Compare the German states
Where you apply decides your fees, your waits and the exact exam you sit. Pick up to three of the 16 states and see them side by side under the 2026 rules, fact by fact, each with its source.
| State | Licensing authority | FSP run by | FSP fee | Time to an FSP date | KP fee | Time to a KP date |
|---|---|---|---|---|---|---|
| Baden-Württemberg | Regierungspräsidium Stuttgart, Landesanerkennungsstelle | Bezirksärztekammer Nordbaden, Karlsruhe | €420 | Not published | €1,100 | 7–8 months; About 7 to 8 months; registered automatically by RP Stuttgart; no rescheduling; the summons comes at least 5 days ahead. |
| Bavaria | Regierung von Oberbayern, ZAABY | Bayerische Landesärztekammer (BLÄK), Munich only | €550 | 2 months; About 8 weeks to a date; about 300 exams a month. | Not published; Raised for applications received from 1 Aug 2026; the new amount is not published. | 21 months; 21 months from application to exam date in 2025 (6 in 2015 to 2022); the whole procedure about 28 months. |
| Berlin | Landesamt für Gesundheit und Soziales (LAGeSo) | Ärztekammer Berlin, Berlin | €550; A cancellation costs EUR 100. | 3 months of preparation advised; the result comes after 10 days or more. | €540 | at least 12 months; Over 1,000 applicants waited more than a year in 2024 (whole procedure). |
| Brandenburg | Landesamt für Arbeitsschutz, Verbraucherschutz und Gesundheit (LAVG) | Landesärztekammer Brandenburg, Potsdam | €487 | The invitation comes at least 5 days ahead. | €799 | Withdrawal only in special cases; failures in other states count. |
| Bremen | Die Senatorin für Gesundheit | Ärztekammer Bremen, Bremen | €530 | Not published | €730; Rescheduling costs EUR 300. | at least 2 months; Dates by order of payment, typically several months; the invitation comes at least 2 weeks ahead. |
| Hamburg | Sozialbehörde, Landesprüfungsamt | Ärztekammer Hamburg, Hamburg | €550 | Not published | €900 | The candidate picks a 2-month window; a missed exam counts as failed. |
| Hesse | Hessisches Landesamt für Gesundheit und Pflege (HLfGP) | Landesärztekammer Hessen (LÄKH), Frankfurt | €650 | Not published | €1,350 | Not published |
| Mecklenburg-Western Pomerania | Landesamt für Gesundheit und Soziales (LAGuS) | Ärztekammer Mecklenburg-Vorpommern, Rostock | €700 | Not published | €700; Sources conflict: EUR 640 (Marburger Bund) or EUR 700 (ÄK MV fee list 2024). | Not published |
| Lower Saxony | Niedersächsischer Zweckverband zur Approbationserteilung (NiZzA) | Ärztekammer Niedersachsen, Hannover | €595 | 1–1.5 months; The invitation comes 4 to 6 weeks ahead; rebooking can take 5 months. | €980; EUR 980 from 2026 (was EUR 830). | at least 2 months; "Several months"; preferred months are not guaranteed; a no-show still pays. |
| North Rhine-Westphalia | Bezirksregierung Münster, ZAG-aH | Ärztekammer Nordrhein, Düsseldorf | €430 | Not published | €1,050 | 1.25–1.5 months; No waiting list: the candidate names a period and is summoned 5 to 6 weeks ahead; no rescheduling. |
| Rhineland-Palatinate | Landesamt für Soziales, Jugend und Versorgung (LSJV), Applications only through ProfeS GmbH, Landau | Bezirksärztekammer Rheinhessen, Mainz (FaMed also accepted) | €470 | 3 months; Dates are allocated by quarter, about 3 months. | €1,100 | 16 months; About 16 months. |
| Saarland | Landesamt für Soziales | No own exam, telc Medizin FSP, FIA PKT, others after consultation | €380; No own exam: the telc Medizin FSP costs about EUR 380 to 510, set by each centre. | Not published | €500 | Not published |
| Saxony | Landesdirektion Sachsen | Sächsische Landesärztekammer (SLÄK), Dresden | €590 | at least 1 months; A date at least 4 weeks after payment. | €850 | Not published |
| Saxony-Anhalt | Landesamt für Soziales, Jugend und Gesundheit (LAS), Landesprüfungsamt für Gesundheitsberufe, Halle | Ärztekammer Sachsen-Anhalt, SkillsLab of Martin-Luther-Universität Halle | €500 | Not published | €771 | Self-registration once eligible; 210 registrations in 2024. |
| Schleswig-Holstein | Schleswig-Holsteinisches Institut für Berufliche Bildung (SHIBB) | No own exam, Ärztekammer Mecklenburg-Vorpommern in Rostock, or telc Medizin FSP | €700; No own exam: the Ärztekammer MV exam in Rostock costs EUR 700; the telc Medizin FSP about EUR 380 to 510. | Not published | €400; €750 | Not published |
| Thuringia | Thüringer Landesverwaltungsamt | Landesärztekammer Thüringen, Jena | €600 | 3–4 months; 3 to 4 months; the invitation comes about 14 days ahead. | up to €450; Up to EUR 450 (unverified). | 8–11 months; The summons comes within a few weeks; the whole procedure takes 8 to 11 months. |