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Top 10 Cheapest Medical Schools in the U.S.

Medical school is expensive — and it costs more than ever before. According to data published by the Association of American Medical Colleges (AAMC), the average cost of medical school for a resident in 2013-2014 was $31,619 and $54,549 for a non-resident. But the average medical school cost for 2025-2026 has jumped to $43,016 for residents and $68,032 for non-residents. That's for public schools, and costs can be higher for private schools.

This explains why so many medical students are graduating with massive debt. The average medical school debt is currently hovering right around the $200,000 mark.

But if you choose your medical school carefully, you could save a lot of money during medical school and hopefully graduate with fewer student loans.

Here's the list of the 10 cheapest med schools of the 2025-2026 school year. Even though these schools offer an attractive value, keep in mind a well crafted plan for PSLF might mean low tuition is irrelevant to you.

Top 10 cheapest medical schools

If you’re looking to save money on your medical school tuition and fees, these are the 10 cheapest medical schools in the U.S., based on AAMC data.

10. University of Houston

Tuition, fees and health insurance (resident): $27,726

Tuition, fees and health insurance (non-resident): $40,826

9. Marshall University

Tuition, fees and health insurance (resident): $27,662

Tuition, fees and health insurance (non-resident): $62,246

8. Texas Tech University

Tuition, fees and health insurance (resident): $26,924

Tuition, fees and health insurance (non-resident): $40,024

7. Texas Tech University-Foster

Tuition, fees and health insurance (resident): $26,526

Tuition, fees and health insurance (non-resident): $41,647

6. The University of Texas at Austin

Tuition, fees and health insurance (resident): $26,106

Tuition, fees and health insurance (non-resident): $41,170

5. The University of Texas at Tyler

Tuition, fees and health insurance (resident): $25,880

Tuition, fees and health insurance (non-resident): $41,820

4. University of Texas Rio Grande Valley

Tuition, fees and health insurance (resident): $24,970

Tuition, fees and health insurance (non-resident): $38,070

3. University of New Mexico

Tuition, fees and health insurance (resident): $24,095

Tuition, fees and health insurance (non-resident): $52,331

2. Texas A&M University

Tuition, fees and health insurance (resident): $22,998

Tuition, fees and health insurance (non-resident): $36,098

1. University of Puerto Rico

Tuition, fees and health insurance (resident): $19,686

Tuition, fees and health insurance (non-resident): $37,186

Why does Texas have so many of the cheapest medical schools?

Did you notice anything peculiar about these rankings? Seven of the top 10 cheapest medical schools are located in the state of Texas. And this isn’t just for in-state tuition. Texas universities fill up the list of most affordable medical schools for non-residents/out-of-state students as well.

Maybe it isn’t true that everything is bigger in Texas. But, seriously — what gives?

Here’s the deal: Texas has a shortage of medical professionals and wants to attract and keep as many of them as possible.

To do that, Texas has kept a decades-old law unchanged that caps medical school tuition and fees. Because of this, it’s hard for any other state to match the medical school tuition prices of public Texas universities, which offer an affordable medical education.

Would you be willing to move to Texas for the sake of cheaper medical school tuition and fees? If so, it could save you a lot of money. Instead of going somewhere like New York, potentially paying out-of-state tuition, you can lower the cost of tuition by opting for a public medical school in Texas.

Cheapest medical schools outside of Texas

If you don’t live in or have no interest in moving to Texas, you’ll be glad to know that there are affordable medical schools to be found in other states and territories.

The University of Puerto Rico comes in at No. 1 in the not-in-Texas category, with a total annual cost of $19,686 for residents. No. 2 is the University of New Mexico, with an annual cost for residents of $24,095.

Marshall University, East Carolina University and Florida State University round out the top five, each having annual costs (including tuition and fees, and health insurance) of $30,000 or under.

Best private medical schools

Attending a public university is typically going to be the cheapest medical school route. Private medical schools simply aren’t able to get their hands on the same amount of state funding, so it’s hard for them to compete on price. But if you’re curious, here are a few of the cheapest private medical schools in the U.S.

