2027 Rankings · Verified November 2026

Best Sterile Processing Technician Programs With Externships

Which Sterile Processing Programs Include an Externship or Clinical Hours?

Indian River State College (Fort Pierce, FL) ranks first, with 410 clinical hours. 164 sterile processing programs at 161 schools in 32 states fit this ranking, each checked on the school's own site in November 2026. 52 are non-credit courses and 112 are credit certificates, diplomas or degrees. 164 include clinical hours, and 43 state 400 or more, the hands-on total full CRCST certification requires. Where the school publishes a price for the whole program, it runs from $257 to $23,000, with a median of $2,354. 12 programs include the certification exam fee or a voucher.

programs
164
schools
161
include clinical hours
164
states
32
400+ clinical hours
43
median length
26 wk
median published cost (74 priced)
$2,354

Top Picks for Your Situation

PickProgramScorePublished cost
Best overallMcHenry County College, Crystal Lake: Sterile Processing Technician TrainingNon-credit course · 400 clinical hours87$1,999
Best for the CRCST's 400 hoursContra Costa Medical Career College, Antioch: Sterile Processing TechnicianCertificate · 28 weeks · 400 clinical hours87
Lowest published costDurham Technical Community College, Durham: Central Sterile Processing (PHM-3002A)Non-credit course · 19 weeks · 30 clinical hours64$257.25
FastestMassachusetts Bay Community College, Wellesley Hills: Central Processing Technology (CPT) CertificateCertificate · 6 weeks · 100 clinical hours60
Best online or hybridCentral Coast College, Salinas: Sterile Processing TechnicianCertificate · 32 weeks · 400 clinical hours83

Each pick links to the program's entry on its state ranking. Score: out of 100, as explained under How Each Program Is Scored.

The 10 Best Sterile Processing Technician Programs With Externships, Ranked

How this list is ranked: most hands-on clinical hours first, as each program's own page states them (November 2026). HSPA's CRCST certification requires 400 hours of hands-on experience; programs at 400 or more cover it. Ties go to the lower published cost; one program per school.

  1. Indian River State College: Central Service TechnologyCentral Service Technology

    410 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Fort Pierce

    Indian River State College (Fort Pierce, FL, public) runs this on campus certificate (6 months). Clinical: STS 0013L Central Sterile Processing Clinical, 410 hours.

    Weeks
    266 months
    Hours
    650instruction
    Clinical
    410hours, meets 400
    Includes
    • Clinicals
  2. SOWELA Technical Community College: Sterile Processing Technology (Certificate of Technical Studies)Sterile Processing Technology (Certificate of Technical Studies)

    405 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Lake Charles

    SOWELA Technical Community College (Lake Charles, LA, public) runs this on campus certificate. Clinical: STPR 2106 Sterile Processing Practicum, 9 credit hours / 405 contact hours at clinical sites throughout Southwest Louisiana. The school reported 4 sterile processing awards for 2022-23 (IPEDS).

    Hours
    660instruction
    Clinical
    405hours, meets 400
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  3. Delaware County Community College: Sterile Processing Technician (CAR 2950)Sterile Processing Technician (CAR 2950)

    400 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Media

    Delaware County Community College (Media, PA, public) runs this on campus non-credit course (Wednesdays, January 27 to May 19, 2027). The school publishes a price of $1,295 for the program (Spring 2027). Clinical: 400-hour externship. Evening classes are offered.

    Hours
    60instruction
    Clinical
    400hours, meets 400
    Cost
    $1,295published total, Spring 2027
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  4. McHenry County College: Sterile Processing Technician TrainingSterile Processing Technician Training

    400 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Crystal Lake

    McHenry County College (Crystal Lake, IL, public) runs this on campus non-credit course. The school publishes a price of $1,999 for the program. Clinical: Classroom lessons and hands-on clinical labs; after passing the CRCST exam, students complete a 400-hour clinical internship with a preceptor-set schedule.

    Clinical
    400hours, meets 400
    Cost
    $1,999published total
    Includes
    • Clinicals
    • Exam voucher
    • Textbook
    Prepares for
    • CRCSTHSPA
  5. Community College of Baltimore County: Central Service Technician, Continuing Education Workforce CertificateCentral Service Technician, Continuing Education Workforce Certificate

    400 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Essex

    Community College of Baltimore County (Essex, MD) runs this on campus non-credit course. The school publishes a price of $2,063 for the program. Clinical: Optional Central Service Technician Clinical I-IV (AHL 046-049), 100 hours each, 400 hours in total; not required to complete the program.

