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The decision to become a physician assistant, or PA, is a noble but big one. PAs work at hospitals, medical offices, nursing homes, retail clinics, community health centers, and in the federal government.

Becoming a PA often means taking on student loans, which begs the question: Is PA school worth the debt?

Average Cost of PA School

In the 2019-2020 school year, the average cost of PA school was $56,850 for two years at an in-state school and $101,500 for an out-of-state school, according to the American Academy of Physician Assistants.

Before sticker shock sets in, the average salary of certified PAs in 2022 was $125,270 per year. Those working in outpatient care centers, one of the highest paying locations, average a mean annual salary of $137,040.

Once those salaries are claimed and regularly earned, there’s the matter of loan repayment. This guide will help readers consider strategies to handle PA school debt.

Recommended: How Much Does PA School Cost?

Physician Assistant (PA) School Repayment Options

Fortunately, there are options available for PAs who are mindful of interest and debt accumulating in their name. The big one is the federal government’s Public Service Loan Forgiveness program, which kicks in “if you are employed by a U.S. federal, state, local, or tribal government or not-for-profit organization.” PSLF forgives the remaining balance on Direct Loans after 120 qualifying payments (a big number that can often boil down to 10 years’ worth of payments) under a qualifying repayment plan.

Another option for PAs is an income-driven repayment plan. There are four plans to choose from, including Income-Contingent Repayment, Pay As You Earn, Revised Pay As You Earn, and Income-Based Repayment. Similar to Public Service Loan Forgiveness, the motivation for these plans is working toward student loan forgiveness — if PAs can’t qualify for PSLF, possibly because they work for a private employer, they could still receive loan forgiveness after 20 or 25 years of repayment under an income-driven repayment plan.


💡 Quick Tip: Some student loan refinance lenders offer no fees, saving borrowers money.

Other Payment Programs

There are also federal and state programs that reimburse health care workers in underserved areas, also called Health Professional Shortage Areas. The Health Resources & Services Administration offers a searchable online database of shortage areas by state and county, and a tool to check if a location has been officially designated as an underserved area.

Then there are State-based Loan Repayment Programs, whose financial incentive can vary depending on specialty. Colorado, for example, offers $90,000 for a full-time PA ($45,000 for a part-time PA), and PAs must “agree to work for a term of three years at an approved site, work part-time or full-time with a minimum of clinical contact hours, and also meet the hourly requirements during the entire service obligation.”

States vary in requirements and awards. The Health Resources & Services Administration also is of help in looking into SLRPs.

Planning for the Future

One way to minimize the shock of shouldering PA school debt is to build a budget — and stick to it. Although pretty much everyone knows that budgeting is a smart idea, few actually put it into practice: According to the National Foundation for Credit Counseling, more than half the population (56%) did not have a budget in 2021.

A simple way to create a budget is to list out all of your fixed expenses. Fixed expenses do not change month-to-month and include things like rent or mortgage payments, car payments, student loan payments, daycare costs, cell phone services, gym memberships, and more. Next, list out your variable expenses, which do change depending on the month. Variable expenses include food, gas, entertainment, utilities, clothing, and emergency expenses. If your income does not exceed your spending, create spending limits for your variable expenses. Make sure to budget for retirement, emergency savings, and other miscellaneous expenses that may crop up.

Refinancing School Debt

It’s no secret that pretty much any type of higher education career often means taking on considerable student loan debt. If it reaches a point where making real progress on repaying the loans feels nearly impossible, federal student loan repayment and forgiveness programs either don’t apply or aren’t the right fit, or personal loans are involved, then refinancing with a private lender might be a good option.

With refinancing, a new loan is used to pay off one or more existing federal or private loans. In addition to combining multiple loans into one, qualified borrowers may also land a better interest rate, reducing the amount they pay in interest over the life of the loan assuming the loan term does not change.

Recommended: Student Loan Refinancing Calculator

However, refinancing federal student loans with a private lender means a borrower is no longer eligible for many of the state and federal programs mentioned above, or other protections and benefits extended to federal student loan borrowers. Those looking to combine federal loans only can consider a student loan consolidation.

Refinancing Student Loans With SoFi

Looking to lower your monthly student loan payment? Refinancing may be one way to do it — by extending your loan term, getting a lower interest rate than what you currently have, or both. (Please note that refinancing federal loans makes them ineligible for federal forgiveness and protections. Also, lengthening your loan term may mean paying more in interest over the life of the loan.) SoFi student loan refinancing offers flexible terms that fit your budget.

