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Is medical school worth it?

The answer

It pays for itself in about 2.2 years

Medical school costs about $251,972 over 4 years. The median family medicine physicians earns $244,180, against $79,084 for a bachelor’s-degree holder — an increase of $165,096 a year before tax.

How that is worked out

What it costs

$251,972

Tuition and fees a year
$48,173
Living costs a year
$14,820
Years
4

Median across the 158 schools whose per-programme price we hold. In-state where a school charges differently.

What the work pays

$244,180

Bottom 10%
$76,830
Median
$244,180
Top 10%
$428,550

Pay for Family Medicine Physicians. This is what people in that work earn, not what everyone who finishes the degree earns.

What it adds

+$165,096/yr

With the degree
$244,180
Bachelor’s median
$79,084
After tax, roughly
$115,567

We count 70% of the increase as reaching your pocket. An approximation, not a tax calculation.

What this figure leaves out

  • The pay you give up while studying. 4 years out of full-time work is roughly $316,336 of earnings not banked. Counting it moves payback well beyond the figure above.
  • Interest. The cost shown is what the degree costs, not what borrowing it costs. Grad PLUS ended for new borrowers on 1 July 2026, so anything above the federal cap is private borrowing.
  • Whether you end up in the work. The pay figure describes people employed as family medicine physicians. It does not describe someone who finishes the degree and does something else.
  • Specialty. We price this against a general occupation code, not a specialty. Pay varies widely between specialties, and this figure is the same one used for osteopathic medicine.

Where these numbers come from

Tuition
IPEDS, with per-programme tuition from the professional associations where they publish it. Living costs are each school’s own published figure.
Pay
Bureau of Labor Statistics, Occupational Employment and Wage Statistics — Family Medicine Physicians, national.
The comparison salary
U.S. Census Bureau, American Community Survey Public Use Microdata Sample, 2024 one-year release: median earnings of bachelor’s-degree holders working full time year round, aged 22 to 65 (ACS PUMS 2024). Federal rules measure graduate programmes against a bachelor’s-holder median, but the Department of Education has published no figures for it, so we compute our own and say so.

Work out your own borrowing and payments