    Hours
    72instruction
    Clinical
    400hours, meets 400
    Cost
    $2,063published total
    Includes
    • Clinicals
    • Exam voucher
    Prepares for
    • CRCSTHSPA
  6. Queensborough Community College (CUNY): Sterile Processing Technician - Hybrid ClassSterile Processing Technician - Hybrid Class

    400 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Bayside

    Queensborough Community College (CUNY) (Bayside, NY, public) runs this hybrid non-credit course (Jan; 25 - Feb; 24 online, Mar; 01 - Mar; 10 in-person labs). The school publishes a price of $2,295 for the program (2026-27). Clinical: Eligible students may complete a 400-hour externship with Northwell Health. Evening classes are offered.

    Hours
    80instruction
    Clinical
    400hours, meets 400
    Cost
    $2,295published total, 2026-27
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  7. Montgomery County Community College: Sterile Processing Technician (BICEC 1614)Sterile Processing Technician (BICEC 1614)

    400 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Pottstown

    Montgomery County Community College (Pottstown, PA) runs this on campus non-credit course. The school publishes a price of $2,650 for the program. Clinical: 400-hour externship at Pottstown Hospital after the lecture component, scheduled by the instructor.

    Hours
    432instruction
    Clinical
    400hours, meets 400
    Cost
    $2,650published total
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  8. Rowan College at Burlington County: Central Services TechnicianCentral Services Technician

    400 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Mount Laurel

    Rowan College at Burlington County (Mount Laurel, NJ, public) runs this hybrid non-credit course (March 1 to July 9 class session, plus clinical externship). The school publishes a price of $2,750 for the program (2026-27). Clinical: 400-hour in-person clinical externship at a clinical site, typically 7:30 AM-3:30 PM Monday through Friday, subject to hospital availability. Evening classes are offered.

    Clinical
    400hours, meets 400
    Cost
    $2,750published course fee, 2026-27
    Includes
    • Clinicals
    • Exam voucher
    • Textbook
    Prepares for
    • CRCSTHSPA
  9. Bergen Community College: Central Sterile Processing Technician (HH-008)Central Sterile Processing Technician (HH-008)

    400 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Paramus

    Bergen Community College (Paramus, NJ, public) runs this on campus non-credit course. The school publishes a price of $2,950 for the program (2026-27). Clinical: Required 400-hour unpaid clinical internship at a local medical center or surgical center; shifts 7 AM-3 PM, 3-11 PM or 11 PM-7 AM. Evening classes are offered.

    Weeks
    10
    Hours
    460instruction
    Clinical
    400hours, meets 400
    Cost
    $2,950published course fee, 2026-27
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  10. Yakima Valley College: Sterile Processing Technician (SPT) CertificateSterile Processing Technician (SPT) Certificate

    400 hrclinical hours stated

    Best for covering the CRCST's 400 hands-on hours inside the program near Yakima

    Yakima Valley College (Yakima, WA, public) runs this hybrid certificate (Two quarters (about 6 months)). The school publishes a price of $3,074.45 for the program (2026-27). Clinical: 400-hour clinical externship.

    Weeks
    26Two quarters (about 6 months)
    Credits
    19
    Clinical
    400hours, meets 400
    Cost
    $3,074.45published total, 2026-27
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA

More of the Best Sterile Processing Technician Programs With Externships: Ranks 11 to 25

How this list is ranked: most hands-on clinical hours first, as each program's own page states them (November 2026). HSPA's CRCST certification requires 400 hours of hands-on experience; programs at 400 or more cover it. Ties go to the lower published cost; one program per school.

