How Much Does a USCIS Medical Exam With AME Cost?


A Note From Dr Ann…

I know that going through the process of becoming a citizen is time consuming and expensive. I try to keep my fees reasonable but I’m sure you realize that I have to pay my bills like everyone else. My charges for the USCIS Exam reflect the time I spend to give your application my personal attention. If you happen to find a less expensive Civil Surgeon, be sure to ask them exactly what is included in the exam charge. Many times a lower fee can indicate that you will have additional fees added on as you complete the process. (In my own case, my fees do not include a chest xray or vaccines.)

A lower fee might also indicate inexperience with the USCIS process. I have years of experience. My staff is up-to-date on changes in the paperwork and requirements so we help you avoid having the paperwork returned. If I make a mistake (I wish that didn’t happen, but I’m only human) I will update your USCIS forms for no extra charge. I even update USCIS forms (for free) that are returned when you make a mistake, such as forgetting to send the paperwork in on time. (However, I do charge a small fee if I have to repeat a blood test or tuberculosis test because I get charged for these things myself.)

I am always available if you have any questions.

Dr. Ann Socolofsky MD


Information about our fees for the USCIS physical exams:

We charge children, years fourteen (14) and under: $100.00.

Adults are defined as fifteen (15) years or over. The total cost is $175.00 for the exam.

The adult exam also requires a syphilis blood test and a urine gonorrhea test. These are an additional lab fee of $75. This would bring the total for the exam to $250 if you are an adult having the exam and lab testing all done at my office.

In the past, we have provided the tuberculosis skin test free of charge for all people completing the exam at my office. However, the CDC just reported a change in the exam process (as of 02/21/2018). They will only accept a tuberculosis blood test after October 1, 2018. This would could be a Quantiferon test or a T-spot.

This blood test is required on all applicants including children.

Unfortunately, the cost for this can be up to $500 although some places are less expensive. We are looking into low cost alternatives for our patients and we will update this as we discover what can be done.

Adult Exam Basic fee is $175.
Tuberculosis Quantiferon and T spot arrangements are pending new regulatory changes.
Adults require lab tests with additional fee of $75.
Total for most adults  $250

In some cases, you can get the tuberculosis testing and lab tests done at another location but please contact my office to make sure you are getting the testing done correctly.

There are vaccines needed to complete the immigration process. I do not do any vaccines at my office. Instead, I review any vaccine records you might have and I will provide a prescription for the ones needed to complete your record. I can also advise you on the most economical locations to provide those vaccines.


We accept all domestic United States credit cards, American Express, VISA, MasterCard, Discover and Debit Cards. Additionally, we do accept personal checks. Because our clients take their responsibilities seriously, we have never had a returned check. Should this ever occur in the future, a $50.00 fee is charged to the patient account. Money orders are also accepted to pay for our services. Of course, cash is always welcome. We do not work with any insurance companies but we can provide a receipt that you can submit for reimbursement.

In all cases, you will be provided with both a handwritten receipt from our office and an electronically printed statement (should you use a credit card) following your payment at the end of your initial visit with us.

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