Know your full cost.No surprises.
You pay a US Medical Exams fee. Labs and vaccines are separate, and usually $0 with insurance.
What's always included
- Medical records reviewed by a Civil Surgeon
- Complete physical exam
- Official I-693 certification, sealed for USCIS, same day
- Phone and text message support
- No booking, processing, or hidden fees from us
Estimate your total in 10 seconds
Answer a few quick questions to see your realistic range.
This is an estimate to set expectations, not a bill. Your Civil Surgeon confirms exactly what you need after reviewing your records, within 24 hours.
Your total has two parts
Your US Medical Exams fee
- Records review Vaccine and health history check
- Included
- Physical exam In person with a Civil Surgeon
- Included
- I-693 certification Signed form, same day
- Included
- Fee
- $399
Labs and vaccines
Only what you actually need, often $0.
| With insurance | Without insurance | |
|---|---|---|
| Lab work TB, syphilis and routine testing | $0 | ~$145 |
| Vaccinations Only the ones you are missing | $0 | varies |
| Extra workup Rare, for example an X-ray if flagged | If needed | |
| Typical total | $0 | ~$145+ |
Choose your I-693 service
One clear price, USCIS-ready. Upgrade to Premier for speed and priority service.
Your complete I-693, handled
One transparent price, USCIS-ready.
- Medical exam by a USCIS-designated civil surgeon
- Sealed I-693 in an official envelope for USCIS
- Physical copy of your I-693 to keep
- Phone support, 8am to 5pm
- Text message support, 8am to 6pm
Faster, white-glove, guaranteed
Everything in Standard, expedited and protected.
- Expedited 4-hour turnaround
- Priority scheduling, front of the line
- Unlimited free re-issues
- Extended text support, 8am to 12am
- Instant digital copy of your I-693
The questions you ask us most
Is $399 everything I'll pay?
The $399 US Medical Exams fee covers records review, physical exam, and I-693 certification, with no add-on or booking fees from us. The only other possible costs are lab work and vaccines, which most patients get for $0 through insurance or a pharmacy.
Does insurance change the $399?
No. The $399 US Medical Exams fee is the same whether or not you have insurance. Insurance only affects your labs and vaccines. With it, those are usually $0. Without it, expect roughly $145 for standard labs plus pharmacy pricing for any vaccines you are missing.
What if I need extra vaccines?
You only pay for vaccines you are actually missing, and you can get them at a nearby pharmacy, often $0 with insurance. Our free 60-second planner shows you which ones you need before you spend anything, so you never pay for a vaccine you do not need.
Are there any hidden or surprise fees?
None from us. The $399 US Medical Exams fee is all-inclusive for the exam and certification. The only variable is labs and vaccines, which we break down clearly above and estimate for you before you commit.
Can I use my HSA or FSA?
Yes. We accept HSA (Health Savings Account) and FSA (Flexible Spending Account) cards for the $399 fee.
Ready to get your I-693 done?
$399, HSA and FSA accepted. Start online and finish with a Civil Surgeon near you.