Virginia employed nearly 16,000 medical assistants as of May 2025, with a median medical assistant salary of $42,310 and steady demand across metro areas from Northern Virginia to Virginia Beach. The state does not require a license to practice, so the real decision comes down to picking the right program: balancing tuition costs that range from a few thousand dollars at community colleges to well over $15,000 at private career schools, weighing CAAHEP or ABHES accreditation against schedule flexibility, and choosing between a certificate you can finish in under a year or an associate degree that may open more doors. Employers increasingly expect a national medical assistant certification like the CMA or CCMA, which means graduation alone is not always enough.
Top Medical Assistant Programs in Virginia (Ranked List)
Virginia offers a strong mix of community college, private career college, and hospital-based medical assistant programs. Whether you want a fast certificate, an associate degree, or a hybrid schedule, the schools below bring distinct strengths in affordability, clinical hours, and certification preparation. Use the cards to compare the top options and find the right fit for your location and goals.
Chester Career College
#1CHESTER, VA · $20,000 – $25,000/yr
Best for: Working adults needing day or evening classes
Chester Career College combines a 62-credit associate of applied science with day and evening scheduling, which appeals to working adults near Richmond. The curriculum blends medical office procedures, patient care, pharmacology, and two externships, and the college reports a 63% graduation rate. It holds national accreditation through the Council on Occupational Education and prepares graduates for the NCCT exam.
- Associate of Applied Science degree
- 62 total credit hours
- Day and evening class options
- Includes externship I and II
- Prepares for NCCT certification exam
- Covers patient care, pharmacology, and lab procedures
- Accredited by Council on Occupational Education
Virginia Western Community College
#2Roanoke, VA · $5,000 – $12,000/yr
Best for: Budget-conscious Roanoke-area career changers
Virginia Western Community College's 15-week CCMA track is a strong budget pick. In-state students may reduce costs through Virginia FastForward or G3 funding, and the program includes textbooks, study materials, practice exams, and the CCMA exam fee. Applicants need a high school diploma or GED and must complete basic English and computer readiness checks. The college reports a 40% graduation rate and a net price around $4,966.
- 15-week accelerated program
- Tuition includes textbooks and study materials
- Tuition includes practice exams and CCMA exam fee
- High school diploma or GED required
- English and computer skills assessments required
- Optional clinical component available
Eastern Virginia Career College
#3Fredericksburg, VA
Best for: Time-pressed learners near Fredericksburg or Richmond
Eastern Virginia Career College offers a fast associate of applied science that can be completed in less than one year, with campuses in Fredericksburg and Richmond. The program includes 1,200 total course hours, an externship, CPR certification, and training in phlebotomy and EKG. Its 66% graduation rate and 7:1 student-to-faculty ratio support a focused, hands-on learning environment. Graduates are eligible for the NHA CMA exam.
- Less than one year completion
- 60 total credit hours
- 1,200 total course hours
- Includes externship and CPR certification
- Eligible for NHA CMA exam
- Teaches phlebotomy and EKG techniques
- Campus options in Fredericksburg and Richmond
Northern Virginia Community College
#4Annandale, VA · $10,000/yr (net price)
Northern Virginia Community College's hybrid CCMA certificate is designed for career changers in the DC metro area. The workforce program includes the NHA exam fee, digital books, and BLS certification in tuition, and eligible Virginia residents can use FastForward or G3 funding to lower costs. The college reports a net price of about $9,919 and serves students through NOVA Workforce, with a pipeline partnership in Woodbridge.
- Allied healthcare program
- Leads to industry certification
- Offered through NOVA Workforce
- Hybrid online and on-campus delivery
ECPI University
#5Virginia Beach, VA · $23,000/yr (net price)
ECPI University offers both a 15-month associate degree and an 11-month diploma in medical assisting across several Virginia campuses, including Virginia Beach, Newport News, Richmond, and Roanoke. Both tracks include an externship and prepare students for credentials such as CMA, RMA, CPT, or EKG Technician. ECPI is accredited by ABHES and reports a graduation rate of about 42%.
- 15-month accelerated program
- 61 total credit hours
- Includes a 5-week externship
- Eligible for CMA, RMA, CPT, or EKG Technician
- ABHES-accredited program
- Hands-on laboratory training
- 11-month program
- 46 total credit hours
- Full-time enrollment required
- Externship included
- Certification prep for CMA and RMA
- Eligible for CPT and EKG certifications
Tidewater Community College
#6Norfolk, VA · $12,000/yr
Tidewater Community College's clinical medical assisting certificate is one of the most affordable paths in Hampton Roads, with a program tuition of $3,240 and FastForward funding that can cut the upfront cost to $1,080 for eligible residents. Students complete 120 clinical hours, daytime or evening sessions, and embedded CCMA, BLS, OSHA, and HIPAA certifications. The college reports a net price around $11,762.