SoFi Student Loan Refinance
SoFi Student Loans are originated by SoFi Bank, N.A. Member FDIC. NMLS #696891. (www.nmlsconsumeraccess.org). SoFi Student Loan Refinance Loans are private loans and do not have the same repayment options that the federal loan program offers, or may become available, such as Public Service Loan Forgiveness, Income-Based Repayment, Income-Contingent Repayment, PAYE or SAVE. Additional terms and conditions apply. Lowest rates reserved for the most creditworthy borrowers. For additional product-specific legal and licensing information, see SoFi.com/legal.

If you’re wondering where you go to pay off your student loans, you’ll first need to contact your loan servicer. If you aren’t sure who your loan servicer or loan holder is, you can contact the U.S. Department of Education for federal loans. For private student loans, you can contact the bank or lender who originated your loans.

Contact Your Student Loan Servicer

Before paying back student loans, graduates will have to figure out who their student loan servicer is. A student loan servicer is the company assigned by the U.S. Department of Education (federal student loan creator) to take care of the day to day servicing of a federal student loan. If a person needs to talk to someone about their federal student loan, they can reach out to the servicers instead of traveling to a government office.

Students don’t have to do anything for their loan to be transferred to a loan servicer. The federal student loan will be transferred to a servicer after its first disbursement. Once that happens, students should expect to be contacted by the servicer.

But, unexpected moves or outdated contact information could mean the servicer doesn’t reach you. If a student needs help figuring out who their servicer is, one option is to call the Federal Student Aid Information Center (FSAIC): 1-800-433-3243.

However, the FSAIC can only help students figure out their servicer if they hold federal student loans, not private student loans.

Another option for borrowers with federal student loans is to log into their Federal Student Aid account. From this portal, borrowers can access information on their student loan servicer.

Federal student loan borrowers can also check the National Student Loan Data System to find information about their loan servicer.

Once a student figures out their loan student servicer and contacts them, they can begin sorting through the repayment process. A loan servicer should help a student figure out how to repay loans free of charge.

Be warned, any federal loan servicer that asks for payment may be a scam, warns the U.S. Department of Education.

Recommended: How to Find Out Who Your Student Loan Lender Is

Grace Periods

A loan servicer can help students and graduates figure out when their loan repayment will begin. Most, but not all, federal student loans have a six-month grace period, or an allotted amount of time before a student has to start paying back the loan.

The student loan grace period generally begins once a student graduates, leaves school, or enrolls in class less than part-time. This time is meant for students to get in contact with their loan servicer and begin setting up a repayment plan so they don’t have to scramble post-graduation when so many other changes are happening.

Students should be aware that interest on their unsubsidized loans may be accruing during their grace period. For that reason, some students may decide to begin repayment before the grace period is up in order to keep the interest capitalization down.

Borrowers with subsidized student loans will not accrue interest on their loans during their grace period.

There are some circumstances that can extend or end a grace period early:

•   Being called into active military duty. This will restart the grace period, which will begin again once the student returns.

•   Going back to school before the end of the grace period. If a student goes back to school at least part-time, then they won’t have to repay their loans until they finish school, in which case they’ll have another six-month grace period.

•   Consolidating loans. If a student decides to consolidate or refinance a loan before the end of the grace period, they’ll start their repayment as soon as the paperwork is processed.

Selecting a Repayment Plan

During the grace period, students can work with their loan servicer and other online tools to figure out the right repayment plan for them.

There are several student loan repayment plans a student can choose from, depending on their finances and the type of federal student loans they have.

•   Standard Repayment Plan. All federal loan borrowers are eligible for this repayment plan. Payments are in a fixed amount each month and sets borrowers up to pay off their loan within 10 years.

•   Graduated Repayment Plan. This plan starts out with low monthly payments that gradually increase every two years. Payments are made monthly for up to 10 years for most loans (10-30 years for consolidated loans).

•   Extended Repayment Plan. In this plan, standard or graduated payments are made monthly, but at a lower rate over a longer period of time, typically 25 years.

•   SAVE. The Saving on a Valuable Education (SAVE) Plan is the newest income-driven repayment plan. Payments are calculated as 10% of a person’s discretionary income; starting in July 2024, that will drop to 5%, and some participating borrowers will see their loan balances forgiven in as little as 10 years.

