Exam Fees and Refund Policies

Planning for your American Board of Internal Medicine (ABIM) certification or Maintenance of Certification (MOC) exam includes more than just studying—it also means being aware of the associated fees and key policies. 

Whether you're registering for the first time or retaking an exam, it's important to understand the costs involved, payment deadlines, and what to expect if your plans change. Below, you’ll find a breakdown of ABIM’s current exam fees and refund policies to help you prepare with confidence.

Initial Certification Examination Fees*

SPECIALTY

Fee

Internal Medicine

$1,430

Adolescent Medicine
Critical Care Medicine
Endocrinology, Diabetes and Metabolism
Gastroenterology
Geriatric Medicine
Hematology
Hospice and Palliative Medicine
Infectious Disease
Medical Oncology
Nephrology
Pulmonary Disease
Rheumatology
Sleep Medicine

$2,325

Cardiovascular Disease

$2,480

Adult Congenital Heart Disease
Advanced Heart Failure and Transplant Cardiology
Clinical Cardiac Electrophysiology
Interventional Cardiology
Transplant Hepatology
Neurocritical Care

$2,995

ABIM accepts all major credit cards.

* View registration and late registration dates for internal medicine and subspecialties.

 Additional Fees to Consider

  • Late Registration (Non-Refundable): $400
  • International Test Center: $500

Refund Policies

  • 70% of the exam fee will be refunded if cancellation is received by 11:59 p.m. ET two (2) days prior to exam date. (Example: For exams scheduled October 11, the cancellation deadline would be 11:59 p.m. ET on October 9.)
  • 55% of the exam fee will be refunded if cancellation is received after 11:59 p.m. ET two (2) days prior to exam date.
  • 85% of the exam fee will be refunded if your application is disapproved.
  • The exam fee is forfeited if an admitted candidate fails to appear for the exam.
  • Active military personnel or those with medical emergencies may be eligible for additional exam refunds. To request a refund, please email ABIM at request@abim.org.
  • See ABIM’s General Policies for additional information about requests for exceptions.

How to Cancel

Cancel your application in your Physician Portal. You will receive immediate confirmation of the transaction. ABIM will not accept cancellations by phone. Cancellations cannot be processed by Pearson VUE.

Once your cancellation is confirmed, you are no longer eligible for admission to the exam.

Questions About Exam Fees or Refund Policies?