How much is the I-693 exam in Nashville in 2026?

Most Nashville-area civil surgeons charge between $250 and $500 for the I-693 exam. The variation comes from how many vaccines you still need. SimplyCare offers flat-rate pricing and confirms the total by phone before your appointment.

Are vaccines included in the I-693 price?

Not usually. The base fee covers the physical exam, TB IGRA test, syphilis/gonorrhea testing, the sealed Form I-693, and the civil surgeon's signature. Vaccines are billed separately per dose — bringing your full vaccination record can save $50–$200.

Can I use health insurance for the I-693?

No. USCIS classifies the I-693 as an administrative immigration exam, not a medical service, so commercial insurance and Medicare do not cover it. We accept cash, all major credit cards, HSA, and FSA.

Why do some clinics charge $600 or more?

Some offices roll every possible vaccine, an old-style PPD skin test (which requires two visits), and a chest X-ray into one quoted price. Ask up front whether the quote assumes you need everything or only the actual exam.

Do you offer a family discount?

Each I-693 is billed individually because each person needs their own sealed envelope, but we schedule family members back-to-back so you only make one trip.

Resources · I-693 Exam

How much does the I-693 immigration medical exam cost in Nashville?

If you're applying for a green card and searching "I-693 cost near me," you're not alone — pricing varies widely across the Nashville metro and is one of the most confusing parts of the immigration medical exam. Here's a straight answer for 2026, what's actually included, and how to avoid paying for things you don't need.

Typical price range in Middle Tennessee

$250–$500 per person at most USCIS-designated civil surgeons in Nashville, Mount Juliet, Hermitage, and Lebanon. The difference is almost always vaccines. Call (615) 288-4087 for SimplyCare's exact current price.

What's included in the base I-693 fee

A reputable Nashville civil surgeon's flat fee should cover everything USCIS requires on the day of the exam itself — no surprise add-ons when you arrive:

Complete medical history and physical examination per USCIS guidelines
TB screening using the modern IGRA blood test (single visit, no return needed)
Syphilis and gonorrhea testing (required for applicants 15 and older)
Mental-health and drug-use screening as required by USCIS
Review of your vaccination record against the current USCIS schedule
Completion and sealing of the official Form I-693 envelope

Vaccines: the single biggest cost variable

USCIS requires a specific list of vaccines before signing your I-693: MMR, Tdap, varicella, seasonal influenza (in season), COVID-19, and — depending on age — hepatitis A, hepatitis B, pneumococcal, Hib, polio, rotavirus, and meningococcal. If your home-country shot record is complete and translated, you may need zero additional vaccines. If you arrived as an adult with no records, expect to add roughly $50–$200 on top of the base fee.

Tip: gather every vaccination record you have access to — childhood shots from your country of origin, school records, military records, pharmacy records — and bring them to your appointment. A civil surgeon can count any documented dose, even from outside the U.S., as long as the vaccine and date are listed.

Costs you should not see on your bill

Chest X-rays for everyone — only required if the IGRA TB test is positive.
"Sealing fee" or "envelope fee" on top of the exam price.
Separate office-visit copays — USCIS forbids billing the I-693 to insurance.
A second appointment for a TB skin-test read (modern IGRA testing is one visit).

How to pay

SimplyCare accepts cash, all major credit and debit cards, HSA, and FSA. Payment is due the day of the appointment, before the sealed envelope is handed to you. We never bill insurance for the I-693.

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Ready to book your I-693?

USCIS-designated civil surgeon · Mount Juliet, TN · English & Spanish

Book I-693 Appointment (615) 288-4087