<prompt> Human: Hi guys!I wanted to know what options do I 28F have for this. I went to Drs office2 weeks ago when i didnt have any health insurance yet just moved here 1 month ago and anyway I did read in some forums that you cant charge immigration medical costs to insurance. I was not informed at the doctors office that lab tests were separate from what they were going to charge me.I got charged 175 for the immigration paper work which I thought included lab costs naïve me and an extra 65 for a tetanus shot. Which is fine, seems very expensive to me but what do I know. I paid for this and go my way.So i go home thinking that was over. But yesterday i got 2 billing envelopes in the mail that was from LabCorp the lab the drs office sent my blood specimens to and they total almost 900.Is this how it works in the US? Is this a reasonable price tag for simple immigration lab tests and is there anything i can do to lower my amount payable? Also if i dont pay it what happens to me?Thanks in advance for any advice.EDIT:Thank you for all the helpful replies. It seems like it wasnt as bizarre as I thought and is just how the system works. Lesson learned, shop around first and ask more questions before signing up for anthing! Ill be trying to have the costs reimbursed by employer and if not, people have suggested to give he lab a call and negotiate the costs so thats what ill do in that case.Thanks again, Reddit!Assistant: Hi there. Is this for a green card? As noted here USCIS does not regulate the fees charged by civil surgeons for the completion of a medical examination. Rates vary by physician. And yes, the paperwork fee is in addition to the doctors fee. Immigration to the US is expensive. Weve paid nearly 2k so far for my wife -- mostly for the paperwork, but also doctor and official translations of documents and all that other fun stuff -- and its not over yet. Edit: And, unfortunately, the doctor and the lab are separate fees. If you want to compare the prices visit They charge less than most labs, but you can see if what you were charged is in the ballpark of what is normal.Human: Thank you. They billed me for the following:QuantiFERON In Tube - 227ChlamydiaGC Amplification - 246Rubella Antibodies - 70Varicella Zoster - 107Mumps Antibodies - 106Rubeola Antibodies - 94RPR - 39I suppose it sounds reasonable, i probably would not be able to provide proof of vaccination for these things, i do know i have been vaccinated for some stuff as most children do dont know what specifically and have gotten chicken pox and mumps as a kid so that probably now counts as immunity. Lol.  <response>: As a medical student, those prices are pretty standard for out of pocket costs. Try and negotiate the prices with the laboratory, dont ignore it. If you do they will simply send it to collections and ruin your future credit score 