$138 to take the online and practical portions of the exam. For an additional $10, there is an oral testing option in which the test would play an audio of the questions as the tester moves through the exam. If a tester fails one portion, either the online or the practical, only that failed part needs to be retaken. The cost for the online (multiple choice) section is $45 (add $10 for oral test) and clinical skills (practical) section is $73. At Northeast Medical Institute we offer In-Facility testing at both of our facilities.