The APMP/TCRI Dosimetry Working Group performed the APMP.RI(I)-K3 key comparison of measurement of air kerma for medium-energy x-rays (100 kV to 250 kV) between 2000 and 2003. In total, 11 institutes took part in the comparison, among which 8 were APMP member laboratories. Two commercial cavity ionization chambers were used as transfer instruments and circulated among the participants. All the participants established the 100 kV, 135 kV, 180 kV and 250 kV x-ray beam qualities equivalent to those of the BIPM. The results showed that the maximum difference between the participants and the BIPM in the medium-energy x-ray range, evaluated using the comparison data of the linking laboratories ARP ANSA and PTB, is less than 1.4 %. The degrees of equivalence between the participants are presented and this comparison confirms the calibration capabilities of the participating laboratories.