RankProgramClinical hoursLengthClinicalCost
11Delaware Technical Community College course: Central Service Technician (Sterile Processing)Dover, DE · Delaware Technical Community College among Delaware programs400 hr200 hours400 hours$3,595
12University of Central Missouri course: Sterile Processing Technician Certificate ProgramLee's Summit, MO · How University of Central Missouri ranks in Missouri400 hr150 hours400 hours$3,645
13Atlanta Technical College certificate: Central Sterile Supply Processing Technician Advanced TCC (CS91)Atlanta, GA · Georgia ranking: Atlanta Technical College400 hr20 credits400 hours$4,098
14Fletcher Technical Community College certificate: Sterile Processing (Certificate of Technical Studies)Schriever, LA · Fletcher Technical Community College among Louisiana programs400 hr32 weeks400 hours$4,202.66
15Collins Career Technical Center certificate: Certified Registered Central Service Technician (CRCST)Chesapeake, OH · How Collins Career Technical Center ranks in Ohio400 hr600 hours400 hours$5,250
16Aiken Technical College certificate: Pre-Allied Health Sterile ProcessingGraniteville, SC · South Carolina ranking: Aiken Technical College400 hr40 weeks400 hours$8,000
17Premiere Career College diploma: Hospital Central Service TechnicianIrwindale, CA · Premiere Career College among California programs400 hr30 weeks400 hours$12,000
18American Institute of Medical Sciences & Education certificate: Sterile Processing TechnicianPiscataway, NJ · How American Institute of Medical Sciences & Education ranks in New Jersey400 hr43 weeks400 hours
19Central Coast College certificate: Sterile Processing TechnicianSalinas, CA · California ranking: Central Coast College400 hr32 weeks400 hours
20College of Southern Nevada certificate: Sterile Processing Technician (Certificate of Completion)Las Vegas, NV · College of Southern Nevada among Nevada programs400 hr9 credits400 hours
21Contra Costa Medical Career College certificate: Sterile Processing TechnicianAntioch, CA · How Contra Costa Medical Career College ranks in California400 hr28 weeks400 hours
22H W Brewster Technical College certificate: Central Sterile Processing TechnologyTampa, FL · Florida ranking: H W Brewster Technical College400 hr30 weeks400 hours
23High Desert Medical College-Bakersfield certificate: Sterile Processing TechnicianBakersfield, CA · High Desert Medical College-Bakersfield among California programs400 hr32 weeks400 hours
24High Desert Medical College-Lancaster certificate: Sterile Processing TechnicianLancaster, CA · How High Desert Medical College-Lancaster ranks in California400 hr32 weeks400 hours
25High Desert Medical College-Temecula certificate: Sterile Processing TechnicianTemecula, CA · California ranking: High Desert Medical College-Temecula400 hr32 weeks400 hours

Lowest-Cost With Externships Programs

How this list is ranked: lowest published cost first. Cost is the program total or the single course fee each school publishes for the whole program, read on the school's own site in November 2026; per-credit rates are never multiplied out. Published costs often leave out the certification exam fee, books, uniforms and background checks. One program per school.

  1. Durham Technical Community College: Central Sterile Processing (PHM-3002A)Central Sterile Processing (PHM-3002A)

    $257.25published total

    Best for a low-cost course near Durham

    Durham Technical Community College (Durham, NC, public) runs this hybrid non-credit course (About 4.5 months (late January or February to June)). The school publishes a price of $257.25 for the program. Clinical: 30 hours of clinical application at an offsite hospital, one day a week (8:30 am-3:30 pm), plus a 4-hour BLS course. Evening classes are offered.

    Weeks
    19
    Hours
    216instruction
    Clinical
    30hours
    Cost
    $257.25published total
    Includes
    • Clinicals
    Prepares for
    • CSPDTCBSPD
  2. Guilford Technical Community College: Central Sterile Processing TechnicianCentral Sterile Processing Technician

    $328published total, 2026-27

    Best for a low-cost course near Jamestown

    Guilford Technical Community College (Jamestown, NC, public) runs this non-credit course. The school publishes a price of $328 for the program (2026-27). Clinical: Clinical or clinical simulation portion; these hours do not count toward the 400 hours required for full CRCST.

    Clinical
    Yesincluded
    Cost
    $328published total, 2026-27
    Includes
    • Clinicals
    • Textbook
    Prepares for
    • CRCSTHSPA
  3. Wilson Community College: Central Sterile Processing Technician (CSPT)Central Sterile Processing Technician (CSPT)

    $348published total, 2026-27

    Best for a low-cost course near Wilson

    Wilson Community College (Wilson, NC, public) runs this hybrid non-credit course. The school publishes a price of $348 for the program (2026-27). Clinical: 100 hours of clinical experience in a healthcare setting.

    Clinical
    100hours
    Cost
    $348published total, 2026-27
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  4. Piedmont Community College: Central Sterile ProcessingCentral Sterile Processing

    $353published total, 2026-27

    Best for a low-cost course near Roxboro

    Piedmont Community College (Roxboro, NC, public) runs this hybrid non-credit course (January 19 to April 19, 2027). The school publishes a price of $353 for the program (2026-27). Clinical: 27 hours at an assigned clinical site during one week between weeks 8 and 13.

