If you’ve ever tried charging for medical records, you understand just how complicated the calculations can be. Figuring out the best compliant price requires a firm understanding of HIPAA regulations and state limitations on copying fees.
In this article, we’ll go state-by-state to provide the current copying fees to help you estimate request costs. Remember, even if a state does not have specific pricing statutes, all patients are covered by the HIPAA baseline.
Please be aware that these pricing statutes for record release may change with future legislation, and specific cases may have different copying fees.
This article is not legal advice, and all information provided should be independently confirmed before use.
Alabama
Search Fee: $5.00
Pages 1-25: $1.00 per page
Pages 26+: $0.50 per page
Mailing / X-rays / Other Special Media:
Actual cost of reproduction
Ala. Code § 12-21-6.1
Alaska
Alaska does not have specific medical record copying fees to set pricing limitations.
Alaska Stat. § 18.23.005
Arizona
Mailing: Actual Cost of Mailing
Worker’s Comp:
Pages 1+: $0.25 per page
Labor: $10.00 per hour
Arizona does not have specific medical record copying fees to set pricing limitations.
Ariz. Rev. Stat. § 12-2295
Arkansas
Search Fee: $25.00
Pages 1-10: $0.50 per page
Pages 11+: $0.25 per page
Mailing: Actual Cost of Mailing
Certification Fee: $2.00
X-rays / Other Media: Actual Cost of Reproduction
Storage Fee: A reasonable fee may be charged if records are stored off-site
Act 765 of 2023 (Ark. Code § 16-46-106)
California
Pages 1+: $0.25 per page
Labor: Actual cost of labor
Mailing: Actual Cost of Mailing
X-rays: Actual cost of reproduction
Microfilm: $0.50 per page
Worker’s Comp:
Search Fee: $35.00 flat rate; CNR flat rate of $15.00
Evidence Code Requests:
Pages 1+: $0.10 per page
Labor: reasonable clerical costs incurred in locating and making the records available to be billed at the maximum rate of sixteen dollars ($16) per hour per person, computed on the basis of four dollars ($4) per quarter hour or fraction thereof
Mailing: Actual Cost of Mailing
Microfilm: $0.20 per page
Cal. Health & Safety Code § 123110(b)
Colorado
Search Fee: $18.53 flat fee up to 10 pages
Pages 1-10: $18.53 flat fee
Pages 11-30: $0.85 per page
Pages 31+: $0.57 per page
Mailing: Actual Cost of Mailing
Certification Fee: $10.00
X-rays / Other Media: Actual Cost of Reproduction
Microfilm: $1.50 per page
Worker’s Comp:
Search Fee: $18.53 flat fee up to 10 pages
Pages 1-10: $18.53 flat fee
Pages 11-30: $0.85 per page
Pages 31+: $0.57 per page
Mailing: Actual Cost of Mailing
Certification Fee: $10.00
X-rays / Other Media: Actual Cost of Reproduction
Microfilm: $1.50 per page
Colorado Workers’ Compensation Rule 18
Connecticut
Pages 1-10: $2.00 per page
Pages 11-20: $1.00 per page
Pages 21-60: $0.90 per page
Pages 61+: $0.50 per page
Mailing: Actual Cost of Mailing
X-rays / Other Media: Actual Cost of Reproduction
Conn. Gen. Stat. § 19a-490b
Delaware
Pages 1-10: $2.00 per page
Pages 11-20: $1.00 per page
Pages 21-30: $0.90 per page
Pages 31-60: $0.90 per page
Pages 61+: $0.50 per page
Mailing: Actual Cost of Mailing
Microfilm / Other Media: Actual cost of reproduction
Worker’s Comp:
Search Fee: $25.00
Pages 1-20: $1.25 per page
Pages 21-60: $0.90 per page
Pages 61+: $0.30 per page
24 Del. Admin. Code § 1700-16
District of Columbia
Search / Handling Fee: $25.00
Electronic Records: $0.72 per page
Electronic Records Max Fee: $94.57
Non-electronic Records: $0.96 per page
D.C. Official Code § 3-1210.12
Florida
Search Fee: $1.00 per year, per request
Pages 1+: $1.00 per page
Mailing: Actual Cost of Mailing
X-rays / Other Media: Actual Cost of Reproduction
Microfilm: $2.00 per page
Worker’s Comp:
Pages 1+: $0.50 per page
Microfilm / Other Media: $0.50 per page or cost of reproduction
Fla. Stat. § 395.3025(1)
Georgia
Search Fee: $25.88
Pages 1-20: $0.97 per page
Pages 21-100: $0.83 per page
Pages 101+: $0.66 per page
Certification Fee: $9.70
Worker’s Comp:
Search Fee: Maximum allowable fee of $4.00 if a search results in no records
Pages 1-150: $30.00 flat rate
Pages 151+: $0.20 per page
Mailing: Actual Cost of Mailing
Admin Fee: $30.00 flat rate up to 150 pages
X-rays: $9.50 per copy
O.C.G.A. § 31-33-3
Hawaii
Search Fee: $28.44
Pages 1-25: $1.07 per page
Pages 26-50: $0.71 per page
Pages 51+: $0.36 per page
Microfilm / Other Media: $1.78 per page
Haw. Rev. Stat. § 622-57(g)
Idaho
Search Fee: $30.00
Pages 1-50: $0.60 per page
Pages 51+: $0.36 per page
Mailing: Actual Cost of Mailing
X-rays / Other Media: Actual Cost of Reproduction
Idaho S.B. 1395 (2024)
Illinois
Search Fee: $35.73
Pages 1-25: $1.34 per page
Pages 26-50: $0.89 per page
Pages 51+: $0.45 per page
Mailing: Actual Cost of Mailing
X-rays / Other Media: Actual Cost of Reproduction
Microfilm: $2.23 per page
Electronic Pages 1-5: $0.67 per page
Electronic Pages 6-50: $0.45 per page
Electronic Pages 51+: $0.23 per page
Worker’s Comp:
Search Fee: $20.00
Pages 1-50: $0.37 per page
Pages 51+: $0.12 per page
Microfilm: $1.25 per page
735 ILCS 5/8-2001(d), (h)
Indiana
Search Fee: $20.00
Pages 1-10: $1.00 per page
Pages 11-50: $0.50 per page
Pages 51+: $0.25 per page
Mailing: Actual Cost of Mailing
Certification Fee: $20.00
Rush Fee: $10.00
Worker’s Comp:
Search Fee: $25.00
Pages 1-10: $24.00 flat fee
Pages 11-40: $0.50 per page
Pages 41+: $0.25 per page
Microfilm: $1.25 per page
Rush Fee: $10.00
760 IAC 1-71 (readopted 2023)
Iowa
Iowa does not have specific medical record copying fees to set pricing limitations but does require fees to be cost-based.
