Every vaccine record you can locate may reduce your total cost. School records, pharmacy printouts, pediatric records, and overseas documentation can all help avoid unnecessary revaccination.
What the USCIS Civil Surgeon Fee Covers
The immigration medical exam does not have a fixed government price. Every USCIS civil surgeon sets their own fees, which is why costs vary throughout Brooklyn and New York City. Most applicants pay between $400 and $900+, depending on vaccination history, lab testing, and whether additional screenings are required.
Applicants with complete vaccination records usually stay on the lower end of the range. Those missing several vaccines often pay significantly more because each required vaccine adds to the total cost.
For official USCIS requirements, visit:
Immigration Medical Exam Cost Breakdown in NYC
The total price is made up of several components, including the civil surgeon’s fee, laboratory testing, and vaccinations.
| Component | Estimated Cost |
| Civil surgeon exam fee | $200–$400 |
| TB test | $30–$120 |
| HIV & syphilis tests | $40–$110 |
| Gonorrhea testing | $20–$50 |
| Chest X-ray (if needed) | $80–$200 |
| Required vaccines | $30–$150 per vaccine |
| Titer blood test | $30–$80 |
Vaccination requirements are based on CDC and USCIS guidelines and may change depending on age, season, and current public health recommendations. CDC Immigration Vaccination Requirements
What Makes the Immigration Medical Exam More Expensive?
The biggest cost factor is your vaccination history. Applicants who bring complete records often avoid hundreds of dollars in additional vaccine fees. Foreign vaccination records are commonly accepted when properly documented and reviewed by a USCIS civil surgeon. CDC Civil Surgeon Technical Instructions
Other factors that increase the total cost include:
- Missing vaccines
- Positive TB screening requiring a chest X-ray
- Age-specific vaccine requirements
- Higher Manhattan provider pricing
- Repeat exams after Form I-693 expiration
Immigration Medical Exam Cost With Records vs Without Records
| Scenario | Estimated Total Cost |
| Complete vaccine records | $350–$550 |
| Missing 2–3 vaccines | $550–$750 |
| No vaccine records | $800–$1,200+ |
| Positive TB test requiring X-ray | Add $80–$200 |
The base civil surgeon fee typically includes the physical examination, review of medical history, vaccination record evaluation, and completion of Form I-693.
However, many applicants are surprised to learn that laboratory testing and vaccines are usually billed separately. Chest X-rays and return visits for TB skin test readings may also involve additional charges.
Before scheduling an appointment, ask the clinic for a full itemized estimate to avoid unexpected fees.
Does Insurance Cover the Immigration Medical Exam?
Most insurance plans do not cover the immigration medical exam fee itself because it is considered an immigration-related service rather than standard medical care.
Some plans may still cover:
- Vaccines
- HIV testing
- TB testing
- Certain preventive lab services
Applicants with HSA or FSA accounts may also be able to use pre-tax funds for eligible medical expenses related to the exam.
Before your appointment, contact your insurance provider and confirm:
- Which vaccines are covered
- Whether lab testing is covered
- If the provider is in-network
- Whether preventive care benefits apply
Ways to Reduce Your Immigration Medical Exam Cost
The most effective way to lower your total cost is to bring complete vaccination records. Many applicants overpay because they cannot prove prior immunization history.
Some applicants also save money through titer blood testing. A titer test can confirm immunity for vaccines like MMR, Varicella, or Hepatitis B and may eliminate the need for expensive repeat vaccine series.
Getting certain vaccines at pharmacies, such as:
- CVS Pharmacy Vaccines
- Walgreens Vaccinations
may also reduce costs because some insurance plans cover pharmacy-administered preventive vaccines.
Brooklyn and Queens providers also tend to charge less than many Manhattan clinics for the same USCIS-required exam process.
Immigration Medical Exam Services in Brooklyn, NY
Weibo Medical Care provides USCIS immigration medical exams with multilingual support in English, Mandarin, and Spanish.
The clinic helps applicants review overseas vaccination records before recommending additional vaccines, which may help reduce unnecessary medical costs.
Frequently Asked Questions About Immigration Medical Exam Costs
How much does the immigration medical exam cost in Brooklyn?
Most applicants pay between $350 and $900+, depending on vaccines, lab testing, and chest X-ray requirements.
Can I use Medicaid for the immigration medical exam?
Medicaid generally does not cover the civil surgeon exam fee itself, although some vaccines or lab tests may still qualify for coverage.
What is a titer test?
A titer test is a blood test that checks immunity to certain diseases. If immunity is confirmed, some vaccines may be waived.
What happens if Form I-693 expires?
If your Form I-693 expires before your immigration case is completed, you typically need to repeat the entire medical exam and pay the full cost again.
Can I compare prices between civil surgeons?
Yes. USCIS allows applicants to choose any certified civil surgeon listed in the official USCIS locator.