    Clinical
    27hours
    Cost
    $353published total, 2026-27
    Includes
    • Clinicals
    Prepares for
    • CSPDTCBSPD
  5. Northcentral Technical College: Sterile Processing Technician CertificateSterile Processing Technician Certificate

    $692published total, 2026-27

    Best for a low-cost certificate near Wausau

    Northcentral Technical College (Wausau, WI, public) runs this on campus certificate. The school publishes a price of $692 for the program (2026-27). Clinical: Lecture and lab experiences.

    Credits
    3
    Clinical
    Yesincluded
    Cost
    $692published total, 2026-27
    Includes
    • Clinicals
  6. Nebraska Methodist College: Sterile Processing Technician Certificate ProgramSterile Processing Technician Certificate Program

    $795published total, 2026-27

    Best for a low-cost course near Omaha

    Nebraska Methodist College (Omaha, NE, private nonprofit) runs this hybrid non-credit course (Eight weeks (FAQ says six weeks)). The school publishes a price of $795 for the program (2026-27). Clinical: Hands-on clinicals one afternoon a week at Methodist Hospital.

    Weeks
    8Eight weeks (FAQ says six weeks)
    Clinical
    Yesincluded
    Cost
    $795published total, 2026-27
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  7. Des Moines Area Community College: Sterile Processing Supply TechSterile Processing Supply Tech

    $899published total

    Best for a low-cost course near Ankeny

    Des Moines Area Community College (Ankeny, IA, public) runs this non-credit course. The school publishes a price of $899 for the program. Clinical: 20 hours of clinical experience.

    Hours
    60instruction
    Clinical
    20hours
    Cost
    $899published total
    Includes
    • Clinicals
  8. Del Mar College: Sterile Processing TechnicianSterile Processing Technician

    $900published total

    Best for a low-cost course near Corpus Christi

    Del Mar College (Corpus Christi, TX, public) runs this hybrid non-credit course. The school publishes a price of $900 for the program. Clinical: Clinical rotations at local hospital sites.

    Hours
    80instruction
    Clinical
    Yesincluded
    Cost
    $900published total
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA

Externship Programs With the Highest Overall Score

How this list is ranked: highest score first. The score (out of 100) adds hands-on training (35), certification prep (25), published cost (25) and the school's federal track record in sterile processing (15), each from the school's own pages or IPEDS; a part a program has no figure for is left out and the rest are rescaled. One program per school; programs not admitting students are left out.

  1. McHenry County College: Sterile Processing Technician TrainingSterile Processing Technician Training

    87score of 100

    Best for the CRCST's 400 hours with the exam fee paid near Crystal Lake

    McHenry County College (Crystal Lake, IL, public) runs this on campus non-credit course. The school publishes a price of $1,999 for the program. Clinical: Classroom lessons and hands-on clinical labs; after passing the CRCST exam, students complete a 400-hour clinical internship with a preceptor-set schedule.

    Clinical
    400hours, meets 400
    Cost
    $1,999published total
    Includes
    • Clinicals
    • Exam voucher
    • Textbook
    Prepares for
    • CRCSTHSPA
  2. Best for covering the CRCST's 400 hands-on hours near Antioch

    Contra Costa Medical Career College (Antioch, CA, private for-profit) runs this certificate (28 weeks). Clinical: 400-hour clinical externship. The school reported 104 sterile processing awards for 2022-23 (IPEDS).

    Weeks
    2828 weeks
    Hours
    744instruction
    Clinical
    400hours, meets 400
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
    • CSPDTCBSPD
  3. Community College of Baltimore County: Central Service Technician, Continuing Education Workforce CertificateCentral Service Technician, Continuing Education Workforce Certificate

    86score of 100

    Best for the CRCST's 400 hours with the exam fee paid near Essex

    Community College of Baltimore County (Essex, MD) runs this on campus non-credit course. The school publishes a price of $2,063 for the program. Clinical: Optional Central Service Technician Clinical I-IV (AHL 046-049), 100 hours each, 400 hours in total; not required to complete the program.

    Hours
    72instruction
    Clinical
    400hours, meets 400
    Cost
    $2,063published total
    Includes
    • Clinicals
    • Exam voucher
    Prepares for
    • CRCSTHSPA
  4. Central Coast College: Sterile Processing TechnicianSterile Processing Technician

    83score of 100

    Best for covering the CRCST's 400 hands-on hours near Salinas

    Central Coast College (Salinas, CA, private for-profit) runs this hybrid certificate (32 weeks). Clinical: 400-hour clinical externship.

