green card timeline on track.
As a full-service practice providing primary care, urgent care, and acute care in addition to immigration medical exams, WMG is built to be your healthcare partner beyond the application process – for routine checkups, sick visits, and everything in between.
Contact your nearest WMG location for current pricing and to schedule your appointment.
Locations: Cumming – Canton – Alpharetta – Gainesville – Baldwin – Lawrenceville
Ready to schedule your immigration medical exam? Contact Windermere Medical Group at your nearest North Georgia location today.
FAQs:
Q1. Is the immigration medical exam covered by insurance?
Usually no. The exam is classified as an immigration requirement. Some vaccines or lab tests may be partially covered depending on your plan.
Q2. Why do some clinics charge more than others?
USCIS does not regulate civil surgeon fees. Pricing varies based on the services included, the provider’s experience, and whether vaccines and labs are handled on-site.
Q3. Can the immigration exam be completed in one visit?
Yes, particularly when vaccines and lab testing are available on-site at the clinic.
Q4. How long does the immigration medical exam take?
Most exams take 60 to 90 minutes, plus additional time for lab processing and any required follow-up visits.
Q5. Do all applicants for the immigration exam need the same vaccines?
No. Vaccine requirements vary by age and are based on a documented vaccination history reviewed against the CDC immunization schedule.
About the Author
Priya Bayyapureddy
Dr. Priya Bayyapureddy, MD is a board certified Internal Medicine doctor with over 20 years of experience in primary care Internal Medicine. Dr. Bayyapureddy completed her Internal Medicine residency at Emory University School of Medicine and internship at University of Tennessee College of Medicine at Chattanooga.
