USCIS Immigration Medical Exams (Form I-693)
What to Expect
If you are applying for adjustment of status to become a lawful permanent resident (Green Card), United States Citizenship and Immigration Services (USCIS) requires a comprehensive medical examination completed by a designated Civil Surgeon.
At Monroeville Direct Primary Care, Dr. Johnson provides unhurried, transparently priced, and respectful care. Dr. Kristina Johnson is a board-certified family physician who ensures your paperwork is completed accurately and efficiently to avoid unnecessary delays.
How it Works
Initial Visit: Dr. Johnson reviews your medical history, vaccination records, and performs the required physical examination.
Lab Testing: You will visit a local Labcorp location for your required blood and urine collections.
Return Visit: Once results are back, you return to our office to review the findings and pick up your certified, sealed Form I-693 envelope.
Mandatory Immigration Medical Exam Fee Breakdown
| Service / Test Description | Provider / Location | Cost |
|---|---|---|
| Physical Examination Package (Includes the initial exam, return visit to review results, and your certified, sealed Form I-693. If needed, professional interpretation is provided at no additional cost.) |
Monroeville Direct Primary Care | $250.00 |
| Blood Draw / Collection Fee | Labcorp | $3.00 |
| QuantiFERON®-TB Gold (Mandatory Tuberculosis blood screening) |
Labcorp | $55.25 |
| Syphilis Screening (RPR)* | Labcorp | $2.60 |
| Gonorrhea & Chlamydia Screening (Urine collection) |
Labcorp | $26.00 |
| TOTAL BASELINE COST | Exam + Core Labs | $336.85 |
Important Notes for Patients:
Potential Additional Lab Fees: If a screening test returns an abnormal result, Labcorp will automatically run a mandatory confirmatory test, which incurs an additional charge ($9.49 for syphilis).
Age & Vaccine Requirements: Depending on your age and documented vaccine history, Dr. Johnson may need to order additional immunity titers or send you for a chest X-ray. These are priced transparently as add-ons if needed.
Additional Tests & Titer Screenings (As Required)
Depending on your age, specific medical history, or if you lack official immunization records, Dr. Johnson may need to order these additional screenings or immunity checks.
| Test / Titer Type | Processing Location | Cost |
|---|---|---|
| HIV Test | Labcorp | $13.00+ |
| Varicella Titer (Chickenpox immunity check) | Labcorp | $13.00 |
| Hepatitis B Titer and Screening | Labcorp | $20.48 |
| MMR Titer (Measles, Mumps, Rubella immunity check) | Labcorp | $23.41 |
| Chest X-Ray (Only required if your TB screening is positive) | Monroeville Imaging Center | $75.00* |
| Polio Titer | Labcorp | $149.83 |
Important Notes for Patients:
- Payment for Chest X-Rays: The $75.00 fee for a chest X-ray is subject to change and is paid directly to the Monroeville Imaging Center
- Potential Additional Lab Fees: If the HIV screening test returns an abnormal result, Labcorp will automatically run a confrmation test, which incurs an additional charge of up to $226.79
- Why get a titer? If you do not have official, translated records of your vaccinations, a titer blood test can prove your immunity to USCIS so you can avoid paying for and receiving the vaccines again.
What About Missing Vaccinations?
USCIS requires applicants to be up-to-date on age-appropriate immunizations. If our evaluation or your titer results show you are missing a required vaccine, you have options:
Get them at a pharmacy: You can take Dr. Johnson’s order to a local pharmacy to see if they are covered by your health insurance.
Allegheny County Health Department: You can obtain common vaccines directly through the health department.
For your planning purposes, the health department's standard self-pay pricing is available on their website.
What to Bring to Your Appointment
To ensure a smooth visit, please bring the following items your appointment:
Valid Government-Issued Photo ID (such as a valid passport)
All Prior Immunization Records (translated into English, if applicable)
A Printed Copy of Form I-693 with your personal information filled out in black ink (do not sign the form until instructed by Dr. Johnson)
A comprehensive list of your current medications and medical history