No one REALLY knows the true correlation between the 3 digit score and the number of questions you get correct because the NBME just refuses to release this information. There is, however, a lot of speculation out there. I guess I'll add my bit.
Everyone knows that there are 350 total questions. This is simply a fact. It is also a fact, or at least most of the prep companies believe, that some questions are not counted (either because they are poorly written or "experimental," in the sense that they are used for calibration for future test takers.) Kaplan estimates that this pool of questions may be around 50 questions per exam, although this is probably just a rough guess.
So, that leaves 300 questions. It is possible that the relation between the 3 digit score and the number of questions is 1 to 1. The highest step 1 score I have ever heard reported, by the way, was 288, which seems to support this conjecture. If this is the case, then the difference between 240 and 250 would be 10 questions out of 300, or 3.33%.