    Weeks
    3232 weeks
    Hours
    830instruction
    Clinical
    400hours, meets 400
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  5. Best for covering the CRCST's 400 hands-on hours near Bakersfield

    High Desert Medical College-Bakersfield (Bakersfield, CA) runs this hybrid certificate (32 weeks). Clinical: 400-hour clinical externship. Evening classes are offered.

    Weeks
    3232 weeks
    Hours
    830instruction
    Clinical
    400hours, meets 400
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  6. Best for covering the CRCST's 400 hands-on hours near Lancaster

    High Desert Medical College-Lancaster (Lancaster, CA) runs this hybrid certificate (32 weeks). Clinical: 400-hour clinical externship. Evening classes are offered.

    Weeks
    3232 weeks
    Hours
    830instruction
    Clinical
    400hours, meets 400
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  7. Best for covering the CRCST's 400 hands-on hours near Temecula

    High Desert Medical College-Temecula (Temecula, CA) runs this hybrid certificate (32 weeks). Clinical: 400-hour clinical externship. Evening classes are offered.

    Weeks
    3232 weeks
    Hours
    830instruction
    Clinical
    400hours, meets 400
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA
  8. Integrity College of Health: Sterile Processing TechnicianSterile Processing Technician

    83score of 100

    Best for covering the CRCST's 400 hands-on hours near Pasadena

    Integrity College of Health (Pasadena, CA, private for-profit) runs this hybrid certificate (32 weeks). Clinical: 400-hour clinical externship.

    Weeks
    3232 weeks
    Hours
    830instruction
    Clinical
    400hours, meets 400
    Includes
    • Clinicals
    Prepares for
    • CRCSTHSPA

How Each Program Is Scored

Each program gets a score out of 100 from figures on the school's own pages and federal data. A part a program has no figure for is left out and the others are rescaled, so a missing fact never counts against it and nothing is guessed. Each ranking lists one program per school and leaves out programs not admitting students.

PartWeightWhat it measures
Hands-on training35Clinical hours the program states, measured against the 400 hands-on hours HSPA's CRCST requires. A program at 400 hours or more scores full marks; clinical time without stated hours scores 15 of 35.
Certification prep2515 points when the program's page names the CRCST or CSPDT exam, and 10 more when the exam fee or a voucher is included.
Cost25The whole-program price the school publishes, ranked against every priced program. Per-credit rates are never multiplied out.
Track record15Sterile processing awards the school reported to the U.S. Department of Education for 2022-23 (IPEDS, CIP 51.1012), on a log scale that reaches full marks at 50.

Full ranking methodology

A gloved hand lifts a pair of forceps above a tray of steel instruments laid out on a blue drape
Photo: Cedric Fauntleroy / Pexels

How to Get 400 Hours for Sterile Processing Technician Certification

HSPA (the Healthcare Sterile Processing Association, formerly IAHCSMM) grants full CRCST certification only after you show 400 hours of hands-on work in a sterile processing department. The hours can be paid or volunteer, and they have to cover five areas: 120 in decontamination, 120 in preparing and packaging instruments, 120 in sterilization and disinfection, 24 in storage and distribution and 16 in quality assurance.

Someone senior who watched you work signs off: a lead technician, supervisor, manager or hospital-based educator. A fellow technician or a private instructor can’t, and you can never document your own hours. That rule is why a campus lab, however good, doesn’t replace time in a real department.

There are three ways to get the hours:

  • A program with a 400-hour externship. The school arranges the hospital and you finish with everything HSPA asks for. 43 programs in this set do this.
  • A program with a shorter clinical. You get between 20 and 240 hours of department time and find the rest yourself.
  • Coursework first, hours on the job. You pass the exam, hold provisional CRCST and log the 400 hours at work within six months.

Of the 164 programs here that include some clinical time, 71 state the number of hours on their own pages, and the median among those is 400. The ranking sorts by that stated number, so a program that promises “clinical rotations” without a count sits lower even if its placement is long. The CRCST certification guide covers the exam itself. This page is about getting the hours.

Why Indian River and SOWELA Lead This Ranking

Indian River State College’s Central Service Technology certificate in Fort Pierce, Florida states the most clinical time of any program in the set. Its STS 0013L Central Sterile Processing Clinical runs 410 hours inside a 650-hour, six-month certificate that starts in Summer B.

SOWELA Technical Community College’s Sterile Processing Technology certificate in Lake Charles follows with 405 contact hours in its STPR 2106 practicum, at clinical sites across Southwest Louisiana, inside a 20-credit Certificate of Technical Studies that starts in the fall.