•   Income-Based Repayment Plan. The income-based repayment plan allows for monthly payments that are roughly 10-15% of a person’s monthly income, but borrowers must have a high debt-to-income ratio to qualify.

•   Income-Contingent Repayment Plan. In the Income-Contingent Repayment Plan, eligible borrowers will make monthly payments based on the lesser value of either 20% of their income, or the “amount you would pay on a repayment plan with a fixed payment over 12 years, adjusted according to your income,” according to the Department of Education.

•   Income-Sensitive Repayment Plan. This plan is only available under a few federal loan programs. Payments are based on annual income, and the loan will be paid off within 15 years.

Depending on a borrower’s income and the type of loan they took out, they can work with their servicer to determine which student loan repayment plan might be the best course of action. If a borrower doesn’t reach out to their servicer to coordinate a repayment plan before the end of the grace period, they will be on the Standard Repayment Plan by default.

Start Repaying Student Loans

Once a repayment plan is selected and the grace period draws to a close, borrowers will begin making payments on their student loans.

Where a borrower will make their payment is dependent upon who their student loan servicer is. Most student loan servicers make it possible for borrowers to make monthly payments online, but it’s best to confirm that with the servicer before payments begin.

Most servicers also have an automatic payments set-up, where monthly payments are automatically debited out of borrowers’ accounts each month. Setting up automatic payments can help borrowers avoid missing a payment or racking up late fees.

Additionally, some federal student loans provide a discount when a borrower sets up automatic repayment online. For example, if a borrower has a Direct Loan, their interest rate is reduced by 0.25% when they choose automatic debit.

Repaying Private Student Loans

Private student loans are generally repaid directly to the bank or financial institution that issued them. Borrowers can check their statements to see who the loan servicer is. Generally, payments can be made online.

Refinancing with SoFi

When a borrower works with their student loan servicer, they can take advantage of free tools that might help them pay back their student loans quicker.

But, for some student loan borrowers, the existing interest rates and repayment plans offered by a servicer might not be the best fit.

In that case, borrowers may have the option of refinancing student loans. This can be helpful when there are multiple loans to pay off since refinancing allows borrowers to combine multiple loans into a new single loan and qualifying borrowers may be able to secure a lower interest rate.

Refinancing federal student loans eliminates them from all federal benefits and borrower protections, such as income-driven repayment plans and deferment. If you are or plan on using federal benefits, it is not recommended to refinance student loans.

SoFi’s student loan refinancing offers flexible terms and competitive interest rates. With no hidden fees or pre-payment penalties, borrowers can apply for refinancing in an easy online process — no phone calls required.

The first step to figuring out student loan repayment is figuring out who holds the loan, but with the right help, borrowers can have a plan set up to conquer their loans before the grace period is even finished.

SoFi Student Loan Refinance
SoFi Student Loans are originated by SoFi Bank, N.A. Member FDIC. NMLS #696891. (www.nmlsconsumeraccess.org). SoFi Student Loan Refinance Loans are private loans and do not have the same repayment options that the federal loan program offers, or may become available, such as Public Service Loan Forgiveness, Income-Based Repayment, Income-Contingent Repayment, PAYE or SAVE. Additional terms and conditions apply. Lowest rates reserved for the most creditworthy borrowers. For additional product-specific legal and licensing information, see SoFi.com/legal.

A student loan payoff letter may be needed to get a mortgage, refinance your student loans, or acquire other forms of debt. While the name implies you’ve paid off the loan, a student loan payoff letter actually just shows the details of your student loan — including the payoff amount and monthly dues.

Some people may want or need to take out more than one loan at the same time. For those who took out student loans for college, a student loan payoff letter may come into play. In this guide, we’ll run through what these letters are and some of the commonly navigated twists in understanding their use in managing loans.

What Is a Student Loan Payoff Letter?

Despite what it sounds like, a student loan payoff letter is not a document proving a student loan has been paid in full. Rather, it’s a document generated by the loan servicer stating the current loan balance, monthly payments, and other account information.

Note that a loan payoff letter is not the same thing as a monthly statement. It’s a tool for other lending institutions to weigh how a borrower manages debt on an existing loan that also forecasts future interest costs based on when the loan is due to be repaid.

There is generally a time limit placed on payoff letters — a “good-through date” — after which the amount of interest due on the loan would change.

A student loan payoff letter may be needed when the borrower is still paying off student debt and also applying for a mortgage, refinancing an existing loan, or when they’re planning to pay off the loan.