- $3,240 total program tuition
- 120 clinical hours
- Prepares for CCMA
- Grant pays two-thirds of tuition for eligible students
- Evening and daytime sessions available
- No college degree required
American National University
#7Salem, VA · ~$18,000/yr (est.)
American National University's 48-credit certificate in Salem emphasizes hands-on clinical skills like venipuncture and EKGs, plus an externship. Graduates can sit for RMA and CMA exams, and the credential stacks into associate, bachelor's, and MBA programs. The school reports an 83% retention rate and accepts military benefits, making it a practical option in the Roanoke Valley.
- 48 total credit hours
- Prepares for RMA and CMA exams
- Clinical externship included
- Hands-on skills: venipuncture, EKGs
- Stackable to bachelor's and MBA
- Military benefits accepted
Eastern Shore Community College
#8Melfa, VA · ~$2,000/yr (est.)
Eastern Shore Community College's online medical assisting certificate prepares students for the NCCT exam through a multi-skilled healthcare curriculum. Located in Melfa, it is part of the Virginia Community College System and offers an in-state net price around $2,495. The program prepares graduates for roles in clinics, hospitals, urgent care, and long-term care settings.
- Multi-skilled health care training
- Eligible for NCCT certification
- Careers in hospitals and clinics
- Administrative and clinical duties
- Online delivery format
Bryant & Stratton College-Virginia Beach
#9Virginia Beach, VA · $12,000/yr
Bryant & Stratton College in Virginia Beach offers a CAAHEP-accredited associate of applied science in medical assisting that can be completed in under two years. The 62-credit program includes an internship and covers medical terminology, anatomy, clinical procedures, and pharmacology. It reports a 100% retention rate and prepares graduates for the CMA exam.
- 62 total credits required
- Under 2 years program length
- Includes internship experience
- Prepares for CMA certification
- Covers medical terminology, anatomy, and pharmacology
- CAAHEP accredited
Sentara College of Health Sciences
#10Chesapeake, VA
Sentara College of Health Sciences combines online coursework with on-campus labs and over 450 clinical hours in a one-year certificate. The program boasts a 100% certification pass rate and offers placement assistance within Sentara, a major health system in Hampton Roads. Sentara employees may receive tuition assistance.
- 1-year program
- 450 clinical hours
- 100% licensure pass rate
- Hybrid online and on-campus learning
- Prepares for NHA certification
- Placement assistance within Sentara
- Tuition assistance for Sentara employees
How We Ranked the Best Medical Assistant Schools in Virginia
A school with the lowest advertised tuition and a school with the strongest graduate outcomes are not always the same place, so our ranking balances affordability, completion, and access instead of chasing a single number.
What We Weigh
Cost is a major factor. We compare published tuition and average net price, the amount students pay after grants and scholarships are subtracted. Net price is an average across students, so your individual award package may look different.
We also look at student outcomes. The graduation rate we use is institution-wide rather than specific to individual accredited medical assistant programs, since program-level graduation data is often not reported. When program-level earnings are available, we consider those figures as well.
Accessibility rounds out the ranking. Schools that offer online or hybrid formats and enroll a meaningful share of Pell Grant students tend to score better, because those features make the program more reachable for working adults and lower-income students.
What We Do Not Rank
Accreditation status and externship hours are intentionally left out of the ranking. Accreditation is treated as a baseline requirement and explained in the Medical Assistant Certification section, while externship hours, placement support, and site expectations are covered in the Medical Assistant Externship section. That keeps the ranking focused on cost, outcomes, and access without duplicating the sections designed to walk you through those decisions.
Cost Comparison: Tuition and Net Price at Virginia Medical Assistant Programs
These figures compare list tuition and federal net price for the ten most affordable Virginia medical assistant programs in our ranking. Net price reflects what students typically pay after grants and scholarships, and is the more useful comparison for most students; published program totals can vary because some schools bundle books, supplies, exams, or background checks while others list tuition only. For example, Old Dominion University posts an all-in program cost of about $2,035 even though its tuition line is $7,848, and Vital Medical Institute lists a total of $4,995, so confirm what each price includes before enrolling. Median earnings and debt figures come from federal data for students who received aid.
