Academics & MCAT · 3 min read

MCAT Scores by Medical School: What 193 Programs Actually Accept

Median MCAT scores at every tier of medical school — from 524 at elite programs to 503 at community-focused schools. Data from 193 verified programs.

What MCAT Score Do You Actually Need?

The answer isn't 520. The answer is: it depends on which schools you're targeting. Here's what the data actually shows across 193 programs.

Median MCAT by Program Tier

Based on verified data in the AesculaMD school database:

• Tier 1 (Top 20 MD programs): Median MCAT 518–524. Bottom 10th percentile of accepted applicants still typically above 515.
• Tier 2 (Ranked 21–60): Median MCAT 514–518. Scores in the 510–513 range still competitive with strong overall profile.
• Tier 3 (Community-focused MD): Median MCAT 508–513. Primary care schools with holistic review often weight clinical experience and mission fit heavily.
• DO programs: Median MCAT 503–512 across most programs. Some DO schools accept applicants in the high 490s with exceptional non-academic profiles.

The Section Breakdown Matters Too

A 510 with balanced sections (127/127/128/128) reads differently than a 510 with an uneven profile (125/128/130/127). Schools with strong basic science requirements scrutinize the Chemical/Physical Foundations (C/P) section. Behavioral science-heavy programs look at Psychological, Social, and Biological Foundations (P/S). Know your target programs and align your prep accordingly.

When to Retake

These are rules of thumb about how a score tends to land across many programs, not thresholds any particular school publishes. Screening policy varies enormously between schools, and a mission-aligned in-state applicant is frequently read at a score that would be filtered elsewhere. Check the schools on your own list before drawing a conclusion from a band below.

• Below 505: At many MD programs a score in this range does not clear initial screening, so it is where a retake most often changes the outcome. It is not a universal cutoff — mission-driven and in-state programs vary — but building a list on the assumption that it will be read holistically everywhere is risky.
• 505–509: Workable for many DO programs and for some community-mission MD programs. Worth retaking if you have a realistic shot at 510+ and MD schools are your priority.
• 510–513: Competitive for a meaningful portion of MD programs. School list matters more here than the score itself.
• 514+: Broadly competitive. Retake only if you know you underperformed and need a specific number for specific programs.

A score never gets read on its own. The same number reads differently against a 3.9 than a 3.4, and differently again for an in-state applicant at a public school that fills most of its class from within the state.

How Schools Use the MCAT in Review

Many schools publish their mean MCAT for accepted students. What they don't always publish: how they weight it. Some programs use MCAT as a hard screen — below the cutoff, the application doesn't move forward regardless of other qualities. Others use holistic review from the start, where a below-median MCAT can be offset by exceptional clinical experience, mission alignment, or an outstanding personal statement.

Mission-driven schools and primary care-focused programs more frequently use holistic approaches. Research-intensive programs at major universities more frequently use MCAT as a hard screen. Knowing which model your target schools use changes how you think about your list.

The 193-School Perspective

Looking at median MCAT alongside interview invite rate and how much of each class comes from the school's own state shows that MCAT and selectivity are related but imperfectly. A school with a modest median MCAT can still be hard to get into if most of its seats go to its own state's residents; a high-median school can interview a wide pool if its applicants self-select.

Check the AesculaMD school profiles for MCAT data alongside the full context of each program. A number without context is just a number.