South Windsor + Rocky Hill
Contact Info Patient Portal
Immigration Physicals
Provided by 4 Elements Direct Primary Care LLC

Immigration medical exams, made clearer and easier.

Dr. Kainkaryam and Dr. Rodriguez are designated U.S. Civil Surgeons through USCIS and the page states that, collectively, your physicians have completed over 4,000 immigration exams.

USCIS Civil Surgeons
South Windsor + Rocky Hill
Usually 1–2 day scheduling
Typical completion in 7–10 days
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All paperwork must be completed within 1 month of the exam otherwise it will result in an additional exam change as the medical history will need to be updated again to ensure the most accurate information is submitted at the time of the paperwor signature.

What to expect

A two-part immigration exam process

The first part is identifying the needed items and completing the exam, while the second part is following up on any tests or remaining needs and completing the paperwork. Exams can usually be scheduled in 1–2 days and are often completed in 4–7 days unless abnormal labs delay the process.

Payment method: Credit or debit only.

The Process

A straightforward path from exam to sealed paperwork.

Step 1

Book your exam

Appointments can be booked up to 8 hours before appointment slot.

Step 2

Bring the required documents

You’ll bring passport, records, vaccine history, translations if needed, and an interpreter if you do not speak English.

Step 3

Complete follow-up and pickup

Follow-up usually happens within about 4–10 days and paperwork is prepared in a sealed envelope once requirements are complete.

Be Prepared

What to bring — and what not to do.

To Do

Bring these items to your visit

  • Unexpired passport
  • Marriage license if your name changed between passport and application
  • Medical records translated to English by a certified translator
  • Immunization / vaccination records translated to English
  • Mental health records translated to English
  • An interpreter if you do not speak English
Do Not

Avoid these common mistakes

  • Do not ask your PCP to order the labs
  • Do not ask your PCP or anyone else to order an x-ray
  • Do not assume the office has access to your records
  • Do not forget to complete any online forms
Pricing

Transparent exam pricing with clear comparisons.

Clear pricing, discounted cash options for labs and imaging, and a smoother process from exam to paperwork.

Category
4 Elements
Others
Exam + Follow-Up
Immigration Exam Consultation
$325
exam + follow-up inclusive
Up to $600
often for exam alone
Labs
In-office phlebotomy + discounted cash lab costs
$10
phlebotomy
Standard billing
often higher through insurance
Labs are typically significantly cheaper when not using insurance.
X-ray
Chest X-ray
Discounted
cash pricing recommendations available
Standard billing
often higher imaging charges
Communication
With the Civil Surgeon
Direct Access
easier communication through a dedicated Immigration Medical Assistant
Often difficult
communication through multiple staff
Turnaround
From exam to envelope
4–10 days
unless labs are abnormal
Varies
often less predictable
Duplicate Form
Duplicate I-693
$25
sealed duplicate envelope
Varies
pricing differs by office
Common Costs

Common test and vaccine costs without insurance.

Below are common immigration-related tests and vaccines, with our pricing compared to typical pricing elsewhere.

Vaccine requirements are determined by USCIS and the CDC based on the applicant’s age. See the official CDC reference here: Vaccine Requirements According to Applicant Age (CDC Civil Surgeon Guidance)

Test / Vaccine
Who / Why
4 Elements
Others
Notes
TB Test
Quantiferon Tuberculosis Blood Test
Required for everyone above age 2.
$90
without insurance
$80–300
typical outside range
If using insurance, check with them for rates.
Syphilis
RPR Blood Test
Required for all adults age 18 to 44.
$25
without insurance
$25+
typical outside pricing
If using insurance, check with them for rates.
Gonorrhea
RNA Urine Test
Required for all adults age 18 to 24.
$26
without insurance
$40+
typical outside pricing
If using insurance, check with them for rates.
MMR
Immunity Test or Vaccine
Required for adults born after 1957 if you do not have immunity or proof of completed MMR vaccination.
Test: $50
Vaccine: $115
Test: $60+
Vaccine: $140+
If using insurance, check with them for rates. Vaccine is usually free at the pharmacy with insurance.
Hepatitis B
Immunity Test or Vaccine
Required for adults until age 60 if you do not want the vaccine, do not have proof of vaccination, or do not have immunity.
Test: $20
Vaccine: $90
Test: $30+
Vaccine: $140+
If using insurance, check with them for rates. Vaccine is usually free at the pharmacy with insurance.
Varicella
Immunity Test or Vaccine
Required if you do not have documentation of chickenpox disease, proof of vaccination, or immunity.
Test: $30
Vaccine: $205
Test: $30+
Vaccine: $225+
If using insurance, check with them for rates. Vaccine is usually free at the pharmacy with insurance.
Tdap
Tdap Vaccine
Required for adults above age 18. A series of 3 may be required without proof of childhood DTaP vaccines.
$65
without insurance
$90+
typical outside pricing
If using insurance, usually free at the pharmacy.
Polio
Polio Vaccine
Required for adults above age 18. A series of 3 may be required without proof of childhood vaccination.
$65
without insurance
$125+
typical outside pricing
If using insurance, usually free at the pharmacy.

Oral polio vaccine given after 2016 cannot be used unless it specifically says it was trivalent oral polio vaccine.
Pneumonia
Pneumonia Vaccine
Required for adults above age 65. This may decrease to age 50 based on newer guidance.
$300
without insurance
$350+
typical outside pricing
If using insurance, usually free at the pharmacy.
Flu
Flu Vaccine
Required for individuals above 6 months old when immigration exams are completed between October 1 and March 31.
$35
without insurance
$70+
typical outside pricing
If using insurance, usually free at the pharmacy.
Pediatric
Pediatric Vaccines
Vaccine needs vary by age.
No cost
with your Pediatrician or if inventory is available in the office
Varies
depends on office or program
Usually free through the Connecticut Vaccination Program.
Insurance

Helpful insurance information before your visit.

Most insurances do not cover Immigration Exams because they are not considered “medically necessary” and are purely being done for immigration purposes.

We do have cash-based pricing if you choose not to use your insurance for labs. Here are codes your insurance may ask for if you want to know whether they will cover the labs.

Primary Diagnosis Code
Z02.89 Encounter for other administrative examinations (Immigration medical exam)
Secondary Diagnosis Codes
Z11.3 Screening for infections with a predominantly sexual mode of transmission
Z11.1 Screening for respiratory tuberculosis
Z11.9 Screening for infectious disease, unspecified
Z11.7 Screening for latent tuberculosis infection
Z86.19 Personal history of other infectious and parasitic diseases
Z11.59 Screening for other viral diseases
Z01.84 Encounter for antibody response examination
Common CPT Lab Codes
86480 Quantiferon TB Gold – Blood Tuberculosis Test
86592 RPR – Blood Syphilis Test
87591 GC RNA, TMA – Urine Gonorrhea Test
86735 Mumps Antibody Test – Immunity Check
86762 Rubella Antibody Test – Immunity Check
86765 Measles (Rubeola) Antibody Test – Immunity Check
86787 Varicella (Chickenpox) Antibody Test – Immunity Check
86317 Hepatitis B Surface Antibody – Immunity Test

These CPT codes are approximate examples. Final CPT codes are ultimately determined by the laboratory performing the testing.

Ready to Book?

Schedule your immigration exam with a designated USCIS civil surgeon.

Choose a time, complete the forms, and bring the required records so your exam can move as smoothly as possible.

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