Home » College SAT Score Ranges, Costs, and Programs by Major and State » Best Pre-Med Colleges » Pre-Med Colleges in Tennessee: SAT Scores, ACT Scores, Costs, and Programs
By Glyn Caddell, BSME · Author of Digital SAT Math Secrets · Tutoring since 2008 — Updated October 16, 2026
Twenty-five Tennessee colleges with pre-med programs, what they cost, and the test scores of the students they admit.
Tennessee pays for two ACT attempts for every public school student, one in junior year and one in senior year, and the state’s largest scholarship then refuses to combine the two scores.
Scores are given by section for the SAT and as a composite for the ACT, because a student at 650 Reading & Writing and 540 Math is in a different position from a student at 540 and 650.
Two abbreviations run through the second half of this page. MD is the degree awarded by most medical schools in the United States. DO is the degree awarded by colleges of osteopathic medicine, and DO holders are licensed physicians with the same practice rights. Tennessee has both, in unusual numbers.
Table of Contents
- Tennessee Pre-Med Colleges by SAT Score
- Tennessee Pays for Your Second ACT and Will Not Add It to Your First
- What Does the HOPE Scholarship Actually Require?
- An ACT 28 at MTSU Buys a Conditional Seat at Meharry
- Why Three Colleges’ SAT and ACT Numbers Contradict Each Other
- Tennessee Has Five MD Programs and Two DO Colleges
- What If Your Scores Are Below the Range You Want?
Tennessee Pre-Med Colleges by SAT Score
The table below covers every four-year public and non-profit institution in Tennessee with at least 1,000 undergraduates that reports an admit rate or admitted test scores. Twenty-five institutions meet that description. Tennessee has more four-year colleges than most states in this series, and without a size floor the table would run past thirty rows.
Colleges are sorted by the midpoint of the two SAT section ranges, with ties broken on the Math 75th percentile. The two colleges reporting no scores go last, ordered by size. An ACT column is included because Tennessee’s state assessment and its scholarship thresholds are both written in ACT points, so that column is the one a Tennessee student checks his scholarship eligibility against.
| College | SAT Reading & Writing | SAT Math | ACT composite | Cost of attendance | Undergraduates | Admit rate |
|---|---|---|---|---|---|---|
| Vanderbilt University | 730 to 770 | 770 to 800 | 34 to 35 | $89,590 | 7,208 | 6% |
| Rhodes College | 650 to 733 | 650 to 753 | 26 to 32 | $71,136 | 1,836 | 50% |
| Fisk University | 570 to 720 | 570 to 790 | 19 to 24 | $39,450 | 1,035 | 37% |
| The University of the South | 640 to 710 | 620 to 680 | 27 to 31 | $71,986 | 1,607 | 57% |
| The University of Tennessee-Knoxville | 600 to 680 | 600 to 690 | 25 to 31 | $33,678 | 30,418 | 42% |
| Union University | 600 to 710 | 560 to 680 | 22 to 30 | $58,363 | 1,607 | 60% |
| Lipscomb University | 590 to 700 | 570 to 680 | 23 to 30 | $55,117 | 2,997 | 68% |
| Belmont University | 600 to 690 | 560 to 660 | 24 to 30 | $62,570 | 7,137 | 95% |
| Tennessee Technological University | 528 to 650 | 520 to 660 | 20 to 27 | $25,663 | 8,698 | 76% |
| Southern Adventist University | 530 to 660 | 490 to 640 | 19 to 25 | $38,618 | 2,773 | 66% |
| Lee University | 540 to 630 | 500 to 600 | 20 to 27 | $35,688 | 2,617 | 71% |
| Middle Tennessee State University | 520 to 630 | 490 to 600 | 20 to 26 | $24,289 | 16,301 | 69% |
| The University of Tennessee-Chattanooga | 513 to 620 | 500 to 590 | 20 to 26 | $25,489 | 10,074 | 81% |
| Trevecca Nazarene University | 510 to 610 | 470 to 625 | 18 to 24 | $41,548 | 1,737 | 69% |
| Lincoln Memorial University | 510 to 610 | 490 to 600 | 18 to 24 | $41,530 | 1,572 | 63% |
| East Tennessee State University | 510 to 620 | 470 to 580 | 19 to 26 | $27,042 | 10,004 | 86% |
| The University of Tennessee-Martin | 500 to 610 | 470 to 600 | 19 to 25 | $23,079 | 4,866 | 88% |
| Carson-Newman University | 500 to 645 | 455 to 570 | 19 to 25 | $49,024 | 1,387 | 90% |
| Freed-Hardeman University | 481 to 549 | 471 to 538 | 19 to 26 | $38,315 | 1,212 | 60% |
| University of Memphis | 480 to 600 | 435 to 580 | 18 to 24 | $25,169 | 12,701 | 72% |
| Tennessee State University | 460 to 540 | 420 to 510 | 16 to 21 | $25,637 | 4,848 | 70% |
| Austin Peay State University | 445 to 573 | 398 to 553 | 18 to 24 | $22,233 | 7,560 | 96% |
| Bethel University | 410 to 570 | 420 to 550 | 15 to 21 | $31,203 | 1,547 | 60% |
| Cumberland University | Not reported | Not reported | Not reported | $43,358 | 2,104 | 67% |
| Maryville College | Not reported | Not reported | Not reported | $54,622 | 1,005 | 61% |
Each range covers the middle 50% of admitted students who submitted scores. A quarter scored below the lower number, and the top quarter scored at or above the upper one. Being under the lower number does not rule a student out, and being just above it is not as safe as it looks.
