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A recent report published by the American Association of Colleges of Osteopathic Medicine showed the cost of producing some of the top primary care physicians in the nation might surprise you, as UNT Health at Fort Worth’s Texas College of Osteopathic Medicine was among the most affordable in the nation.

Forty-eight private colleges of osteopathic medicine and 11 public COMs reported data for the 2023-24 Cost of Attendance Report. Of the 59 schools, TCOM has an average graduation debt of $119,624, which is the lowest of all schools in the report. The national average is $259,196, and the average among public colleges of osteopathic medicine is $208,943.

“We are proud that TCOM has been delivering the highest quality education, but at the same time is also affordable,” said Dr. Lisa Nash, dean of TCOM. “With so many medical students incurring a staggering amount of debt before they are even able to practice, we are all aware of the financial hardships faced by many these days.”

TCOM has an average tuition and fees cost of $26,201 per year, which includes the average of in-state and out-of-state students, and is the lowest of all 59 schools. The national average for public and private is $55,131 per year. The overall cost of attendance average for TCOM is $62,368 per year, which is the third-lowest of all the 59 schools, with the national average being $89,280.

The 2025-26 in-state tuition for first-year TCOM students is $19,871, which ranks as the second-most affordable among all medical schools in Texas.

The remarkable national recognition TCOM has achieved, being one of only 15 medical schools nationwide ranked a Tier 1 medical school by U.S. News in 2024, and No. 11 in 2023, validates the value of the program.

Affordability has also been front and center while addressing the growing shortage of primary care physicians in the state of Texas, as TCOM has not changed tuition rates since the 2016-17 year.

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