Most applicants should expect a total i-693 medical exam cost in the $300 to $700 range, depending on what the clinic includes, what lab work is billed separately, and whether vaccines or follow-up testing are needed. In the Lanham and Prince George’s County area, you’ll often find lower starting prices than large-city markets, with Maryland examples ranging from $225 to $410 depending on whether the clinic bundles the exam, labs, paperwork, and any required follow-up items.
If you're pricing out your green card medical exam right now, you're probably already juggling filing fees, document prep, and appointment deadlines. The hard part is that two clinics can advertise an “exam fee” that sounds similar, then produce very different final bills once lab tests, form completion, vaccination review, and chest X-rays enter the picture.
That confusion is avoidable. What matters isn’t just the first number you hear on the phone. It’s what that number includes.
Table of Contents
- Your Guide to the I-693 Medical Exam and Its Cost
- A Detailed Breakdown of I-693 Medical Exam Costs
- Key Factors That Influence Your Final Bill
- Your Appointment Checklist How to Prepare and Avoid Fees
- Book Your I-693 Exam in Lanham MD with Confidence
- I-693 Medical Exam Frequently Asked Questions
Your Guide to the I-693 Medical Exam and Its Cost
You call one clinic in Lanham and hear one price. You call another in Prince George's County and get a very different number for what sounds like the same I-693 exam. That usually means the clinics are pricing the process differently, not that USCIS changed the rules.
The Form I-693 is the immigration medical exam and vaccination record required by USCIS. A designated civil surgeon must complete it after the required medical review, lab work, and vaccination assessment are addressed.
The exam is a real medical screening, not just a form signature. As outlined in BetterCare’s immigration medical exam cost breakdown, the physical exam commonly includes review of the eyes, ears, nose, throat, extremities, heart, lungs, abdomen, lymph nodes, skin, and external genitalia, along with a mental status evaluation covering intelligence, thought, comprehension, judgment, mood, and behavior.
What applicants usually misunderstand
The most common misunderstanding is assuming there is a government-set fee for the I-693. There is not. Civil surgeons set their own pricing, and each clinic decides whether to quote the exam as one bundled service or break it into separate charges.
That distinction affects your total more than many applicants expect.
In our area, this is where local context matters. A low advertised price in Lanham may cover only the office visit, while another clinic may include form completion, required labs, record review, and sealed packet handling in one quote. Clinics such as Maryland Primary and Urgent Care often stand out to applicants for that reason. The clearer the bundle, the easier it is to compare offers without getting surprised later.
Practical rule: Ask, “What exactly is included in the quoted i-693 medical exam cost?” before you book.
Why clarity matters
Clear instructions prevent expensive mistakes. If pricing, paperwork requirements, and vaccine record expectations are easy to understand, applicants are more likely to arrive prepared and avoid repeat visits, rushed vaccine updates, or delays in sealing the form.
From a clinic operations standpoint, good communication also reduces no-shows and same-day confusion. It improves patient experience and supports broader work around healthcare accessibility.
For most applicants, the best choice is not the clinic with the lowest starting number. It is the clinic that explains the process clearly enough for you to know what your likely total will be before the appointment begins.
A Detailed Breakdown of I-693 Medical Exam Costs
A price quote for Form I-693 usually includes more than the office visit. The final bill can reflect the civil surgeon exam, required lab work, vaccine record review, any missing vaccines, and preparation of the sealed form packet.
That is why two quotes that sound close on the phone can lead to very different totals at checkout.
What the exam fee usually covers
Across the U.S., clinics commonly separate the I-693 process into a few billing parts, even when they advertise one exam price. In practical terms, applicants usually pay for some combination of the physical exam, immigration lab screening, vaccine assessment, and form completion. If records are incomplete or a test result needs follow-up, the cost can rise after the first visit.
For applicants in Lanham and Prince George's County, the question is less about a national average and more about what a local clinic includes in its quote. A lower starting number may cover only the exam itself. A higher bundled fee may already include labs, paperwork, and sealed packet handling.
Here is the clearest way to break it down:
- Base physical exam: The visit with the civil surgeon and the required medical history review.
- Lab screening: Immigration-related bloodwork or other required screening, depending on current USCIS rules and your history.
- Vaccination review: Checking your records to see what counts and what still needs attention.
- Vaccines if needed: Missing shots are usually a separate charge unless the clinic bundles them.