The payoff letter will play a part in determining an applicant’s debt-to-income (DTI) ratio, which many lenders look at to determine whether the applicant can afford potential future payments on a loan.

A high student loan balance, in relation to income, could limit a person’s loan options. So, it pays to pay your debt down as much as you can.

Getting a Student Loan Payoff Letter

A loan payoff letter can be requested from the lender at any stage of a loan’s term, whether the borrower hasn’t made an initial payment or they’re close to making their last. Obtaining a loan payoff letter can be done by contacting the lender and simply requesting it.

Lenders’ websites may have an option for requesting these letters via an online form. If that option isn’t available, the borrower may need to call the lender’s customer service line to request the letter.

There may be a fee charged for requesting a payoff letter. If there is one, it should be explained in the loan agreement. The lender’s customer service representative should also be able to verify whether there is a fee for the letter.

Managing Student Loans

An important factor in determining a student loan payoff strategy is figuring out when the first payment is due, information which the loan servicer will provide.

According to the Federal Student Aid Office, “For most federal student loans, there is a set period of time after you graduate, leave school, or drop below half-time enrollment before you must begin making payments.”

This period of time, known as a grace period, could last anywhere from six to nine months depending on which type of federal student loan a borrower has. It may help to think ahead about how best to take advantage of the grace period in advance.

While it might be tempting to view the grace period as a time to sink extra money into things you want or need, borrowers may want to consider instead saving up for when student loan payments will start coming due.

Interest on Direct Subsidized Loans is paid by the U.S. Department of Education while the borrower is in school at least half-time, during the grace period, or a deferment period—a factor that might make paying the loan off, in the long run, a little less burdensome.

Borrowers of Direct Unsubsidized Loans are responsible for paying interest during the entire term of the loan. Interest accrues from the time the loan is disbursed to the borrower.

Strategies for paying off student loans quickly may include looking into ways to make money outside your day job, asking if there is a student loan repayment program at your company, and paying down other debt during the grace period.

Selecting the Right Repayment Plan

Several student loan repayment options are available for eligible borrowers of federal student loans depending on the type of loan.

Standard Repayment Plan

For Federal Direct Loans and Federal Family Education Loans (FFEL), the loan servicer will automatically place borrowers on the Standard Repayment Plan unless they choose a different repayment plan.

The Standard Repayment Plan gives the borrower up to 10 years (between 10 and 30 years for consolidation loans) to repay, with fixed monthly payments of at least $50 during that time. This repayment plan may not be the best option for borrowers who are considering seeking Public Service Loan Forgiveness (PSLF).

Graduated Repayment Plan

Eligible Direct Loan and FFEL borrowers who expect their income to increase gradually over time may opt for a Graduated Repayment Plan. This plan has the same 10-year term (between 10 and 30 years for consolidation loans) that the Standard Repayment Plan does, but the payment amount differs.

Monthly payments start low and increase every two years, will always be at least the amount of accrued interest since the last payment, and will be limited to no more than three times the amount of any previous payment.

Extended Repayment Plan

Borrowers who need to make lower monthly payments over an extended time may want to consider the Extended Repayment Plan, which allows for a 25-year repayment term. This plan is for eligible Direct or FFEL borrowers who have outstanding loan balances of $30,000 or more on each loan.

Monthly payments on this plan can be either fixed or graduated and are generally lower than those made under the Standard or Graduated plans. However, you should expect to pay more in interest over the life of the loan.

Income-Driven Repayment Plans

There are a few options for borrowers who might be having trouble making their payments. Income-driven repayment (IDR) plans allow eligible borrowers to responsibly manage their debt while remaining on track to pay it off.

The plans take into account a borrower’s income, discretionary income, family size, and/or eligible federal student loan balance. Borrowers under an IDR must recertify their income and family size each year or risk losing their eligibility for the plan.

The Takeaway

A student loan payoff letter details the specifics of your student loan, including the amount you owe, your monthly payments, and the payoff amount. A student loan payoff letter may be needed to secure a mortgage, refinance your existing debt, or acquire another form of debt, such as a personal loan.

Choosing to refinance student loans may be an option for some borrowers looking to lower their monthly payment or reduce the total amount they pay in interest. If you choose to lower your monthly payment, you’ll often have to extend your loan term, which will result in paying more in interest over the life of the loan. If you shorten your loan term and reduce your interest rate, you most likely will save money in interest.

