CME accreditation fees
Pre-application fee: $500
Initial accreditation fee: $4,500
Late fee: $500
Progress report fee: $1,500
Annual accreditation fee: See below
PacWest Annual Accreditation Fee Structure
Beginning in 2026, PacWest will implement a tiered accreditation fee in addition to the ACCME’s tiered system. Tiers range from Tier 1 through Tier 5, based on the number of activities or learners, whichever is greater, over the previous 3 years of Program and Activity Reporting System (PARS) data. The PacWest annual accreditation fee is a combination of PacWest’s fee plus the ACCME’s passthrough fee for state medical society accredited providers.
ACCME Tiered Fee Structure
The ACCME uses a five-tier fee structure. It ranges from Tier 1, comprising the smallest CME programs, to Tier 5, comprising the largest CME programs. Program size is based on the average number of activities or learner interactions, whichever is greater, over the past three years. The ACCME uses data that CME providers enter into PARS over the previous 3 reporting years to assign tiers for their annual accreditation fees. If your organization is newly accredited, the ACCME uses data from the most current year to determine your tier.
The ACCME updates fees periodically. See the table below for the ACCME’s 2025 fees for State Medical Society accredited providers. ACCME fees for 2026 are subject to change.
ACCME 2025 Tiered Fees
Tier |
Average
Activities
Per year |
Average Learner
Interactions Per
Year |
ACCME Fee for
State-Accredited
Providers 2025 |
ACCME-
Accredited
Providers 2025
Fee* |
1 |
<43 |
<4,466 |
$950 |
$6,825 |
2 |
44-145 |
4,466-15,422 |
$1,200-
8,519 |
$7,350 |
3 |
136-905 |
15,423-164,727 |
$1,750-
43,687 |
$8,400 |
4 |
906-1906 |
164,728-634,356 |
$3,400 |
$11,550 |
5 |
>1906 |
>634,356 |
$5,250 |
$15,750 |
* For comparison purposes only. Demonstrates that PacWest makes CME accreditation as affordable as possible by consistently charging lower fees than the ACCME.
PacWest Implementation
The PacWest annual fee is a combination of the PacWest tiered fee plus the ACCME’s tiered fee. Looking ahead, we anticipate that the PacWest fee will increase by a rate of approximately 3% each year. The PacWest total accreditation fee continues to be significantly lower than fees for ACCME-accredited providers.
PacWest Tiered Fees
Tier |
Average Learner
Interactions Per
Year |
Average Activities
Per Year |
2026 PacWest Annual Fee |
1 |
0 - 1000 |
<10 |
$2,500 |
2 |
1001 - 5000 |
11-50 |
$3,250 |
3 |
5001 - 10,000 |
51-100 |
$4,000-
43,687 |
4 |
10,001 - 15,000 |
101 - 200 |
$3,400 |
5 |
>15,001 |
>201 |
$5,000 |
Accreditation Fee Formula:
PacWest Tiered Fee + ACCME Tiered Fee = Total Fee Charged to Accredited Providers
For questions about your organization’s tier, please contact Kendra Peterson, CHCP, at kendra@wsma.org or 206.956.3638.