Two institutions below the size threshold are worth naming because their absence is otherwise odd. The University of Tennessee Southern in Pulaski enrolls 864 undergraduates at a cost of attendance of $24,750 and admits 87%, and it is a University of Tennessee campus when four others appear above. Baptist Health Sciences University in Memphis enrolls 770 at a cost of $22,227 and admits 82%, and it now houses a college of osteopathic medicine that the medical school section below covers.
Four things in that table are worth stopping on.
The second most selective institution in Tennessee is Fisk University, which admits 37% of applicants. UT Knoxville admits 42% and Rhodes 50%. Only Vanderbilt is lower, at 6%. An HBCU of 1,035 undergraduates is more selective than the state flagship, and nothing else on this page would lead a reader to expect that.
Cost of attendance runs from $22,233 at Austin Peay to $89,590 at Vanderbilt. That is a spread of better than four to one, the widest in this series.
Belmont admits 95% of applicants while reporting an ACT range of 24 to 30 and a cost of attendance of $62,570. High reported scores, near-open admission and a high price sit together in one row, and a cost column exists to make that visible.
Tennessee’s public universities differ enormously in what they charge non-residents. East Tennessee State charges out-of-state students $4,050 more than residents. Middle Tennessee State charges $21,308 more and UT Knoxville $19,444 more. That is a fivefold spread inside a single state system, and an out-of-state student pays $14,522 at East Tennessee State against $33,256 at UT Knoxville.
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Vanderbilt University
Vanderbilt University is a private research university in Nashville with 7,208 undergraduates, and it admits 6% of applicants, the lowest rate in Tennessee by a wide margin. Admitted students scored 730 to 770 in Reading & Writing and 770 to 800 in Math, so the top quarter were at or above 770 and 800. The ACT range is 34 to 35. Tuition and fees are $67,498 against a total cost of attendance of $89,590, the highest on this page.
The Vanderbilt University School of Medicine is on this campus. A medical school on campus helps an undergraduate find shadowing and research. It does not improve his odds of admission there.
Rhodes College
Rhodes College is a private liberal arts college in Memphis with 1,836 undergraduates and a 50% admit rate. The admitted range runs 650 to 733 in Reading & Writing and 650 to 753 in Math, with the top quarter at or above 733 and 753. Its ACT range is 26 to 32. Rhodes charges $57,110 in tuition and fees against a total cost of attendance of $71,136.
Fisk University
Fisk University is a private historically Black university in Nashville with 1,035 undergraduates, and it admits 37% of applicants, the second lowest rate in the state. Its ACT range is 19 to 24. Its reported SAT ranges are 570 to 720 in Reading & Writing and 570 to 790 in Math.
Those two sets of figures do not agree with each other. A reported Math 75th percentile of 790 sits beside an ACT 75th percentile of 24, and the section below on contradictory score reporting works through why they cannot both describe the same admitted class. Fisk charges $25,858 in tuition and fees against a total cost of attendance of $39,450.
The University of the South
The University of the South, known as Sewanee, is a private liberal arts college on the Cumberland Plateau with 1,607 undergraduates. The middle half of admitted students scored 640 to 710 in Reading & Writing and 620 to 680 in Math, putting the top quarter at or above 710 and 680, against an ACT range of 27 to 31. It charges $56,120 in tuition and fees and costs $71,986 in total. Sewanee admits 57% of applicants.
The University of Tennessee-Knoxville
The University of Tennessee’s Knoxville campus is the largest institution in the state with 30,418 undergraduates, and it admits 42% of applicants. Admitted students scored 600 to 680 in Reading & Writing and 600 to 690 in Math, so the top quarter were at or above 680 and 690, with an ACT range of 25 to 31. Residents pay $13,812 in tuition and fees and non-residents $33,256, a gap of $19,444, against a total cost of attendance of $33,678.
Union University
Union University is a private Baptist university in Jackson with 1,607 undergraduates and a 60% admit rate. Its admitted range is 600 to 710 in Reading & Writing and 560 to 680 in Math, and the top quarter sat at or above 710 and 680. The ACT range is 22 to 30. Tuition and fees come to $40,025, and the total cost of attendance is $58,363.
