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 lab tests, 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 a low fee- not the full charge) that are returned when you make a mistake, such as forgetting to send the paperwork in on time. (However, you may have additional charges involved in updating your lab work and other testing. These fees do not go to me- they go to the laboratory or radiology center.)

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 $200.00 for the exam.

The adult exam also requires a syphilis blood test and a urine gonorrhea test. These are done outside of our office. We can provide referrals to labs but the price will vary depending on the site chosen and your insurance requirements.

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 the tuberculosis blood test can range from $65 to $500. The large variation depends on the location offering the test and whether the patient has insurance to cover the testing. 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 $200
Tuberculosis Quantiferon and T spot arrangements are pending new regulatory changes, the cost can vary depending on location and insurance.
All adults require a blood test for syphilis and a urine test for gonorrhea. Cost will vary.

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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