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The practical is very expensive-- if I remember correctly, as of about a year ago, it was $150 to the state and $150 to the institution housing the exam.
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My EMR exam was 500$, 250 for the written and 250 for the scenario's... my EMT-A exam was 675$!!!!!!! AND 450$ for the year registration dues to be licensed in alberta. Thats over a 1000$ just to prove that I'm a competent EMT-A.
I swear that I responded to a post/thread like this. I googled and found the exact procedures/score for the Massachusetts EMT-Basic practical exam (PDF).
I hope that helps!