Lipscomb University
Lipscomb University is a private Christian university in Nashville with 2,997 undergraduates. The admitted range runs 590 to 700 in Reading & Writing and 570 to 680 in Math, with the top quarter at or above 700 and 680, against an ACT range of 23 to 30. The university charges $40,572 in tuition and fees against a total cost of attendance of $55,117. Lipscomb admits 68% of applicants.
Lipscomb runs a graduate pathway into Belmont’s medical school, covered in the pathways section below.
Belmont University
Belmont University is a private university in Nashville with 7,137 undergraduates, and it admits 95% of applicants while reporting an ACT range of 24 to 30. Admitted students scored 600 to 690 in Reading & Writing and 560 to 660 in Math, so the top quarter were at or above 690 and 660. Tuition and fees are $42,540 against a total cost of attendance of $62,570.
The Thomas F. Frist, Jr. College of Medicine is on this campus, and its accreditation status changed in 2026. The medical school section below gives the current position with its dates.
Tennessee Technological University
Tennessee Technological University is a public university in Cookeville with 8,698 undergraduates and a 76% admit rate. The middle half of admitted students scored 528 to 650 in Reading & Writing and 520 to 660 in Math, putting the top quarter at or above 650 and 660, with an ACT range of 20 to 27. Tuition and fees run $11,376 for residents and $15,576 for non-residents, with a total cost of attendance of $25,663.
Southern Adventist University
Southern Adventist University is a private Seventh-day Adventist university in Collegedale with 2,773 undergraduates. Its admitted range is 530 to 660 in Reading & Writing and 490 to 640 in Math, and the top quarter sat at or above 660 and 640, against an ACT range of 19 to 25. It charges $27,300 in tuition and fees against a total cost of attendance of $38,618, and admits 66% of applicants.
Lee University
Lee University is a private Pentecostal university in Cleveland with 2,617 undergraduates and a 71% admit rate. Admitted students scored 540 to 630 in Reading & Writing and 500 to 600 in Math, so the top quarter were at or above 630 and 600. The ACT range is 20 to 27. Tuition and fees are $23,790, the second lowest private figure on this page, and the total cost of attendance is $35,688.
Middle Tennessee State University
Middle Tennessee State University is the second largest institution in the state with 16,301 undergraduates in Murfreesboro, and it admits 69% of applicants. The admitted range runs 520 to 630 in Reading & Writing and 490 to 600 in Math, with the top quarter at or above 630 and 600, against an ACT range of 20 to 26. Residents pay $10,266 in tuition and fees and non-residents $31,574, a gap of $21,308 that is the largest in the state. Total cost of attendance is $24,289.
MTSU runs the only route in Tennessee that settles medical school admission from high school, and it has its own section below.
The University of Tennessee-Chattanooga
The University of Tennessee’s Chattanooga campus enrolls 10,074 undergraduates and admits 81% of applicants. Its admitted range is 513 to 620 in Reading & Writing and 500 to 590 in Math, and the top quarter sat at or above 620 and 590, with an ACT range of 20 to 26. In-state tuition and fees are $10,448 and out-of-state tuition is $18,512, against a total cost of attendance of $25,489.
Trevecca Nazarene University
Trevecca Nazarene University is a private Nazarene university in Nashville with 1,737 undergraduates and a 69% admit rate. The middle half of admitted students scored 510 to 610 in Reading & Writing and 470 to 625 in Math, putting the top quarter at or above 610 and 625, against an ACT range of 18 to 24. Trevecca charges $31,300 in tuition and fees, with a total cost of attendance of $41,548.
Lincoln Memorial University
Lincoln Memorial University is a private university in Harrogate with 1,572 undergraduates, and it admits 63% of applicants. Admitted students scored 510 to 610 in Reading & Writing and 490 to 600 in Math, so the top quarter were at or above 610 and 600, with an ACT range of 18 to 24. It charges $26,938 in tuition and fees against a total cost of attendance of $41,530.
The DeBusk College of Osteopathic Medicine is on this campus, and it holds the strongest accreditation status of any medical school in Tennessee.
East Tennessee State University
East Tennessee State University is a public university in Johnson City with 10,004 undergraduates and an 86% admit rate. Its admitted range is 510 to 620 in Reading & Writing and 470 to 580 in Math, and the top quarter sat at or above 620 and 580, against an ACT range of 19 to 26. Residents pay $10,472 in tuition and fees and non-residents $14,522, the smallest out-of-state gap among Tennessee’s publics at $4,050. Total cost of attendance is $27,042.
The James H. Quillen College of Medicine is on this campus.
The University of Tennessee-Martin
The University of Tennessee’s Martin campus enrolls 4,866 undergraduates and admits 88% of applicants. The admitted range runs 500 to 610 in Reading & Writing and 470 to 600 in Math, with the top quarter at or above 610 and 600, and an ACT range of 19 to 25. In-state tuition and fees are $10,560 and out-of-state tuition is $16,600, against a total cost of attendance of $23,079, the second lowest on this page.