- Form completion and sealing: Reviewing the results, completing Form I-693 correctly, and preparing the sealed envelope for USCIS.
If you are unsure whether your records will satisfy the vaccine requirement, review this page on immigration vaccines for green card applicants before you book. It can help you avoid paying for updates you may not need.
Sample I-693 Cost Components 2026 Estimates
| Service Component | Typical Cost Range (USA) | Notes |
|---|---|---|
| Physical examination | Varies by clinic | Civil surgeon visit and medical evaluation |
| Laboratory testing | Varies by clinic | May be included in a package or billed separately |
| Tuberculosis testing | Varies by test type | Cost depends on whether screening or follow-up is needed |
| Chest X-ray | Usually separate if needed | Often ordered only when medically indicated |
| Specific STD tests | May be itemized | Some clinics include these in lab pricing, others do not |
| Total exam range | Depends on bundle and follow-up needs | Final cost changes based on records, labs, and vaccines |
What this means for a Maryland applicant
In our office, the most common source of confusion is not the exam itself. It is the gap between the advertised fee and the actual services included.
Lanham-area applicants should ask for a line-by-line explanation before scheduling. Does the quote include lab work? Does it include the doctor completing and signing the form? Are vaccine updates billed separately? If a clinic uses à la carte pricing, each extra step can add up fast. If the clinic offers a bundle, the upfront number may be higher but easier to budget for.
A useful quote lists the services. A weak quote gives only a starting price.
That difference matters in Prince George's County, where applicants often compare several nearby clinics and assume the lowest number is the best deal. In practice, the better value is usually the clinic that explains the process clearly, checks your records before the visit if possible, and tells you what could trigger an added charge.
Key Factors That Influence Your Final Bill
Two applicants can walk into different clinics, receive the same immigration medical exam, and leave with very different totals. The reason usually isn’t the form itself. It’s the pricing model behind the form.
Bundled pricing versus itemized billing
The strongest cost driver is whether a clinic uses bundled pricing or à la carte billing. Verified data shows exam fees commonly run $200 to $350, labs add $100 to $300, and a bundled package can be priced at $349 all-inclusive, while itemized billing can add $50 to $185 per test for services that may be included elsewhere, based on Macie Medical’s review of green card medical exam pricing.
That’s why I compare the I-693 bill to car repair pricing. One shop quotes a single number for the full job. Another quotes the inspection, then adds parts, labor, shop fees, and follow-up work after the car is already in the bay.
For applicants, bundled pricing usually works better when you want predictability. Itemized pricing can work if you already know you won’t need much beyond the base visit. The problem is that many people don’t know that in advance.
If you still need vaccine guidance, it helps to review how immigration vaccine requirements fit into the bigger process before booking. This overview of immigration vaccines for green card applicants is useful for that step.
Insurance, vaccines, and follow-up testing
Insurance is another major wildcard. The verified data shows some PPO patients may pay a $400 base fee plus out-of-pocket charges such as $95 for TB testing, $15 for syphilis, $45 for hepatitis B, $25 for chickenpox, $80 for MMR, and $55 for gonorrhea, while some Kaiser or HMO patients may see the $400 handled as all-inclusive through that clinic’s model.
Vaccination history matters just as much. If you arrive with complete records, the clinic may only need to review them. If you don’t, the office may need to determine what is missing and what can be documented.
The cheapest phone quote often belongs to the clinic that has excluded the most items.
There’s also the issue of follow-up testing. If a screening result requires more confirmation, your costs can extend past the baseline exam. That doesn’t mean anything went wrong. It usually means the clinic is following the required medical protocol instead of guessing.
Your Appointment Checklist How to Prepare and Avoid Fees
Preparation saves money more often than shopping around does. A well-prepared applicant avoids repeat visits, duplicate vaccines, and insurance surprises.
What to bring
Bring the documents that let the clinic verify identity, vaccination history, and any prior relevant medical information. The exact paperwork request can vary by office, but this checklist is the practical starting point:
- Government-issued photo ID: Passport, driver’s license, or another accepted photo ID.
- Vaccination records: Bring complete records if you have them. This can prevent unnecessary repeat shots.
- Form paperwork requested by the clinic: Some offices want you to bring portions of your immigration paperwork or appointment confirmation.
- Payment method: Many civil surgeon practices accept common payment types, including cash, cards, checks, and HSA/FSA accounts in some settings.
