Intealth ECFMG

Educational Commission for Foreign Medical Graduates

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Testing Regions and International Test Delivery Surcharges for USMLE Step 1 and Step 2 CK


When you apply for Step 1 or Step 2 CK, you must select one of the testing regions from the list below where you will take the exam. Test centers offering Step 1/Step 2 CK were located in the countries listed below for each testing region. However, the availability of test centers is subject to change without notice. Before selecting your testing region, visit the Prometric website or contact Prometric for current information on the availability and location of test centers for Step 1 and Step 2 CK.

There is no international test delivery surcharge for the United States and Canada testing region. If you select any testing region other than the United States and Canada, you must pay the international test delivery surcharge of $185 for USMLE Step 1 and $210 for USMLE Step 2 CK. This surcharge is in addition to the examination fee.

(effective January 14, 2022)

Testing Regions Location of Prometric Testing Centers
United States and Canada Test centers are located in every U.S. state, as well as Guam, Puerto Rico, and the Virgin Islands.

Test centers are located in the Canadian provinces of Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec, and Saskatchewan.
Africa Ghana, Kenya, South Africa, and Uganda

(For centers in Egypt, select Middle East testing region.)
Asia Bangladesh, Malaysia, Nepal, Pakistan, People’s Republic of China (For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.), Philippines, and Singapore

(For centers in India, select India testing region.)
Australia Australia and New Zealand
China People’s Republic of China

(For Hong Kong, select Asia testing region. For centers in other available cities in the PRC, select China testing region.)
Europe Armenia, Croatia, Denmark, France, Germany, Greece, Ireland, Israel, Italy, Latvia, Netherlands, Portugal, Spain, Switzerland, Turkey, and the United Kingdom
India India
Indonesia Indonesia
Japan Japan
Korea Korea
Latin America Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Guatemala, Mexico, Peru, Trinidad and Tobago, and Venezuela
Middle East Egypt, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, and United Arab Emirates

(For centers in Israel, select Europe testing region.)
Taiwan Taiwan
Thailand Thailand

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[Last update: December 31, 2020]

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