Keep in mind that refinancing federal student loans into a private student loan means forfeiting all federal loan benefits, including income-driven repayment plans and student loan forgiveness. Borrowers are encouraged to look at all options before making a decision.

SoFi Student Loan Refinance
SoFi Student Loans are originated by SoFi Bank, N.A. Member FDIC. NMLS #696891. (www.nmlsconsumeraccess.org). SoFi Student Loan Refinance Loans are private loans and do not have the same repayment options that the federal loan program offers, or may become available, such as Public Service Loan Forgiveness, Income-Based Repayment, Income-Contingent Repayment, PAYE or SAVE. Additional terms and conditions apply. Lowest rates reserved for the most creditworthy borrowers. For additional product-specific legal and licensing information, see SoFi.com/legal.

Often seen as a stepping stone between an undergraduate and graduate program, postbaccalaureate programs can help prepare students for a new or different area of study. But, more than just a leg up, a postbaccalaureate program can be a major financial commitment. The average cost of a postbacc program is $20,000 to $40,000.

So, just what is this program, and how can it benefit students? Read on to learn the benefits, drawbacks, and financing behind a postbaccalaureate degree.

What Is a Postbaccalaureate Degree?

A postbaccalaureate degree or program is typically one or two years of study beyond a bachelor’s degree. Students may enroll in a postbaccalaureate program for a variety of reasons, including:

•   Completing a second bachelor’s degree.

•   Working towards a graduate certificate.

•   Taking prerequisite courses required for admission into a graduate program.

A postbaccalaureate program isn’t a graduate degree, but students may enroll in the one to two-year programs before heading off to a grad program.

Applying to a postbaccalaureate program will differ from school to school, but students can generally expect to submit their transcripts, as well as test scores, recommendations, and an essay.

Sometimes called post-bacc, these programs are popular among college graduates who hope to enroll in medical school. According to the American Association of Medical Colleges, postbaccalaureate medical programs focus on science, biology, and other subjects required before med school. They are used to enhance an applicant’s application and hopefully increase their chances of getting accepted.

Here’s why post-bacc programs might help a student hoping to apply to medical school:

•   It offers the appropriate prerequisites. If a student wasn’t on a pre-med track in undergrad, but they decide they want to pursue a graduate program in medicine, a post-bacc program makes it easier to take all the required courses before applying to med school.

•   It gives them an opportunity to improve their grades. If a pre-med student graduated with a low GPA, they might elect to retake some of the courses in a post-bacc program to boost their numbers. It gives them not only a chance to review material they might’ve missed, but also a way to enhance their application with better grades.

•   It can help strengthen an application. If a student is reapplying to medical school, they might first attend a post-bacc program to get an edge up on the competition.

•   It can be a supporting supplement for students with weaker MCAT scores. If a student has taken the MCAT multiple times with borderline scores, getting strong marks in a post-bacc program can be a helpful ace up their sleeve in the application. It can show a commitment to the area of study, despite low test scores.

Going to a post-bacc program might be the right fit for some students looking to enter a medical graduate program, but is by no means a requirement.

Pros of a Postbaccalaureate Program

A postbaccalaureate program can offer many benefits for the right student. Here are some of the pros they can expect on their way to a graduate program:

•   Flexible studying. Postbaccalaureate students have a lot of flexibility in the program. They can usually choose to study full-time or part-time, based on their availability and schedule. Full-time programs are typically a year long and part-time programs take closer to two years.

•   Linkage programs. Many postbaccalaureate programs are housed within a medical school. While participating in the school’s postbaccalaureate program won’t guarantee admission in its medical program, it could give a student a leg up in the application process.

•   MCAT prep. Some, but not all, postbaccalaureate programs include MCAT tutoring and prep in admission and pricing. For some students, this can be a great opportunity to raise test scores.

•   Networking and experience. In addition to courses, some postbaccalaureate programs will also offer speciality programming and networking opportunities for students. This can be an opportunity to learn more about medical specialties from events and network with fellow students.

•   An introduction, without the long term commitment. A postbaccalaureate program can give students a taste of what medical school might be like. However, instead of studying for years, it could be just a couple months or two years at most. If a student decides med school just isn’t for them during a postbaccalaureate program, it’s less time and money spent.