Below those two, the top programs all state exactly 400 hours, and ties go to the lower published cost. That is why Delaware County Community College’s course in Pennsylvania ranks third: Wednesday evening classes from January 27 to May 19, 2027, then a 400-hour placement, for $1,295 with books and course materials included.

Program Clinical hours and site When the hours happen Published cost
Indian River State College, Central Service Technology 410 hours (STS 0013L) Inside a 6-month certificate
SOWELA Technical Community College, Sterile Processing Technology 405 contact hours at Southwest Louisiana sites Practicum inside the 20-credit certificate
Delaware County Community College 400 hours After 60 hours of classroom and lab $1,295, voucher extra
McHenry County College, Sterile Processing Technician Training 400 hours, preceptor-set schedule After you pass the CRCST exam $1,999, includes the HSPA exam fee
Community College of Baltimore County, Central Service Technician Four optional 100-hour clinical classes Optional; not needed to finish $2,063, plus $752 for the clinicals
Queensborough Community College hybrid class 400 hours with Northwell Health for eligible students After online classes and March labs $2,295
Montgomery County Community College, Sterile Processing 400 hours at Pottstown Hospital After the lectures, scheduled by the instructor $2,650
Rowan College at Burlington County, Central Services Technician 400 hours, typically 7:30 am to 3:30 pm weekdays After the March 1 to July 9 classes $2,750, includes textbook and one exam attempt
Bergen Community College, Sterile Processing Technician 400 unpaid hours at a medical or surgical center After about 10 weeks of theory $2,950
Yakima Valley College SPT Certificate 400 hours Inside two quarters, 19 credits $3,074.45, includes the $140 exam fee

A blank cost cell means the school lists only per-credit rates.

Filter All 164 With Externships Programs

Filter by credential, format, clinical hours, exam fee included, certification, schedule and state; tick up to three programs to compare them side by side.

164 programs

Program facts come from each school's own pages, reviewed November 2026. Cost is the price the school publishes for the whole program (a total or a single course fee); per-credit rates show as rates. Published prices often leave out the exam fee, books and background checks. Clinical hours, the exam fee and the textbook show as included only where the program's page says so; certification tags show the exams the page names.

Full 400-Hour Externships vs Partial Clinicals

Plenty of programs advertise clinical hours that cover only part of the 400. These courses are real training, but they leave you short for full CRCST.

Program Clinical time Exam it targets Published cost
Des Moines Area Community College 20 hours in a 60-contact-hour course $899
Piedmont Community College 27 hours during one week between weeks 8 and 13 CSPDT $353
Durham Technical Community College 30 hours, one day a week at an offsite hospital CSPDT $257.25
Iowa Western Community College 30 hours at CHI Mercy Council Bluffs, April 23 to May 13 $925
Wilson Community College 100 hours in a healthcare setting CRCST $348 in fees
Alamo Technical Institute 112 supervised hours CSPDT $3,855, exam voucher included
Fortis College, Houston 180 unpaid hours during office hours CRCST $18,063 tuition
SVSTI 240 hours over six weeks CSPDT $5,250

A blank exam cell means the course page names no exam.

Low prices and short clinicals go together. Durham Tech’s $257.25 is the lowest published cost among programs with clinical time, and its 30 hours give you a feel for a department rather than a route to full CRCST. Notice how many of these courses aim at CBSPD’s CSPDT. That credential doesn’t need 400 department hours: CBSPD accepts completion of a sterile processing training course with a grade of 70 or higher as one eligibility route, and the exam fee is $135. The CSPDT certification guide explains the other routes.

Some placements are optional or conditional. CCBC sells its four 100-hour clinical classes separately for $752. Queensborough’s 400 hours with Northwell Health are for eligible students. Central Sterilization Solutions in California includes an internship placement only at its $2,399 Premium level, against $1,599 for the Base level. And LaGuardia Community College says you secure the facility yourself for the 400-hour internship, with possible support.

Watch for hours that won’t count at all. Guilford Technical Community College says its clinical or simulation portion does not count toward the 400 hours for full CRCST, even though its $328 course makes you eligible for the exam and provisional status.

When the Clinical Placement Happens: Before or After the Exam

Programs run the hours and the exam in one of two orders, and the order changes what you hold when you finish.

Hours first, exam second. Delaware Technical Community College has you complete the program and its 400 internship hours, then take the CRCST exam, with the exam fee inside its $3,595 price. Atlanta Technical College’s Advanced TCC schedules both practicum courses in the second term and requires the 400 hours before you can sit for the exam. Bergen and Chesapeake College also put the clinical hours before the CRCST exam. Pass, and you can apply for full certification straight away.

