The Cost of Applying for Medical Residency

Though the costs associated with applying for a residency position will be a minor portion of the total cost of your medical education, they can still add up. Because application fees are not always covered by student loans, it is important to develop a plan early on for how you will manage these expenses.

Application Costs

The residency selection process includes application fees for two items: initially ERAS® and later, the NRMP. These application fees are separate from interview expenses which are more varied and driven by geography.

The total cost of the process will fall within a wide range, depending on key factors such as which specialty or specialties the applicant is interested in, how many applications are made and programs ranked, and how close the applicant is to these programs geographically.

The application fees are easier to project, but they will vary depending on volume. For example, consider these scenarios for a medical student focused on a single specialty:

  • applying to and ranking 10 programs would cost roughly $260
  • applying to 40 and ranking 20 programs would be nearly $820
  • applying to 80 programs and ranking 25 would be over $2,000.

These examples represent lower, middle, and higher volume scenarios.

Electronic Residency Application Service (ERAS®)

ERAS® streamlines the residency application process for applicants (using MyERAS, their Designated Dean's Offices, Letter of Recommendation (LoR) authors and program directors.

Fees for ERAS Residency Applications

Programs Per Specialty Application Fees
Up to 10 $99
11-20 $13 each
21-30 $17 each
31 or more $26 each

Example 1

30 Emergency Medicine programs [$99.00 + (10 x $13.00) + (10 x $17.00)] = $399.00

Example 2

20 OB/GYN programs [$99.00 + (10 X $13.00)] + 10 Family Practice programs [$99.00] = $328.00

Additional Fee: USMLE Transcript - $80 (assessed once per season)

By providing applicants the ability to build and deliver their application and supporting materials individually or as a package to programs, ERAS provides a centralized, but flexible, solution to the residency application and document distribution process.

For additional details about ERAS, including application process guidelines and a list of participating programs and specialties, please visit their website.

Apply Smart

Your likelihood of securing residency training depends on many factors. One of many considerations is the number of residency programs you apply to, but there is no magic number that applies to all applicants. Visit Careers in Medicine for help to develop a smart application strategy.

National Resident Matching Program (NRMP)

The NRMP, is a private, not-for-profit organization that matches medical school students and graduates to graduate medical education (GME) training programs in the United States. The standard registration fee for the Main Residency Match allows for the submission of up to 20 ranked programs on the primary list and access to data and reports. You can review the complete fee structure and current schedule of dates for NRMP Matches as well as learn how the matching algorithm works by visiting the NRMP website.

Match Fees

Standard Registration Fee: $80 (up to 20 programs)

Additional programs ranked: $30 per program

Total Costs

Application costs are just one component that goes into the total cost of obtaining a position in residency. To accurately account for the expense, there must be consideration for the application fees as well as for the cost of the interview activities. Together, these two areas equate to the total amount that will be invested in the pursuit of a residency spot. 

                      Total Cost = Application Fees + Interview Expenses

For more information on the total cost, review The Cost of Interviewing fact sheet and The Cost of Residency Interviews webinar.




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