Cons of a Postbaccalaureate

While a post-bacc program will offer many benefits, these programs do have their fair share of drawbacks. Consider these cons before attending a postbaccalaureate program:

•   Not all programs offer federal aid. Postbaccalaureate programs can be pricey, and when it comes to financial aid, some students will be on their own to find a way to pay. Some, but not all, post-bacc programs will have federal aid packages for students to consider. Because a post-bacc is considered a second degree, prospective students may need to rely on private student loans to pay for their program.

•   They could be overkill. While postbaccalaureates can be a great refresher on subjects for students, the demanding curriculum could be too demanding academically and financially. In some cases, students might choose simply to take a few prerequisite courses at a community college instead of paying for a post-bacc program.

•   Losing out on experience. Postbaccalaureate programs offer their own benefits and experience, but enrolling could mean missing out on real-world experiences or work experiences.

•   Post-bacc programs aren’t all built the same. Students shouldn’t expect the same experience from every post-bacc program. Different schools will offer different focuses and programs. Some are more geared towards enhancing a student’s academic record, while others are actively seeking to engage economically disadvantaged or underrepresented students.

•   It doesn’t guarantee admission. Post-bacc medical programs can give students a leg up when it comes to boosting their GPAs and MCAT prep, but they are not a guarantee that a student will gain admission to medical school. If a student is considering enrolling in a postbaccalaureate program solely for admissions purposes, they might want to rethink their motivation.

The Takeaway

Postbaccalaureate programs are second-degree programs but do not result in a graduate degree. They are often used as a stepping stone for people who are making a career transition or are interested in pursuing higher education, such as medical school.

The choice to enroll in a post-bacc program is deeply personal, just like how a student decides to pay for school. Whether or not a person chooses to head straight into a postbaccalaureate program immediately after undergrad or not, keeping an eye on their student loans is important.

Depending on a student’s loan structure, students may be expected to make loan payments while enrolled in a post-bacc program.

Some students may find that refinancing student loan debt can help them reduce their interest rates. Refinancing federal student loans eliminates them from federal benefits, such as student loan forgiveness and deferment, so it’s not an appropriate option for everyone.

For students interested in refinancing their current student loans, SoFi offers flexible terms, competitive rates, and no hidden fees. It takes just two minutes to see if you prequalify and your credit score will not be impacted during the prequalification stage.

SoFi Student Loan Refinance
SoFi Student Loans are originated by SoFi Bank, N.A. Member FDIC. NMLS #696891. (www.nmlsconsumeraccess.org). SoFi Student Loan Refinance Loans are private loans and do not have the same repayment options that the federal loan program offers, or may become available, such as Public Service Loan Forgiveness, Income-Based Repayment, Income-Contingent Repayment, PAYE or SAVE. Additional terms and conditions apply. Lowest rates reserved for the most creditworthy borrowers. For additional product-specific legal and licensing information, see SoFi.com/legal.

The costs of medical school are rising at an alarming rate. According to Education Data, the cost of attending medical school rises by $1,500 per year.

Thirty-five years ago, medical students graduated with an average of $32,000 in student loan debt. Now, the average medical school debt for graduates is $202,450, according to the Education Data Initiative, with 73% of students graduating with debt.

The rising cost of medical school, plus the daunting number of years of education and training, is making some prospective medical students ask: Is an MD really worth it? That’s ultimately up to you.

It’s also worth noting that while medical school has traditionally been a path to a lucrative career, the steep up-front costs might be starting to make the endgame look less appealing.

This can be particularly true for would-be doctors interested in working in relatively low-paying fields, such as general practice (as compared to, say, anesthesiology).

While it might be relatively easy to pay down student loan debt for those entering a higher-paying specialty, a doctor going into general practice might take years (even decades!) to pay off their student loans.

To gain a better understanding of how much medical school actually costs, we’ll take a look at the costs of an MD, and some ways young doctors can get out of medical school debt faster after graduation.

How Much Does Medical School Cost?

The average medical school tuition varies depending on factors like whether the student is attending a public or private university.

The average total cost of in-state tuition for a student at a public university is $159,620. At a private school, the average total cost is $256,412.

But that’s only the cost of tuition, fees, and insurance — there’s also living costs to consider, which is why it’s useful to consider the entire cost of attendance (COA).

Each school publishes the estimated costs of attendance for their program, which typically not only include tuition and fees, but also costs like room and board, textbooks and supplies, and travel.

Why Is Medical School More Expensive Than Ever?