Exam first, hours second. McHenry County College has you pass the CRCST exam, then complete a 400-hour internship on a preceptor-set schedule. Premiere Career College lets students take the HSPA provisional exam after the classroom portion, then completes CST104, 400 clock hours in a hospital central service department, within its $12,000 total. Fortis College and Fortis Institute in Houston have students sit the provisional CRCST exam in the final quarter.

Testing first starts a clock. Provisional CRCST gives you six months after passing to submit 400 hours, with a one-time two-month extension if you are working or volunteering in a sterile processing department and your supervisor requests it before your status expires. Miss it and the provisional credential is forfeited. If you test before your placement begins, check that the placement’s dates fit inside that window.

Plan Around Hospital Shifts, Not Class Times

The class schedule is the flexible part of most programs. The placement follows the department’s shifts.

  • Rowan College at Burlington County teaches in the evening, but the placement typically runs 7:30 am to 3:30 pm, Monday to Friday, subject to hospital availability.
  • Bergen Community College lists three shift patterns for its placement: 7 am to 3 pm, 3 to 11 pm, or 11 pm to 7 am. If you work days, that is the rare placement you might fit around a job.
  • Collins Career Technical Center in Ohio runs a January-to-June program with a 400-hour practicum from March to June, 6:30 am to 2:30 pm, for $5,250 tuition.
  • Aiken Technical College in South Carolina spreads its 400 hours across the spring and summer semesters, two days a week.
  • AIMS Education in New Jersey places every student through its internship department for a mandatory 400 hours during weekday business hours. AIMS reports a 73% job placement rate for its 15 graduates from July 2024 to June 2025.
  • Fletcher Technical Community College in Louisiana starts hospital rotations under a preceptor in late October and continues them through the spring semester.

Delaware Tech is the most flexible on the class side, with day, evening and Saturday sections, though it notes that internship hours and locations may differ from the course schedule. More options are in the evening and weekend programs ranking.

Unpaid Externships and the Costs That Come With Them

Expect to work your placement unpaid. Bergen, Fortis College and Pikes Peak State College, whose 400-hour SPI 1081 internship runs at sites in Colorado Springs, Pueblo, Canon City, Woodland Park or Denver, all say so. HSPA counts paid and volunteer hours alike, so the hours are worth the same either way.

Before a hospital lets you in, it will screen you. Those costs are sometimes in the price and sometimes on top of it.

Program Clinical requirements in the published price Extra costs listed
Delaware Tech Background check, drug screening, supplies and placement
Iowa Western Community College Background check and drug screening in the $925
Premiere Career College $100 background check and $600 medical fees in the $12,000
Wilson Community College $120 background check and drug test, $16 malpractice insurance Textbooks
Piedmont Community College $124 background check and drug screen $165 textbook, $135 exam
Yakima Valley College $120 background check, $18 malpractice, $100 scrubs and shoes
Kilgore College Certification exam $20 drug test, $30 background check, books
Fletcher Technical Community College Physical, labs, CPR, drug screen, uniforms

Seattle Central College’s I-BEST certificate quotes a rough $1,500 per quarter that includes vaccinations and certification, and J Sargeant Reynolds Community College lists about $225 for the background check and drug screening on top of tuition. The course cost guide breaks these extras down further.

What to Do if Your Program’s Clinical Hours Fall Short

A short clinical isn’t a dead end. You have three ways to close the gap.

Test for provisional CRCST and log the rest at work. Take a job or volunteer role in a sterile processing department, pass the exam, and submit the 400 hours within six months. Make sure your supervisor, lead technician or a hospital-based educator sees your work in all five areas, since only they can sign. The CRCST hours planner tracks your hours against HSPA’s five categories so you can see which area is behind.

Use hours you have already worked. Full CRCST accepts 400 hours completed within the five years before you apply. If you already work in a department, your hours may be enough without a placement. J Sargeant Reynolds Community College’s certificate offers competency-based credit for documented sterile processing work, in a certificate whose CSP 191 clinical runs 400 hours.

Switch to CSPDT. If you can’t get into a department at all, completing a training course with a grade of 70 or higher makes you eligible for CBSPD’s exam. Check which credential employers in your state accept first: the state requirements guide lists the states that set rules in law.

