Updated
ERAS Fees 2027: Cost per Program and Fee Calculator
ERAS changed how it charges this season. Here is what you pay, with the math worked out.
In the 2027 ERAS season, each application costs $11 for your first 30 programs in a specialty and $30 for every program after that. The count starts over in each specialty, so 40 programs in one specialty cost $630. Add $70 for your USMLE transcript (or $80 for COMLEX-USA) and $85 for NRMP Match registration. ERAS fees are not refundable.
How much does ERAS cost in 2027?
The 2027 MyERAS Applicant User Guide says the “AAMC has established a new, simplified fee rate and structure, beginning with the 2027 ERAS season”, which started in June 2026. You pay per program, at a rate set by how many programs you apply to in that specialty, and “pricing resets with each additional specialty”.
| Applications in one specialty | Cost per application |
|---|---|
| 1 to 30 | $11 |
| 31 or more | $30 |
Program 31 in a specialty costs $19 more than each of the first 30. MyERAS works out your fees for you and shows a summary of all costs, the COMLEX-USA transcript fee included, before you pay by Visa, Mastercard, American Express or Discover. The charge shows as “AAMC” on your card statement. If you see other ERAS prices online, check which season they are for.
How do the AAMC's fee examples work out?
The guide gives three worked examples:
- 30 emergency medicine programs: 30 at $11 = $330.
- 43 internal medicine and 7 radiology programs: 30 at $11 plus 13 at $30 for internal medicine, plus 7 at $11 for radiology = $797.
- 32 internal medicine and 32 emergency medicine programs: 30 at $11 plus 2 at $30 in each specialty = $780.
Because the price resets, the same number of programs costs less when it is split across two specialties. Forty programs in one specialty cost $630, while 30 and 10 in two specialties cost $440. Sixty programs cost $1,230 in one specialty and $660 as 30 and 30. Apply to a second specialty because you want to train in it, not to save on fees.
How much will your ERAS list cost?
Enter your list below, or open the table for one specialty at common list sizes, with the USMLE transcript and NRMP registration added.
One specialty at common list sizes
| Programs | ERAS fees | Per program | Total |
|---|---|---|---|
| 10 | $110 | $11.00 | $265 |
| 20 | $220 | $11.00 | $375 |
| 30 | $330 | $11.00 | $485 |
| 40 | $630 | $15.75 | $785 |
| 60 | $1,230 | $20.50 | $1,385 |
| 80 | $1,830 | $22.88 | $1,985 |
ERAS fee calculator (2027 season)
- ERAS application fees
- $630
- Transcript
- $70
- NRMP registration and extra ranks
- $85
- Total before tax
- $785
A planning estimate from the AAMC and NRMP 2027 fees. MyERAS shows your exact total before you pay.
Like the AAMC's own calculator, “This fee calculator is intended to be used only as a planning tool.”
What else do you pay besides ERAS fees?
For the 2027 season, USMLE transcripts moved to the FSMB. You now pay for it in the FSMB's USMLE portal, and the USMLE program says the $70 fee for ERAS “This is a one-time fee per residency application cycle.” The AAMC guide confirms “MyERAS no longer collects the USMLE transcript processing fee.” Enter your USMLE ID correctly in MyERAS, since a wrong ID holds up the transfer.
The Match is billed separately by the NRMP. What else applying can cost, with the source for each:
USMLE transcript: $70
Paid to the FSMB in its USMLE portal, once per application cycle, no matter how many programs. Then select Initiate Score Retrieval in MyERAS. MyERAS no longer charges for it.
COMLEX-USA transcript: $80
Charged by the NBOME once per season, plus tax where it applies. It shows up on your first MyERAS invoice that includes a program with COMLEX assigned, and you can't pay it before you apply.
NRMP Match registration: $85
Covers up to 20 programs on your rank order list. Each program past 20 costs $30, due when you certify your list.
NRMP late registration: $50
Added if you register for the Main Residency Match after January 29. The standard deadline this season is January 29, 2027.
Couples Match: $45 per partner
Due as soon as you request or accept couple status.
Long rank order lists: $50 to $200
A list of 100 to 150 ranks adds $50, rising to $200 for 251 to 300 ranks, on top of the extra rank fees.
Sales tax: Varies
The AAMC has charged tax since November 1, 2020, based on the billing address of your card.
Applying through ResidencyCAS too?
ResidencyCAS, which the USMLE program says is used by obstetrics and gynecology and emergency medicine programs, is a separate service, and the FSMB sends USMLE transcripts there too.
Interview travel and other costs of the season come on top. Our rank order list guide covers how long a list to certify, which drives the NRMP extra rank fees.
Are ERAS fees refundable, and is there fee assistance?
No refunds. The guide says “The ERAS system does not offer refunds for any reason.” “Refunds will not be given for applications sent to nonparticipating programs.” Check each program's eligibility rules and deadlines before you pay. On the NRMP side, “ALL Match fees are non-refundable.”
Sales tax and unpaid fees
Tax applies in some places. “Tax is determined based upon the billing address of the payment you are using.” Pay what you owe on time: “If your account has an unpaid balance, the AAMC will revoke your access to the MyERAS portal.” The AAMC also tells your Dean's Office and partners such as ECFMG, the block carries into future seasons, and other AAMC services can be cut off until the debt is paid. NRMP applicants with unpaid fees can't enter a rank order list or be ranked.
