CBSPD vs CRCST
Compare the two major sterile processing certifications and determine which is right for your career path.
The Two Major Certifications
In the United States, there are two primary nationally recognized certifications for sterile processing technicians:
CRCST
Certified Registered Central Service Technician
Administered by HSPA (Healthcare Sterile Processing Association)
CBSPD
Certified Biological Sterile Processing Technician
Administered by CBSPD (Certification Board for Sterile Processing & Distribution)
Detailed Comparison
| Criterion | CRCST (HSPA) | CBSPD Certification |
|---|---|---|
| Experience Required | 400 hours minimum | 400–800 hours (varies by credential level) |
| Exam Format | Computer-based; 180 questions; 2.5 hours | Computer-based; 160–200 questions; 2 hours |
| Exam Fee | $135 (HSPA member) / $175 (non-member) | $120–$150 (varies by renewal status) |
| Study Materials Cost | $150–$250 | $100–$200 |
| Renewal Period | 5 years | 5 years |
| CEU Requirements | 12 CE credits per 5-year cycle | 36 CE credits per 5-year cycle |
| Employer Preference | Widely preferred nationally | Regional presence, growing adoption |
| Recognition | National standard; all 50 states | National standard; less common than CRCST |
Study Materials & Resources
•CRCST Study Materials
- HSPA Study Manual ($150–$250)
- Online practice exams available
- Abundant third-party resources and courses
- Review webinars and prep classes widely available
•CBSPD Study Materials
- CBSPD Study Guides and resources
- Fewer third-party prep materials
- Some program-specific training available
- Less widely available in online format
Employer Preference & Regional Mandates
Which certification is preferred nationally?
CRCST is more widely preferred by hospitals and healthcare facilities across the United States. Most major healthcare systems, large surgery centers, and national standards favor CRCST as the primary credential.
Regional Considerations
While both certifications are nationally recognized, preferences vary by region:
- CRCST: Dominant in most states; required or preferred in nearly all major healthcare markets.
- CBSPD: More common in certain regions; growing but less universal acceptance than CRCST.
Total Cost Comparison
CRCST Total Investment
- HSPA Membership (1st year)$100
- Study Manual$200
- Exam Fee (member)$135
- Total (First Year)$435
Renewal cost every 5 years: ~$200–$250 (membership + renewal fee + CEU costs)
CBSPD Total Investment
- Certification Application$0–$50
- Study Materials$150
- Exam Fee$140
- Total (Initial)$290–$340
Higher CEU requirements (36 credits) may increase renewal costs compared to CRCST.
Which Certification Should You Get?
Choose CRCST If:
- ✓You want the most widely recognized and accepted credential nationally
- ✓You plan to work in hospitals or large healthcare systems
- ✓You want maximum job flexibility and portability across states
- ✓You need abundant third-party study resources and prep courses
- ✓You're in most major U.S. markets
Choose CBSPD If:
- →Your local healthcare facilities specifically prefer or require CBSPD
- →You're in a region where CBSPD is the primary certification
- →You want slightly lower initial certification costs
- →Your employer offers CBSPD-specific training programs
Expert Recommendation
For most sterile processing technicians pursuing a national career or uncertain about local preferences, CRCST is the safer choice. It's more widely recognized, offers superior job portability, and has more abundant study resources. Your initial investment is similar, but CRCST credential will serve you better across different employers and states.
However, if your current employer or target facilities specifically require or prefer CBSPD, pursue that credential instead.
Learn More About CRCST
Ready to Get Certified?
Test your knowledge with CRCST practice exams to ensure you pass on the first try.
Take Practice Test