| School | Program | In-State Tuition | Out-of-State Tuition | Net Price | Median Earnings After Attendance | Median Debt After Graduation |
|---|---|---|---|---|---|---|
| Eastern Shore Community College | Medical Assisting (Certificate) | $5,082 | $11,520 | $2,495 | $32,418 | N/A |
| Virginia Western Community College | Medical Assisting (CCMA) | $5,400 | $11,838 | $4,966 | $38,787 | $11,000 |
| Virginia Highlands Community College | Medical Assisting (Certificate) | $5,022 | $11,460 | $5,375 | $32,681 | N/A |
| Piedmont Virginia Community College | Clinical Medical Assistant (Certificate) | $5,072 | $11,510 | $5,963 | $40,752 | $8,750 |
| Laurel Ridge Community College | Medical Assistant Program (CCMA) | $5,072 | $11,510 | $6,013 | $41,000 | $9,750 |
| Danville Community College | Certified Clinical Medical Assistant | $4,992 | $11,430 | $6,669 | $31,664 | $9,000 |
| Virginia Peninsula Community College | Clinical Medical Assistant | $5,088 | $11,526 | $7,012 | $37,996 | $9,500 |
| Northern Virginia Community College | Certified Clinical Medical Assistant (CCMA) | $5,891 | $12,410 | $9,919 | $53,557 | $11,000 |
| Tidewater Community College | Clinical Medical Assisting | $5,588 | $12,296 | $11,762 | $38,349 | $10,000 |
| Bryant & Stratton College-Virginia Beach | Associate of Applied Science in Medical Assisting | $18,489 | $18,489 | $12,038 | $32,568 | $21,549 |
Virginia by City
Related Articles
Online vs On-Campus Medical Assistant Programs in Virginia
Among the top-ranked medical assistant programs in Virginia, most follow an on-campus format, though several schools now offer hybrid or fully online coursework options. Understanding how each delivery method fits your schedule, learning style, and career goals will help you plan how to become a medical assistant.
On-Campus Programs: Hands-On Learning and Direct Connections
Traditional classroom programs remain the most common format across Virginia community colleges and career schools. On-campus students benefit from:
- Immediate lab access: Practice phlebotomy, EKG procedures, and clinical medical assistant skills in fully equipped labs under instructor supervision.
- Peer networking: Build relationships with classmates who may become future colleagues or professional references.
- Structured schedules: Fixed class times help students who thrive with routine accountability.
For learners who prefer real-time feedback and in-person demonstrations, campus-based training often feels more immersive.
Online Programs: Flexibility for Busy Schedules
Online medical assistant certificate and diploma programs appeal to working adults, parents, or students balancing multiple commitments. You complete lectures, quizzes, and written coursework at your own pace, often logging in during evenings or weekends. This format suits self-motivated learners comfortable with digital platforms.
However, flexibility does not mean fully remote training. Even online programs require an in-person clinical externship, typically ranging from 160 to 240 hours at a healthcare facility. You will still perform hands-on patient care, administrative tasks, and supervised procedures before graduating.
Choosing Your Format
Consider your daily routine, transportation access, and how you learn best. On-campus programs offer structure and immediate skill practice, while online options let you manage coursework around existing responsibilities. Either way, expect to complete clinical hours in person to prepare for certification exams and employer expectations.
How to Become a Medical Assistant in Virginia: Step-By-Step
Virginia does not require a state license to work as a medical assistant, but most employers expect a national certification such as CMA, CCMA, or NCMA. Follow these five steps to move from education to employment.

Medical Assistant Certification in Virginia: CMA, CCMA, and NCMA
Virginia is one of the states where medical assistants work without a state license, a state exam, or mandatory registration, which shifts the certification decision from a legal question to a hiring-market one.1 As of 2026, the Virginia Department of Health Professions treats the credential as voluntary, and no licensure changes for medical assistants are pending on the current legislative calendar.2 Employers, not the state, decide what gets you hired.
The three credentials Virginia employers recognize
Three national medical assistant certifications show up most often in Virginia job postings, including at systems like Inova Health System, Sentara Healthcare, and VCU Health.1
- CMA (AAMA): Issued by the American Association of Medical Assistants.3 Historically the credential most closely tied to CAAHEP or ABHES accredited programs, and often the first one clinical hiring managers recognize by name.
- CCMA (NHA): Issued by the National Healthcareer Association.4 Eligibility requires a high school diploma or GED (or completion scheduled within 12 months), plus one of the following: completion of a medical assistant training program within the last 5 years, one year of supervised work experience within the last 3 years, or two years of supervised work experience within the last 5 years.
- NCMA (NCCT): Issued by the National Center for Competency Testing.5 Accepted by Virginia employers, though it appears less frequently in job listings than CMA or CCMA.
Exam fees, retake policies, and continuing education requirements vary by issuing body, so confirm current pricing directly with AAMA, NHA, or NCCT before you register.
Is certification actually required?
Legally, no. Virginia does not require a license, certification, board exam, or registration to work as a medical assistant in 2026.1 Practically, most hospital systems and larger primary care groups list a national credential as a preferred or required qualification, and some will hire graduates on the condition that they sit for an exam within a set window after start date. Smaller private practices are more flexible.