The rising cost of medical school tuition is part of a larger trend. It is estimated that the cost of college tuition and fees at private, nonprofit, four-year institutions in America grew at a rate of 3.5% from the 2021-2022 school years.

So what is driving the price increase? In general, college tuition has increased dramatically in the past 30 years, while wages have grown at a much slower rate. But what’s behind the dramatic uptick in college prices? The potential answer is two-fold. One factor is the demand for a college education has also dramatically risen over the last three decades.

Another factor more pertinent to public universities: a decline in state funding. It’s been observed in multiple states that as the education budget gets stripped, tuition costs paid by students also rises. And while lawmakers likely understand such a correlation exists, as long as federal financial aid is so freely available for students, there is likely little incentive to digress from such cuts.

How Long Does Paying for Med School Take?

So why do med students often go into so much debt?

It’s partly because the grueling requirements of their programs don’t often allow for part-time work. As a result, many students apply for financial aid to cover their college price tag, which means they graduate with significant amounts of student loan debt.

How long does it take to pay back the debt? Much of this depends on the student, the career path they take, and the medical loan repayments they make. However, the relatively low salaries young doctors earn during their residencies don’t typically allow for much opportunity to pay back loans until their first position after residency.

Let’s say, hypothetically, a borrower has federal Direct Loans, such as Stafford, PLUS, or a Direct Consolidation Loan. And let’s also say you can prove you have partial financial hardship (PFH), and qualify for an income-driven repayment plan.

In that situation, the monthly repayment would be capped at 10-15% of the borrower’s monthly discretionary income for a period of up to 25 years. After the 25 years, whatever hasn’t been repaid is forgiven (although that amount may be taxable).

However, if after residency, the borrower in question gets a position with an income that removes them from the PFH tier, they could switch to the Standard Repayment Plan for federal student loans and potentially pay off the loan more quickly.

Is It Possible to Shorten the Medical Debt Payment Timeline?

Here are some tips for those interested and able to shorten their repayment timeline, which can lower the amount of student loan interest paid over the life of the loan.

Repaying Loans During Residency

It is possible to start paying down medical school debt in residency. While some students may be tempted to put their loans in student loan forbearance in their residency years, doing so can add quite a bit in compounding interest to the bill.

Instead, consider an income-driven repayment plan to start paying back federal loans with an affordable payment. Another option is to look into SoFi’s medical residency refinance options to compare. Keep in mind, though, that if you choose to refinance your federal student loans, you will no longer be eligible for federal benefits and protections, including income-driven repayment plans, deferment, and student loan forgiveness.

Making Extra Payments

Another tactic to help pay off student loans faster is via simple budgeting. After getting your first position post-residency, consider committing to living on a relatively tight budget for just a few more years. Putting as much salary toward extra student loan payments as possible could potentially help cut time — and interest payments — off the repayment timeline.

Speeding Up Med School Debt Repayment With Refinancing Student Loans

If you refinance your medical student loans, iit may be possible to secure a lower interest rate and/or a lower required monthly payment – depending on the terms you choose, your credit score, and other factors.

A lower interest rate could help reduce how much money is paid in interest over the life of the loan. Extending your loan term could mean a lower monthly payment – but keep in mind that you’ll most likely pay more in interest over the life of the loan.

While refinancing could help borrowers save money over the life of the loan, it does mean giving up the benefits that come with federal student loans, like income-driven repayment, deferment, forbearance, and student loan forgiveness specific to physicians.

But for borrowers who don’t foresee needing these services, refinancing might be a viable option.

The Takeaway

The cost of medical school has risen in the past 30 years, and so has the amount of debt med students take on to pursue a career as an MD. But a career in the medical field can potentially be both lucrative and rewarding, so for some, medical school can be worth the time, effort, and cost.

Borrowers who are repaying student loans from medical school may consider strategies like income-driven repayment plans, making overpayments, or student loan refinancing to help them tackle their student loan debt.

SoFi Student Loan Refinance
SoFi Student Loans are originated by SoFi Bank, N.A. Member FDIC. NMLS #696891. (www.nmlsconsumeraccess.org). SoFi Student Loan Refinance Loans are private loans and do not have the same repayment options that the federal loan program offers, or may become available, such as Public Service Loan Forgiveness, Income-Based Repayment, Income-Contingent Repayment, PAYE or SAVE. Additional terms and conditions apply. Lowest rates reserved for the most creditworthy borrowers. For additional product-specific legal and licensing information, see SoFi.com/legal.