Carson-Newman University
Carson-Newman University is a private Baptist university in Jefferson City with 1,387 undergraduates, and it admits 90% of applicants. Admitted students scored 500 to 645 in Reading & Writing and 455 to 570 in Math, so the top quarter were at or above 645 and 570, with an ACT range of 19 to 25. Tuition and fees are $34,700 against a total cost of attendance of $49,024.
Freed-Hardeman University
Freed-Hardeman University is a private university in Henderson with 1,212 undergraduates and a 60% admit rate. It reports an ACT range of 19 to 26 and SAT ranges of 481 to 549 in Reading & Writing and 471 to 538 in Math.
Those SAT ranges are unusually narrow, each under 70 points wide, and they sit well below what the ACT range would predict. The section on contradictory score reporting below covers it. Freed-Hardeman charges $25,620 in tuition and fees against a total cost of attendance of $38,315.
University of Memphis
The University of Memphis is a public university with 12,701 undergraduates and a 72% admit rate. The middle half of admitted students scored 480 to 600 in Reading & Writing and 435 to 580 in Math, putting the top quarter at or above 600 and 580, against an ACT range of 18 to 24. Residents pay $10,728 in tuition and fees and non-residents $15,384, with a total cost of attendance of $25,169.
Tennessee State University
Tennessee State University is a public historically Black university in Nashville with 4,848 undergraduates, and it admits 70% of applicants. Its admitted range is 460 to 540 in Reading & Writing and 420 to 510 in Math, and the top quarter sat at or above 540 and 510, with an ACT range of 16 to 21. In-state tuition and fees are $8,616, the lowest resident figure in the state, and out-of-state tuition is $22,416. Total cost of attendance is $25,637.
Tennessee State is a partner in an accelerated medical pathway with Belmont, covered below.
Austin Peay State University
Austin Peay State University is a public university in Clarksville with 7,560 undergraduates, and it admits 96% of applicants, the highest rate on this page. It reports the lowest cost of attendance in the table at $22,233. The admitted SAT range runs 445 to 573 in Reading & Writing and 398 to 553 in Math, against an ACT range of 18 to 24, and those two sets of figures disagree in the way the section below describes. Residents pay $9,006 in tuition and fees and non-residents $14,766.
Bethel University
Bethel University is a private university in McKenzie with 1,547 undergraduates and a 60% admit rate. Admitted students scored 410 to 570 in Reading & Writing and 420 to 550 in Math, so the top quarter were at or above 570 and 550, with an ACT range of 15 to 21. Tuition and fees are $18,712, the lowest private figure in Tennessee, against a total cost of attendance of $31,203.
Cumberland University
Cumberland University is a private university in Lebanon with 2,104 undergraduates, and it reports no admitted test scores. Cumberland charges $27,840 in tuition and fees against a total cost of attendance of $43,358, and it admits 67% of applicants.
Maryville College
Maryville College is a private liberal arts college with 1,005 undergraduates, the smallest institution on this page, and it reports no admitted test scores. Tuition and fees come to $39,284, and the total cost of attendance is $54,622. Maryville admits 61% of applicants.
Tennessee Pays for Your Second ACT and Will Not Add It to Your First
Tennessee funds two ACT attempts for every public high school student and then prohibits combining the results. Both halves of that sentence are state policy, and together they decide how a Tennessee student should plan.
The Tennessee Department of Education states that public high school students can take the ACT two times for free during normal school hours. The first is the state assessment in junior year. Tennessee law at T.C.A. 49-6-6001 requires every public school student to take an approved assessment in grade 11, with the ACT and SAT designated for the purpose, and the test is required for a regular high school diploma for students enrolled as juniors.
The second is the ACT Senior Retake. It comes from the 2016 Tennessee Student Assessment Transparency Act, which lets a student who took the ACT as a junior retake it as a senior. The Department of Education covers the exam fee for the ACT without the writing section, districts administer it during the school day on set October dates, and the General Assembly has funded it in every budget since 2018. Seniors who never took the ACT may also test. Juniors and underclassmen may not. A student who needs the writing section registers for a national test date at his own cost.
Tennessee is the only state in this series that pays for a second attempt.
One detail in the program design is worth noticing. Only a student’s highest composite counts toward district accountability, so a retake cannot lower a school system’s reported results. The state removed its own downside before offering the retake.
The HOPE Scholarship did not extend the same courtesy to students.
Tennessee’s college access material states plainly that the ACT Superscore cannot be used for HOPE Scholarship eligibility, and the University of Tennessee at Chattanooga restates it in the same terms, that super scores and residual test scores are not accepted. The qualifying composite must come from a single test date. The SAT equivalent must also come from a single test date.
Put the two policies together and the mechanism is this. The state pays for a second attempt, and the second attempt has to beat the first outright on the composite. A student who gains three points in Math and loses two in English has improved in one subject, slipped in another and gained nothing at all for HOPE. The funded retake and the superscore ban pull against each other, and the student absorbs the difference.