Exam prep at Virginia programs
Many Virginia community college and career school programs align their curriculum to one specific exam, most commonly the CCMA or CMA, and some include a voucher in tuition. Ask each program which exam their graduates typically sit for, whether a voucher is bundled, and what recent first-attempt CMA exam pass rates look like before you enroll.
Medical Assistant Externships in Virginia: Hours, Placement, and Support
Externship requirements in Virginia are uneven, and the most important question to ask is not just how many hours you will complete but whether the school will place you or leave you to find your own site.
Typical hour requirements
Published externship hour totals vary widely. Tidewater Medical Training lists 40 clinical hours.1 Herzing University Virginia requires 180 hours in a final 8-week term, usually 25 to 40 hours per week during daytime shifts.2 EHired requires a self-managed 100-hour externship for students without prior clinical experience.3 ECPI University schedules a 5-week externship in its Medical Assistant Associate's Degree program but does not publish a separate hour total. Some programs, such as Piedmont Virginia Community College and Vital Phlebotomy, keep the externship optional.45
How placement works
Support also varies by school. Herzing expects students to locate and secure the site, although a clinical coordinator can assist in Virginia.2 EHired explicitly uses a self-managed model.3 AVI includes externship hours within its 720-hour program total and offers staff support for the job search, but full placement is not clearly guaranteed.6
Questions to ask before enrolling
Ask whether the school arranges the site, approves a student-found site, or leaves placement entirely to you. Request the placement rate for Virginia students and ask what support you get if a site cancels. Also confirm background check, immunization, and CPR requirements early, because missing these can delay your externship start.
For several programs, placement support and hour totals are not clearly published, so treat missing details as an open question rather than assuming the school will handle them.
Admissions Prerequisites for Virginia Medical Assistant Programs
Admissions requirements vary by school, but most Virginia medical assistant programs share a few common starting points.
- High school diploma or GEDMost programs require a high school diploma or GED and official transcripts on file. Piedmont Virginia Community College accepts a diploma, GED, or college degree; credentials earned outside the U.S. must be formally evaluated and translated.
- Age minimumsMinimum age varies by program. Piedmont Virginia Community College requires students to be at least 18 on the first day of class, while Virginia Highlands Community College does not list a minimum age in its materials. Some programs may be open to students 18 or older, but this is not universal.
- Prerequisite courseworkVirginia Highlands Community College requires science, Algebra I, and computer applications with a grade of C or better, plus an overall GPA of at least 2.0. Applicants may also need to attend an informational session and possibly complete an interview. Other schools may have different or fewer prerequisites.
- Entrance assessmentsThere is no statewide Virginia entrance exam. Virginia Highlands requires the Health Occupations Aptitude Examination (HOAE). Piedmont Virginia Community College uses a CASAS assessment for non-native English speakers, and Herzing University may require ACT/SAT scores or a placement test depending on prior college credit.
- Background checks and health requirementsSome programs with direct patient contact require a criminal background check, drug screening, immunizations, and a health check, Herzing University Virginia lists these. Other schools may add clinical placement requirements once students are accepted.
Career Outlook: Jobs and Salaries for Medical Assistants in Virginia
Across Virginia, medical assistants earned a median annual wage of $42,310 as of May 2025, with total employment of 15,990 jobs. Pay varies by metro area, from about $36,800 in the Alexandria area to $46,950 in the Virginia Beach area. Program level graduate earnings and job placement rates are not yet available from official sources, so these regional figures provide the clearest current benchmark for new medical assistants.
| Location | Median Annual Wage | Total Employment |
|---|---|---|
| Virginia | $42,310 | 15,990 |
| Virginia Beach metro area | $46,950 | 5,596 |
| Norfolk metro area | $44,850 | 4,477 |
| Chesapeake metro area | $43,600 | 2,878 |
| Richmond metro area | $40,600 | 1,439 |
| Arlington metro area | $38,500 | 959 |
| Alexandria metro area | $36,800 | 639 |
Additional Medical Assistant Programs in Virginia to Consider
These additional Virginia schools also offer medical assistant training and are worth considering alongside the programs ranked above. Each school may have different strengths, such as shorter timelines, online flexibility, or lower tuition, so browse the directory to find the best fit for your schedule, budget, and career goals.
Hampton Roads
- Associates of Occupational Science in Medical Assisting
- Associates of Occupational Science in Medical Assisting
- Medical Assistant Diploma
- Associates of Occupational Science in Medical Assisting
- Certified Medical Assistant
- Clinical Medical Assistant
- Certified Medical Administrative Assistant
- Certified Clinical Medical Assistant
Shenandoah Valley
- Medical Assistant Program (CCMA)
- Certified Clinical Medical Assistant
Central Virginia
- Clinical Medical Assistant
- Medical Office Assistant Certificate
Southern Virginia
- Certified Clinical Medical Assistant
Southwest Virginia
- Medical Assisting