- Prior chest X-ray or treatment records if relevant: This can help if the clinic needs to review prior TB-related documentation.
A more detailed prep list can help if you’re worried about missing something. This guide on what to bring to an immigration medical exam is a useful reference before your visit.
How to reduce surprise charges
Call before the appointment and ask direct questions. Don’t ask only, “What’s your exam fee?” Ask what the fee includes.
Use this script:
- Ask about labs: “Are TB, syphilis, and gonorrhea testing included?”
- Ask about paperwork: “Is Form I-693 completion included in the quoted price?”
- Ask about vaccines: “If I’m missing vaccines, how are those billed?”
- Ask about imaging: “If a chest X-ray is needed, is that done through your office or billed separately?”
- Ask about insurance: “Do you verify whether my plan affects lab charges before my visit?”
The insurance question matters. Verified data shows the actual cost can depend heavily on plan type, and for some applicants the difference can be between a $400 bill and a $700+ bill, based on Silicon Valley Medical Clinic’s I-693 pricing explanation.
Here’s a short walkthrough that helps applicants understand the appointment flow before they arrive:
Bring your vaccine records first. Ask about insurance second. Those two steps prevent most billing surprises.
Book Your I-693 Exam in Lanham MD with Confidence
If you’re booking in Lanham or anywhere in Prince George’s County, compare clinics by transparency, not just by the first number on the website. A low starting quote only helps if it reflects the actual scope of the visit.
What to ask before you book
Maryland examples show why this matters. Verified pricing from civil surgeon practices in the state ranges from $225 at one provider to $300 at another that charges additional fees for labs and paperwork. Other examples include $349 all-inclusive pricing and a $410 total structure that separates the medical exam and I-693 processing across visits, as summarized by USCIS Clinic’s Maryland pricing examples.
That range doesn’t mean one clinic is automatically better than another. It means you need the right questions:
- What’s included in the quoted fee
- Whether the price covers form completion and sealed envelope handling
- Whether labs are billed inside or outside the clinic
- How vaccine needs are handled if records are incomplete
- Whether a return visit adds another charge
Why local applicants value transparent pricing
For applicants in Lanham, local convenience matters. So does knowing whether the office is run by a USCIS-designated civil surgeon and whether staff can explain the process clearly.
A transparent clinic makes the process feel organized from the first phone call. You know what to bring. You know what may trigger extra charges. You know whether you’re booking a straightforward bundled visit or entering an itemized billing model.
If you’re comparing providers in Maryland, it helps to confirm the doctor’s civil surgeon status through a reliable local resource. This list of immigration medical exam doctors can help you narrow your options.
A clear quote reduces stress because it lets you budget for the exam the same way you budget for filing fees and travel.
I-693 Medical Exam Frequently Asked Questions
Can I use my regular doctor for Form I-693
Usually, no. The I-693 must be completed by a USCIS-designated civil surgeon. Your regular primary care doctor may be excellent, but if they aren’t designated for this role, USCIS won’t accept the form.
Before you schedule, confirm that the physician is authorized to perform immigration medical exams and complete the paperwork properly.
What happens if the exam finds a medical issue
The result depends on the issue. Some findings require additional documentation, repeat testing, or treatment before the form can be finalized. If the clinic requests extra follow-up, that usually reflects required immigration medical protocol, not a mistake.
Applicants should be honest about prior treatment, medications, and known health history. Complete information makes the visit smoother and helps avoid delays later.
Will insurance pay for any part of this
Often, the exam itself is excluded from standard health insurance coverage. In some cases, vaccine costs may be covered under preventive benefits, or a clinic may handle certain insurance arrangements differently depending on the plan.
This is why pre-visit verification matters so much. Don’t assume “insurance accepted” means your I-693 visit will be billed like an ordinary checkup.
Why do some clinics seem cheap at first but expensive later
Because some quotes cover only the base doctor visit. The final bill may grow when the office adds lab work, vaccines, paperwork, imaging, or a second visit.
Ask for the total structure, not just the exam fee. A more expensive quote can still be the better value if it includes the services most applicants need.
Maryland Primary and Urgent Care in Lanham offers USCIS immigration medical exams with a community-based approach, clear communication, and the guidance of Dr. Sherif Hassan, MD, a designated civil surgeon. If you want straightforward help with scheduling, paperwork, and pricing expectations, contact Maryland Primary and Urgent Care to book your I-693 exam with confidence.