Two states, two opposite arrangements. One state pays for the second try and will not add it to the first.
How Tennessee and South Dakota Reversed Each Other
South Dakota built the opposite system on both counts, and the contrast is the clearest illustration in this series of how much state policy varies.
South Dakota writes superscoring into its statute. Codified Law 13-55-31 requires a composite score or superscore for its Opportunity Scholarship, and the public universities use the same language in their admission standard. South Dakota does not pay for retakes, so a student who wants to improve registers and pays himself.
Tennessee pays for the retake and bans the superscore.
One state funds the attempt and refuses to combine it. The other combines freely and charges for the attempt. A student who moves between them, or who applies in both, has to change strategy completely.
The other states covered so far sit between these two poles. Oklahoma permits superscoring at the university level, and individual programs in Ohio and New York refuse it. Tennessee is now the clearest statewide prohibition this series has found.
What Does the HOPE Scholarship Actually Require?
The Tennessee HOPE Scholarship requires an ACT composite of 21, or an SAT total of 1060, or a final high school grade point average of 3.0. Any one of the three satisfies it.
That those are alternatives rather than additions is the most important thing on this page for most Tennessee students, and it deserves stating without softening. The grade point route is calculated under the State Board of Education’s Uniform Grading Policy, which adds quality points for Advanced Placement, honors and similar courses. A Tennessee student carrying a weighted 3.0 collects the HOPE Scholarship with no test score at all.
For a large share of students in this state, the test is not what unlocks HOPE.
The award is paid by semester, and the per-semester basis matters because the annual figure is double what a quick reading suggests. A full-time student receives up to $2,250 per semester as a freshman or sophomore and up to $2,850 per semester as a junior or senior at a four-year institution. That is $4,500 and then $5,700 a year, or approximately $20,400 across four years for a student who stays eligible. Part-time awards are prorated, and two-year institutions without on-campus housing pay up to $1,600 per semester.
The remaining conditions are straightforward. A student must be a Tennessee resident, graduate from an eligible Tennessee high school, and enroll at an eligible Tennessee public or private college within sixteen months of graduating, with limited exceptions for certain bordering-county high schools and for military and Defense Department families. Scores must be earned before the first day of college. Continuing eligibility needs a cumulative 2.75 at 24 and 48 attempted hours and a cumulative 3.0 at 72 hours and every 24 hours after that, with an allowance for a 2.75 to 2.99 at the later checkpoints if the semester average is at least 3.0. The FAFSA is filed annually, and a student who loses eligibility may regain it once.
South Dakota, covered immediately before this page, structured its requirements the other way. Its first route asked for the score and the grade point average and the required coursework together. Tennessee’s three routes are alternatives, and a student only needs one.
Is the SAT an Easier Route to HOPE Than the ACT?
The SAT is marginally easier, and the gap is worth knowing about if a student is close to the line.
HOPE accepts an SAT total of 1060 against an ACT composite of 21. On the official concordance published by ACT, an ACT composite of 21 corresponds to an SAT total of 1080, and an SAT of 1060 falls between an ACT of 20 and an ACT of 21. Tennessee’s SAT threshold is therefore approximately half an ACT point easier than its ACT threshold.
The same pattern appears at the higher tier. The General Assembly Merit Scholarship asks for an ACT of 29 or an SAT of 1330, and the concordance puts an ACT of 29 at 1340.
Twenty points is a small advantage and it only operates at the margin, so this is not a reason to switch tests. A student sitting near either threshold should take a full timed practice test of both and work from the results rather than from a concordance table.
South Dakota, by contrast, used the published concordance exactly at all three of its thresholds. Tennessee did not, and the difference happens to favor the SAT.
What the Score Still Decides in Tennessee
A test score still decides four things in Tennessee, even though HOPE can be reached without one.
The first is admission at the selective end of the table. Vanderbilt at 6%, Fisk at 37% and UT Knoxville at 42% are the only institutions on this page admitting fewer than half their applicants, with Rhodes at 50% immediately behind them.
The second is the General Assembly Merit Scholarship, and this one has no grade point alternative. GAMS requires a minimum 3.75 grade point average and a minimum ACT of 29 or SAT of 1330. Both, not either. It pays up to $500 per semester on top of HOPE. That comes to approximately $4,000 more across four years. At the top tier Tennessee makes the test mandatory, and the superscore ban applies here too.
The third is institutional merit aid at the private colleges, where HOPE’s $4,500 covers a small fraction of a bill that reaches $62,570 at Belmont and $89,590 at Vanderbilt. Those awards are set by each college and normally keyed to scores and grades together.
The fourth is portability. HOPE does not travel. A student who enrolls outside Tennessee forfeits approximately $20,400, and his test score is the part of his application that still means something in another state.
An ACT 28 at MTSU Buys a Conditional Seat at Meharry
Middle Tennessee State University and Meharry Medical College run a Medical School Early Acceptance Program that is decided before a student starts college. It is the only route in Tennessee that settles medical school admission from high school.