The guide's second example says a Fee Assistance Program-approved applicant would pay $239 instead of $797. It doesn't say who qualifies. The AAMC Fee Assistance Program page we read on October 29, 2026 describes a program for people applying to medical school and lists “Not preparing to apply for residency.” among its requirements. Ask the AAMC before you count on a discount.
How much does ERAS cost for fellowship?
Fellowship applications use a different scale. Your first 10 programs cost $115 in total, then $17, $20 and $27 per program in the next tiers. In the AAMC's example, 30 medical genetics and 10 maternal-fetal medicine programs are counted together as 40.
Fellowship fees by number of programs
10 programs: $115
20 programs: $285
30 programs: $485
40 programs: $755
The AAMC's fellowship examples
30 vascular surgery programs: $485
30 medical genetics and 10 maternal-fetal medicine programs: $755
23 colon and rectal surgery programs: $345
Fellowship Match registration with the NRMP is $70, rising to $85 for Fellowship Matches that open after January 1, 2027.
How many residency programs should you apply to?
There is no official single number. Our how many residency programs to apply to guide has the AAMC's averages by specialty. Today the AAMC points applicants to its Residency Explorer tool to research programs and “build a strategic application plan”. Your ERAS program signals tell your top programs you are interested. A practical order:
1. Start from programs you would attend
Use Residency Explorer and each program's own website to see what each program wants. A program you would rank last is worth less than its fee suggests.
2. Ask an advisor about your specialty
Your school's advisors see how recent classmates did in your specialty. The AAMC points applicants to Careers in Medicine for deciding how many programs and which ones.
3. Count the cost at 30 per specialty
Up to 30 programs in a specialty cost $11 each. From the 31st, each one costs $30, so the 30 programs after that cost $900.
4. Budget for interviews you can attend
More applications only help if you can prepare for and attend the interviews they bring. Plan your season with the interview calendar before you add programs.
What AAMC research found about list size
AAMC research found that “the number of applications it takes to reach the point of diminishing returns varies by specialty” and by applicant type. Those AAMC figures date from 2018 and were tied to Step 1 scores, so we don't repeat them here. The AAMC added that applying to more and more programs puts a financial burden on students. “Students also should consider grades, career goals, letters of recommendation, and other qualifications in determining which programs to apply to and how many applications to submit.”
Whatever your list, interviewers often ask how you chose their program. Total fees for 20 programs and a USMLE transcript come to $375 with NRMP registration, so a thought-out list is cheaper as well as easier to explain.
“How did you decide which programs to apply to?”
Interviewers want a clear reason, not a number. Name two or three things you looked for, show how this program fits them, and keep it under a minute.
Our example answer (we wrote it, not a real applicant)
I started with what I need from training: a high-volume county hospital, strong ultrasound teaching and a program near my family in the Midwest.
I read each program's website and its Residency Explorer profile, and I talked with residents at the ones that matched those three.
That gave me a list I was excited about, not just a long one.
Your program came out near the top because residents run the ultrasound curriculum and every one I spoke with mentioned how much they scan on shift.
More on this question in why this residency program. See also our ERAS experiences section, residency interview season, how many medical schools to apply to and the residency interview hub.
Sources: the 2027 MyERAS Applicant User Guide (AAMC), USMLE notice on FSMB transcripts for ERAS, NRMP Match fees, AAMC Fee Assistance Program, AAMC application strategy page and AAMCNews (2018). All checked October 29, 2026. The AAMC fee web pages showed a security check, so ERAS fees come from the AAMC's 2027 MyERAS guide (copy read October 28, 2026).
Frequently asked questions
How much does ERAS cost in 2027?
ERAS charges $11 per application for the first 30 programs in a specialty and $30 for each program after that. The count starts over in each specialty. Thirty programs in one specialty cost $330, and 40 cost $630.
Is the ERAS fee per specialty or per program?
Both. You pay for each program, and the price depends on how many programs you apply to in that specialty. Your first 30 in each specialty cost $11 each, so 43 internal medicine and 7 radiology programs cost $797 in the AAMC's own example.
Does the ERAS fee include the USMLE transcript?
No. From the 2027 season you pay the FSMB $70 once per cycle in its USMLE portal to send your USMLE transcript to ERAS. The COMLEX-USA transcript costs $80 once per season and is added to your MyERAS invoice.
What is the total cost of applying to residency?
For 40 programs in one specialty, ERAS costs $630. Add a $70 USMLE transcript and $85 NRMP registration and the total is $785 before tax, if you rank 20 programs or fewer. Interview travel and other costs are extra.
Can I get a refund on ERAS fees?
No. The AAMC's 2027 guide says the ERAS system does not offer refunds for any reason, including applications sent to programs that aren't participating. NRMP Match fees are also non-refundable.
Is there ERAS fee assistance?
The AAMC's 2027 guide shows a Fee Assistance Program-approved applicant paying $239 instead of $797, but it doesn't say who qualifies. The AAMC Fee Assistance Program page lists not preparing to apply for residency among its requirements, so contact the AAMC before you count on a discount.
How many residency programs should I apply to?
It depends on your specialty and your application. AAMC research found a point of diminishing returns that varies by specialty and applicant type. Use the AAMC's Residency Explorer tool and talk with your advisor to build a list of programs you would attend.