CRCST exam guide (sterile processing)

The HSPA CRCST exam is 150 multiple-choice questions in 3 hours and costs $140; you need 400 hours of hands-on sterile processing experience, either before testing or within 6 months after passing (provisional certification).

Updated 2026-09-23 · 4 sources · By the HealthCert Prep team

CRCST at a glance

Questions
150
Time
3 hr
Fee
$140
Hands-on hours
400

Content outline (2023 job analysis)

SectionWeight
Departmental Considerations15%
Cleaning, Decontamination and Disinfection21%
Preparation and Packaging21%
Sterilization Process21%
Sterile Storage, Transport and Inventory Management9%
Patient Care Equipment and Distribution5%
Professional Development and Human Relation Skills8%

Rules

ItemDetail
Full certification400 hours of hands-on CS/SPD experience documented before testing
Provisional certificationPass first, then complete and submit 400 hours within 6 months or the certification is revoked
Fee$140, of which $25 is a non-refundable submission fee; retests cost extra
ResultsPass/fail shown on screen at the test center
RenewalAnnually: 12 technical CE credits and a $50 fee

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HealthCert Prep is not affiliated with or endorsed by the Healthcare Sterile Processing Association (HSPA). CRCST is a trademark of its owner. All practice questions on this site are original.

Frequently asked questions

How many questions are on the CRCST exam?

150 multiple-choice questions in 3 hours.

How much does the CRCST cost?

$140, including a $25 non-refundable submission fee.

Can I take the CRCST without 400 hours?

Yes - as a provisional candidate, but you must complete and document the 400 hours within 6 months of passing.

How do I renew my CRCST?

Every year with 12 technical CE credits and a $50 renewal fee.

Sources

  1. HSPA - CRCST Exam Application (revised January 2026) (accessed 2026-09-23)
  2. HSPA - CRCST Exam Content Outline (revised November 2023) (accessed 2026-09-23)
  3. HSPA - CRCST Renewal (accessed 2026-09-23)
  4. HSPA - CRCST certification overview (accessed 2026-09-23)