MTSU states the requirements directly. An applicant must have scored a 28 or higher on the ACT, or the SAT equivalent, and earned a 3.5 or higher in his high school course work. The program is open to incoming freshmen who are Tennessee residents and is described as exclusively for incoming freshmen. A student must be accepted to MTSU and submit the program application by 1 December.
The commitment attached to it is substantial and belongs in the same breath as the benefit. Participants commit to a three-year residency in primary care in a rural or underserved area of Tennessee, followed by a three-year post-residency commitment. That is six years of service in a defined setting, and a student who would not want that should not treat this as a shortcut.
What makes the program remarkable is where it sits. MTSU admits 69% of applicants, enrolls 16,301 undergraduates and costs $24,289 a year. Its own admitted ACT midpoint is 23. An ACT of 28 at a near-open-admission public university converts into a conditional route into medical school, and nothing else in this series pairs those two things.
One question is unresolved and a student planning around this program needs the answer before he plans. MTSU’s published page does not say whether the program accepts a superscore, or whether its 28 has to come from a single test date the way HOPE’s 21 does. Ask MTSU directly. The answer matters more in Tennessee than it would elsewhere, because the state funds exactly one retake and the student has to know whether that attempt stands alone.
Three More Tennessee Pathways, and Who They Are Actually For
Three further Tennessee pathways lead into medical school, and none of the three is open from high school. A student reading a list of four programs would reasonably assume otherwise, so the entry points matter.
The Belmont HEALs Pathway is an early assurance track for Belmont pre-health majors that offers guaranteed interviews for Belmont’s graduate and professional programs. Entry is as a Belmont undergraduate.
The Dr. Levi Watkins, Jr. Medical Accelerated Pathway is a seven-year accelerated program developed with Tennessee State University’s College of Life and Physical Sciences for students pursuing medicine. Belmont’s published page does not give its entry point or its requirements, and those details come from the Watkins Institute rather than from the medical school. A student interested in it should go there for the specifics rather than assume they match the MTSU program.
The Lipscomb Biomolecular Science Pathway is a one-year master’s program aimed at non-traditional applicants such as career changers. A student who completes it with a 3.5 grade point average and a minimum MCAT score of 505 is guaranteed an interview at Belmont’s College of Medicine.
Four colleges in the table above have a named pathway into a Tennessee medical school. MTSU, Tennessee State, Lipscomb and Belmont itself. No other state in this series has that density, and only one of the four is decided in high school.
Why Three Colleges' SAT and ACT Numbers Contradict Each Other
Three colleges on this page report SAT and ACT ranges that cannot both describe the same admitted students, and the reason this is worth a section is that the other twenty rows agree.
The arithmetic caveat comes first, because every comparison here depends on it. The table reports each SAT section separately, and adding two section percentiles produces a figure higher than a college’s real composite range, normally by approximately 20 points at each end. Every comparison below subtracts that before drawing any conclusion.
With that correction applied, twenty of the twenty-three colleges reporting both tests agree within approximately 75 points of their ACT equivalents. Tennessee’s two score columns broadly describe the same students. That is a different situation from a state where one test dominates and the minority test is taken by a small self-selected group, and it is what makes the three exceptions interesting.
Fisk University reports an ACT range of 19 to 24. On the official concordance that is an SAT of 1010 to 1180. Its reported SAT sections sum to 1140 and 1510. After the correction, the upper figure sits approximately 310 points above its ACT equivalent. That is the largest gap this series has found anywhere. Stated more plainly, a reported Math 75th percentile of 790 sits beside an ACT 75th percentile of 24. Those two numbers describe different populations.
Freed-Hardeman University runs the other way. Its ACT range of 19 to 26 is worth 1010 to 1240 on the concordance, and its SAT sections sum to 952 and 1087, so the upper figure sits approximately 173 points below its ACT equivalent. Its reported SAT ranges are also unusually compressed, 481 to 549 and 471 to 538, each spanning under 70 points where most colleges on this page span 100 or more.
Austin Peay State University reports an SAT 25th percentile sum of 843 against an ACT equivalent of 970, approximately 147 points low.
Both figures stay on this page in all three cases. Neither is reconciled, neither is quietly dropped, and a student considering Fisk, Freed-Hardeman or Austin Peay should ask that admissions office which figure describes the class he would be joining.
The gap between each college’s reported SAT range and the SAT equivalent of its ACT range. Twenty rows agree and three do not.
There is a general lesson in that pattern. When a state’s two score columns agree almost everywhere, the few rows that disagree are normally telling a student something about the reporting rather than something about the students. A single odd row in an otherwise consistent table is a reason to ask a question, not a reason to recalculate a target.
Tennessee Has Five MD Programs and Two DO Colleges
Tennessee has five MD-granting medical schools and two colleges of osteopathic medicine. That is an unusual concentration for a state of its size.