Baylor University/Baylor College of Medicine is No. 1 with an annual cost of $29,697 (surprise, a Texas school at the top of the list). Next is San Juan Bautista, with an annual cost of $39,606. Universidad Central del Caribe, Mercer University and Ponce Health Sciences University round out the top five list among private med schools.

But even for being the top five, these schools aren’t all that cheap. Ponce Health Sciences University, for instance, has an annual cost of $53,780. That’s roughly $15,000 more than you’d pay at some of the cheapest Texas schools as a non-resident.

Unless you’ve secured a lot of funding through scholarships and grants, you’re probably going to want to steer clear of private medical schools.

Schools that are just too expensive

So, which medical schools are the absolute worst for your wallet? Well, believe it or not, they aren’t private medical schools. Instead, the top five most expensive medical schools are all public universities.

How is that possible? Because some public universities charge absolutely shocking tuition rates for non-residents. So even with financial aid help, annual tuition costs can be super high.

For instance, if you attend Northeast Ohio Medical University or the University of Washington School of Medicine as a non-resident, you’ll pay over $100,000 per year. That’s a lot!

These schools are practically begging you to stay away, except the PSLF program might mean that high tuition doesn't matter.

How to pay back medical school loans

Even if you pick one of the schools from our list, you’re still looking at an average cost of around $80,000 as a resident or $120,000 as a non-resident for your medical school education. That’s a high average cost and there's a strong chance that you'll need to take out some student loans to cover it.

So, what’s the best way to pay off those loans? There’s no perfect answer. The best strategy for you depends on factors like your income, family size, the amount of debt you end up with and where you work.

But here are some options to consider.

Income-Driven Repayment (IDR) plans

If you have federal student loans, you can enroll in an income-driven repayment (IDR) plan. There are currently four IDR plans:

  • Income-Based Repayment (IBR)
  • Pay As You Earn (PAYE)
  • Income-Contingent Repayment (ICR)

With each of these plans, you’ll generally pay 10% to 20% of your discretionary income. You’ll also be eligible for forgiveness on any remaining balance you may have at the end of your repayment period (20 or 25 years) or 10 years if eligible for PSLF.

But keep in mind that you’ll owe income tax on the forgiven amount. This is often referred to as the student loan “tax bomb.” If you go with an IDR repayment strategy, you’ll want to save a little money each year so that you’re ready to pay the taxes.

Public Service Loan Forgiveness

If you decide to work in a hospital, Public Service Loan Forgiveness (PSLF), could be a viable option for you.

That’s because nonprofit and state hospitals — two categories that a large majority of hospitals fall into — are eligible employers for PSLF thanks to being public institutions. To qualify for PSLF, you’ll also need to be on an IDR repayment plan.

There are two awesome perks to PSLF. First, you’ll be eligible for forgiveness in 10 years with 120 qualifying payments. That means your student loans could be forgiven twice as fast with PSLF than with IDR forgiveness. Second, you don’t have to pay income tax on the forgiven amount.

With a faster forgiveness track and no tax hit, it’s hard to beat PSLF if you work for an eligible employer.

Grants and scholarships

There are lots of grants, scholarships and loan repayment programs available to medical professionals in primary care or other healthcare fields.

Many states run their own programs to attract top medical talent. And there are programs designed specifically for current and former members of the armed forces as well.

Wondering where to find these programs? Don’t worry. We’ve done the heavy lifting for you with our complete list of student loan forgiveness options for doctors.

Refinancing

If you land a high-paying job right out of medical school and your student debt-to-income ratio is less than 2-to-1, an IDR plan may not benefit you as much. Instead, you might want to just put your head down and try to pay off your medical school loans as fast as possible.

In that case, you may also want to consider student loan refinancing. If you have a solid job and a good credit score, this could lower your interest rate.

For doctors with private loans, refinancing could be a really smart move. Refinancing federal loans could save you money, too, but you’ll lose federal benefits, like income-driven repayment and eligibility for PSLF. For this reason, if you plan to pursue PSLF, you shouldn’t refinance your federal student loans.

If you’ve just graduated medical school and you want to come up with a good repayment strategy, one of our consultants would love to talk with you. With a good plan, medical school debt doesn’t have to be overwhelming. Book a consultation today.

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