Which Sterile Processing Technician Programs With Externships Fit You

You have no healthcare experience. Choose a full 400-hour placement, because finding a department that takes an unaffiliated volunteer is the hardest part of the CRCST route. Delaware County Community College is the lowest-cost of those at $1,295, Rowan includes one exam attempt in its $2,750, and Yakima Valley’s $3,074.45 includes the $140 exam fee.

You already work in a hospital. Your department can supply the hours, so a short course such as Wilson’s or Durham Tech’s is enough to prepare you for the exam. Start logging hours across all five areas now.

You work days. Look at Bergen’s evening and overnight shifts, or plan time off for a weekday placement such as Rowan’s or Collins’s.

You want college credit. SOWELA (20 credits), Fletcher (21), Atlanta Tech (20) and Yakima Valley (19) build the 400 hours into credit certificates. Pikes Peak State College fits 18 credits and 400 hours into one semester.

You live in California. Contra Costa Medical Career College, with 104 sterile processing awards in 2022-23, High Desert Medical College’s three campuses and Central Coast College all build a 400-hour placement into 28- to 32-week certificates. See the California ranking for the rest.

A Checklist for Comparing Sterile Processing Externships

  • Get the hour count in writing. 43 programs here state 400 or more. “Clinical rotations” without a number may be 27 hours or 400.
  • Confirm who finds the site. AIMS places you through its internship department; LaGuardia expects you to secure the facility.
  • Make sure the hours are in a real department. Guilford’s own clinical or simulation hours don’t count toward CRCST.
  • Check whether the placement is optional. CCBC’s clinicals cost extra, and Queensborough’s are for eligible students.
  • Match the order to your plans. Hours-first programs finish with full CRCST; exam-first programs start a six-month clock.
  • Check the shift times, not just class times.
  • Price what the placement needs. Bergen’s $2,950 leaves out books, certification fees and scrubs; Delaware Tech’s $3,595 includes screening and exam fees.

To find programs near you, use the program finder, or compare the best sterile processing technician programs, the most affordable programs and online and hybrid programs.

Frequently Asked Questions

Do Clinical Hours From a Training Program Count Toward the CRCST?

Yes, when they are completed in a sterile processing department and documented by someone senior who watched you work, such as a lead technician, supervisor, manager or hospital-based educator. HSPA doesn't accept hours documented by technicians or private instructors. Guilford Technical Community College says its own clinical or simulation portion does not count toward the 400 hours.

Are Sterile Processing Externships Paid?

Plan on unpaid. Bergen Community College, Pikes Peak State College and Fortis College all describe their placements as unpaid. HSPA counts paid and volunteer hours the same way, so a paid job in a sterile processing department is the other route to the 400 hours.

Where Are Sterile Processing Programs With Clinical Hours Near Me?

Programs with clinical time are in 32 states. California has the most in this set with 19, followed by Texas with 15 and New York with 12. The program finder sorts them by location, and each state ranking lists clinical hours program by program.

How Long Does a 400-Hour Sterile Processing Externship Take?

It depends on the shift pattern. Collins Career Technical Center runs its 400-hour practicum from March to June on weekdays from 6:30 a.m. to 2:30 p.m., Seattle Central College's I-BEST certificate fits it into the summer quarter, and Fletcher Technical Community College spreads rotations from late October through the spring semester.

Who Can Sign Off on Your 400 CRCST Hours?

A lead technician, coordinator, supervisor, manager, director or hospital-based educator who is senior to you and physically saw you do the work. HSPA does not allow you to document your own hours.

Do You Need CPR or BLS Before a Clinical Placement?

Several programs require or include it. Southern California Regional Occupational Center requires students to be 18 or older and hold BLS certification for its placement, Durham Technical Community College adds a 4-hour BLS course, and the University of Central Missouri course includes American Heart Association Basic Life Support certification.

More Sterile Processing Rankings and Guides

Sources

  1. Official program, tuition and admissions pages of each school listed, reviewed November 2026
  2. U.S. Department of Education, IPEDS 2022-23 completions: sterile processing awards (CIP 51.1012)
  3. Healthcare Sterile Processing Association (HSPA): CRCST certification
  4. Certification Board for Sterile Processing and Distribution (CBSPD)
  5. HSPA: CRCST certification application and hands-on hour requirements
  6. CBSPD: CSPDT technician certification exam

Every program on this site was checked on the school's own website in November 2026. Clinical hours, exam prep and fees are shown as each school states them. Certification rules come from HSPA and CBSPD's own pages, and school completions from U.S. Department of Education (IPEDS) data. Sponsored listings are labeled as ads and never change which programs we list or how we rank them. How we verify programs