The MD programs are the Vanderbilt University School of Medicine in Nashville, Meharry Medical College School of Medicine in Nashville, the University of Tennessee Health Science Center College of Medicine in Memphis, East Tennessee State University’s James H. Quillen College of Medicine in Johnson City, and Belmont University’s Thomas F. Frist, Jr. College of Medicine in Nashville. Meharry is one of the oldest and largest historically Black academic health centers in the country and operates as a standalone institution rather than inside a larger university.
The osteopathic colleges are Lincoln Memorial University’s DeBusk College of Osteopathic Medicine in Harrogate, with an additional location in Knoxville, and Baptist Health Sciences University College of Osteopathic Medicine in Memphis. LMU-DCOM holds Accreditation with Exceptional Outcome from the Commission on Osteopathic College Accreditation, granted on 9 December 2022 with all standards and elements met, on a ten-year term. The Baptist college is newer, holds pre-accreditation status with the same body, launched in 2024 and enrolled 114 first-year students in 2025-26.
Four of the colleges in the table above have a medical school on campus. Vanderbilt, Belmont, East Tennessee State and Lincoln Memorial. Baptist Health Sciences University, named earlier as falling below the size threshold, has the seventh.
Seven medical schools across five cities. Four of the colleges in the table above have a medical school on campus.
The standard caution applies here as everywhere. Proximity helps an undergraduate find shadowing hours, research positions and people who read applications for a living. It does not improve his odds of admission, because medical school applications are national and are read against a national pool. Tennessee’s two exceptions to that are the MTSU program above and the residency rules below.
Belmont’s Medical School Is Currently on Probation
The Thomas F. Frist, Jr. College of Medicine at Belmont University is accredited and on probation as of summer 2026.
Belmont’s own accreditation page sets out the sequence. The Liaison Committee on Medical Education granted the college preliminary accreditation in October 2023. In summer 2026, following a survey visit in February 2026, the LCME extended that preliminary accreditation with a designation of probation. The LCME identified three areas, covering student resources and responsiveness, governance and institutional oversight, and academic experience and learning environment. The next site visit is scheduled for 2028, which the university describes as the earliest opportunity to remove probation.
Belmont states that the college remains accredited, and that probation does not affect students’ ability to earn their medical degrees, enter residency placement or obtain medical licensure.
This appears on a pre-med page because Belmont is in the table above, admits 95% of applicants and costs $62,570 a year, and a student weighing it partly for the medical school on campus should have the current status along with the date attached to it. That status is expected to be reviewed in 2028, so a student reading this page after that date should check it again.
Five States, Five Different Residency Rules
Tennessee is the fifth consecutive state in this series where a medical school’s treatment of an applicant depends on where he lives or studied, and Tennessee’s version is the first expressed as a number.
The University of Tennessee Health Science Center gives priority for admission to applicants from the State of Tennessee, caps out-of-state admissions at approximately 10% of each class, and states that nonresidents must possess superior qualifications to be considered. Among the out-of-state admits, children of University of Tennessee alumni receive preference. Applicants must be United States citizens or permanent residents at the time of application.
Quillen prefers applicants who permanently reside in Tennessee and also welcomes applicants from Board of Regents border counties and the contiguous Appalachian area, with preference for active-duty military personnel and honorably discharged veterans. Certain border-county applicants from North Carolina and Virginia are treated as Tennesseans for admissions and tuition purposes under stated fee-waiver conditions.
The four states before this one each drew the line differently. North Carolina’s Brody School of Medicine operates a binary gate, where an applicant is a resident or holds a UNC System degree earned within five years, and anyone who is neither may not apply at all. Oregon’s OHSU writes four criteria into a numbered policy, any one of which qualifies, producing preference rather than eligibility. South Dakota’s Sanford School of Medicine grants residents an interview and reviews tied non-residents for possible invitation, with its undergraduate threshold set at 90 credits. North Dakota’s UND treats a state degree as one tie among several inside a preference order.
Tennessee’s is the one a student can calculate against, because approximately 10% of a class is a number rather than an inference. The instruction is the same in every state. Read the admissions page of the school in question, because five neighboring states wrote five different rules and the one learned last does not travel.
What If Your Scores Are Below the Range You Want?
A Tennessee student whose score sits below the range he wants should start by checking whether the score is what stands in his way, because in this state it frequently is not.
For HOPE specifically, a weighted 3.0 grade point average qualifies on its own. A student who already has that has the scholarship regardless of what he scores, and hours spent on test preparation will buy him something other than HOPE.
Three things in Tennessee do turn on the score, and the distances are worth working out against the table.
Admission at the selective end is the first. Only three institutions on this page admit fewer than half their applicants, and Rhodes at 50% sits just the other side of that line. A student targeting Vanderbilt, Fisk, UT Knoxville or Rhodes is in a different position from a student targeting the rest.
The MTSU early acceptance threshold is the second and the largest. The program asks for a 28, and MTSU’s own admitted ACT midpoint is 23. That is a five-point gap, and it is the biggest single thing a Tennessee test score can buy.
