Immigration Medical Exam Pricing at Pandora Family Medicine

The immigration medical exam at Pandora Family Medicine costs $200 for your initial visit. If a follow-up appointment is required, for example to administer a second vaccine dose or review additional lab results, the follow-up visit is $100.

That exam fee covers the physical exam, review of your medical history, completion and signing of Form I-693, and your sealed envelope. Blood work for the required lab tests (including syphilis and tuberculosis screening) is drawn in the office during the same visit.

There are no hidden fees. We quote the full cost before you book so you can plan your budget. Call 301-200-0960 with questions and we will walk you through exactly what to expect.

Your $200 exam fee includes everything the Civil Surgeon does at the visit:

• Complete physical examination as required by USCIS
• Review of your vaccination records and medical history
• In-office blood draw for required lab tests
• Completion and signing of Form I-693 by Dr. Gougian (USCIS-designated Civil Surgeon)
• Sealed envelope prepared for USCIS or your immigration attorney

Vaccinations, titer testing, and any additional lab work are billed separately because the cost varies from patient to patient. Many patients who bring complete records end up needing very few additional vaccines, which keeps total costs lower than they expected.

Vaccination costs are where the total bill can vary the most between patients, and it is also where our approach saves many patients money. We test first, vaccinate second.

A titer test is a blood draw that checks whether you already have immunity to a specific disease. If the results show you are protected, that vaccine is marked as complete on your I-693 and you do not pay for a repeat shot. If immunity is absent or unclear, then you receive the vaccine. This is how it should work, and it is how we do it here.

USCIS requires documentation of immunity or vaccination for several diseases, including measles, mumps, rubella, hepatitis B, varicella, tetanus, and others depending on your age. Patients who grew up in countries with strong vaccination programs often have prior immunity to most of these. Titer testing confirms that without repeating doses.

Bring every vaccination record you have, in any language. Records from other countries are valid. The more documentation you arrive with, the less likely you are to need additional vaccines or testing, and the lower your total cost will be.

The I-693 exam itself is generally not covered by insurance, and most patients pay the $200 exam fee out of pocket. This is standard across Civil Surgeon practices, not specific to Pandora Family Medicine.

However, some vaccinations and lab work may be billable to your insurance plan depending on your coverage. If you have active insurance, we will check what applies to your situation before the visit so you know what to expect. Some patients find that their plan covers most or all of the vaccine costs, which can meaningfully reduce the total out-of-pocket amount.

If you are paying entirely out of pocket, that is completely fine. Many patients prefer the simplicity of knowing the full cost upfront. We will give you the complete breakdown before your appointment so you can decide how you want to handle payment.

We accept cash, credit card, and debit card for the exam fee. If portions of your lab work or vaccines are billable to insurance, we handle that billing for you.

For your appointment, bring:

• A government-issued photo ID
• All vaccination records you have, in any language
• Your insurance card, if you have active coverage
• Any prior medical records relevant to the exam

The more documentation you arrive with, the faster the visit and the lower your vaccine costs. Records from other countries count. Old records count. If you are not sure whether something is useful, bring it anyway and Dr. Gougian will review it.