The calculated distance (air line) between Medzilaborce and Považská Bystrica is approximately 157 miles respectively 253 kilometers.
By car or train, the actual journey to Považská Bystrica is certainly longer, as only the direct route (as the crow flies) between Medzilaborce and Považská Bystrica has been calculated here.
Air line (approximately)
253 kilometers
137 nautical miles