Hi everyone - just an update here. So, unfortunately, my employers health insurance is not the greatest and it would be $500/month to add my husband at this time, and until he is able to work we just can't afford the additional $200 more than what I am already paying for my kids and I. We found a civil surgeon here in Jacksonville that charges $294 for the exam fee, and $194 for the labs. This price point is on par with other doctors, as they tell you over the phone their exam fee is approx $300 but that does NOT include the labs needed (tb test, gonorrhea, and syphillis). This doctor does not do the vaccines, however, they break the appointment out into 2 visits. The first visit they review your vaccines to verify what you have, and they will tell you exactly what is needed, we can get those done at a pharmacy. They run the labs, and during the second appointment they complete all of the paperwork after reviewing the results of labs. This seemed to be the best option for us, as they are not trying to make money off of us in vaccine costs. Additionally, if you need vaccines, please be advised you only need ONE of each to submit to immigration (some vaccines require multiple doses to get the series) do not let a doctor push it on you that you require multiple. USCIS will accept it as one dose per series required. You can verify this information on instructions given to panel physicians on the CDC website. It's been quite the journey so far, and an expensive one at that. If you have ANY advice to give to someone that is going through the process still in their home country, please learn from us, and complete all required vaccines at the time of their first medical exam. We had no idea we would be forced to go through this process all over again, and how grossly overpriced it is here in the U.S. Happy Holidays to all!