The General Assembly Merit Scholarship is the third, at an ACT of 29 or an SAT of 1330 alongside a 3.75 grade point average. There is no grade-only route to this one.
HOPE’s own threshold of 21 is within reach at most of the table. The admitted ACT midpoint is 21 at Memphis and Austin Peay, 22 at UT Martin, and 23 at MTSU and UT Chattanooga. At Tennessee State the midpoint is 18.5, so a typical admitted student there is approximately two and a half points short.
Our students since 2008 have normally needed approximately 40 hours of focused work to move a score meaningfully and approximately 80 hours for a larger jump. An ACT point is worth approximately 25 to 30 SAT points, so those hours convert between the tests.
Tennessee’s own rules change how that work should be organized, and this is the practical conclusion of everything above. Because the state funds one retake and HOPE will not superscore, that attempt has to carry the whole composite at once. A student cannot bank a strong Math score from one sitting and a strong English score from another. A student in South Dakota can do exactly that. Preparation across all four sections matters more here than in a state where sections combine, and that follows from how Tennessee wrote its rules rather than from anything a tutor would like to be true.
A student who wants to know where he stands before committing those hours should sit a full timed test first. Take a free diagnostic and work from a real score rather than an impression of one. Our guide on how to improve your SAT score sets out the method, and the ACT conversion above makes it apply either way.
Should a Tennessee Student Take the SAT or the ACT?
A Tennessee public school student should normally plan around the ACT, for one reason that outweighs the others.
The state pays for two ACT attempts and no SAT attempts. A junior receives the ACT as the state assessment, and a senior receives a funded retake. The SAT comes at the student’s own cost, on his own weekend, with his own registration.
The reporting on this page does not settle the question either way. The same twenty-three colleges report both tests, so neither dominates in Tennessee the way the ACT dominates in a state like South Dakota. The ACT column appears on this page because the state’s thresholds are written in ACT points, not because more colleges report it.
There are reasons to add the SAT anyway. HOPE’s 1060 is marginally easier than its ACT 21, as the concordance section showed. A student applying out of state may find institutions that prefer it. And some students genuinely perform differently on the two formats, because the SAT’s adaptive sections and the ACT’s tighter timing reward different habits, which a pair of timed practice tests will reveal faster than any amount of speculation.
Outside those cases, the free test the state administers twice is the sensible default.
How to Read These Score Ranges
Every range on this page covers the middle 50% of admitted students who submitted that score. A quarter of admitted students scored below the lower figure, and the top quarter scored at or above the upper one.
Two things follow that students regularly get wrong. A score below the lower number does not rule a student out, because a quarter of the admitted class was there. And a score just above the lower number is weaker than it looks, because it sits at the bottom of the middle half rather than in the middle of it.
Three cautions apply to this page in particular.
Cumberland University and Maryville College report no test data at all, so for those two there is no published figure of any kind to compare against.
At Fisk, Freed-Hardeman and Austin Peay the two score columns disagree by more than the summing effect explains, and the section above works through each case.
And every range here describes students who chose to submit a score. Where a college is test-optional, students with stronger scores tend to submit them and students with weaker ones often do not, so a published range describes the submitters rather than a standard the college applied to everyone. Our guides on what SAT score you need for college and test-optional colleges cover what that means for a particular application.
Pre-Med Programs in Nearby States
Tennessee borders eight states. No state covered in this series borders more. Kentucky, Virginia, North Carolina, Georgia, Alabama, Mississippi, Arkansas and Missouri all touch it, and a student in Memphis, Chattanooga or the Tri-Cities may live closer to an out-of-state campus than to most Tennessee ones.
Leaving carries a specific cost here. HOPE requires enrollment at an eligible Tennessee institution, so a student who enrolls elsewhere forfeits approximately $20,400 across four years. The scholarship does make limited exceptions for students from certain bordering-county high schools, and that is worth checking rather than assuming.
The border runs in the other direction too. Quillen treats specific border-county applicants from North Carolina and Virginia as Tennesseans for admissions and tuition under stated conditions, so for a student in those counties a Tennessee medical school may be closer in practice than its address suggests.
Our page for North Carolina covers the colleges, costs and medical school rules there.
Pre-Med Colleges in Other States
Every state page in this series follows the same format, with admitted score ranges, costs, admit rates and the state’s own medical school and scholarship rules. Our pre-med colleges by state index lists all of them.
Glyn Caddell
Glyn Caddell holds a BS in Mechanical Engineering from NJIT and has been tutoring New York City students since 2008. He founded Caddell Prep in 2012 and is the author of Digital SAT Math Secrets: Lessons & Tricks to Quickly Improve to a Perfect 800 on the Math Test, which contains over 900 practice problems and is used in Caddell Prep’s SAT math classes. He is founding president of the Staten Island Technical High School alumni association and teaches every lesson on this site personally.
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