Five fact cards for nurses and doctors trained outside the USA: NCLEX fees, the NCLEX steps from state board to licence, VisaScreen fees, USMLE application fees for 2026 and 2027 (Step 1 $695, Step 2 CK $695, Step 3 $955) and the ECFMG OET Medicine scores. Sources: NCSBN, CGFNS, USMLE.org and ECFMG, checked 30 October 2026. Full guide: https://medicsail.com/guides/usmle-for-international-medical-graduates . MedicSail is a healthcare licensing consultancy, not a regulator, recruiter or immigration adviser.