Worker’s Comp: $20.00 for 1-20 pages
Pages 21-30: $1.00 per page
Pages 31-100: $0.50 per page Pages 101-200: $0.25 per page
Pages 201+: $0.10 per page
641 Iowa Admin. Code 13.32(5)
Kansas
Kansas does not have specific medical record copying fees to set pricing limitations but does require fees to be cost-based.
Worker’s Comp:
Pages 1-10: $16.00 flat fee
Pages 11-50: $12.00 flat fee (+ $16.00 = $28.00 total)
Pages 51+: $0.35 per page
X-rays: $5.00 per image
Kansas Division of Worker’s Compensation fee schedule
K.S.A. § 65-6836
Kentucky
Pages 1+ (first copy): Free
Pages 1+ (second copy): $1.00 per page
Worker’s Comp:
Pages 1+: $0.50 per page
Mailing: Actual Cost of Mailing
Certification Fee: $10.00
KRS § 422.317
Louisiana
Search Fee: $25.00
Pages 1-25: $1.00 per page
Pages 26-350: $0.50 per page
Pages 351+: $0.25 per page
Worker’s Comp:
Pages 1-25: $1.00 per page
Pages 26-350: $0.50 per page
Pages 351+: $0.25 per page
Additional Information:
$100 max for electronic records; $200 max for digital imaging
La. R.S. 40:1165.1
Maine
Paper Records
Page 1: $5.00
Pages 2+: $0.45 per page
Max Fee: $250.00 per request
Electronic Records
A reasonable fee may be charged.
Max Fee: $150.00 per request
22 M.R.S. § 1711-A
Maryland
Search Fee: $22.88
Pages 1+: $0.76 per page
Electronic Records: $0.57 per page
Electronic Records Max Fee: $80.00
Md. Code, Health-General § 4-304
Massachusetts
Search Fee: $28.69
Pages 1-100: $0.96 per page
Pages 101+: $0.49 per page
Mailing: Actual Cost of Mailing
Electronic Flat Fee: $6.50 (option)
Mass. Rehabilitation Commission:
Search Fee: $5.00 flat rate; no additional fees
Dept. of Developmental Services:
Search Fee: $15.00 flat rate; no additional fees
Social Security Administration:
Search Fee: Free; no additional fees
243 CMR 2.07(13)
Michigan
Search Fee: $31.54
Pages 1-20: $1.58 per page
Pages 21-60: $0.79 per page
Pages 61+: $0.32 per page
Worker’s Comp:
Pages 1+: $0.45 per page
Labor: $10.00 per hour
Mailing: Actual Cost of Mailing
X-rays: $15.00 per copy
MCL 333.26269
Minnesota
Search Fee: $10.00
Pages 1-5: $1.20 per page
Pages 6-30: $1.20 per page
Pages 31-100: $0.26 per page
Pages 101+: $0.20 per page
X-rays: $30.00 for retrieving and reproducing x-rays
Worker’s Comp:
Search Fee: $10.00
Pages 1+: $0.75 per page
Mailing: Actual Cost of Mailing
Minn. Stat. § 144.292
Mississippi
Pages 1-20: $20.00 flat fee
Pages 21-100: $1.00 per page
Pages 101+: $0.50 per page
Certification Fee: $25.00
X-rays / Other Media: Actual cost of reproduction
Retrieval Fee Offsite: $15.00
Worker’s Comp:
Pages 1-5: $15.00 per admission
Pages 6+: $0.50 per page
Max Fee: $50.00 per admission (excluding postage/handling and retrieval charges)
Miss. Code § 11-1-52
Missouri
Search Fee: $28.57
Pages 1+: $0.66 per page
Storage Fee: $26.75 (only charged if records are retrieved from an off-site location)
Mo. Rev. Stat. § 191.227
Montana
Search Fee: $15.00
Pages 1+: $0.50 per page
Mont. Code Ann. § 50-16-540
Nebraska
Search Fee: $20.00
Pages 1+: $0.50 per page
X-rays and other media:
Actual cost of reproduction
Neb. Rev. Stat. § 71-8404
Nevada
Pages 1+: $0.60 per page
X-rays and other media: Reasonable fees may be charged
NRS § 629.061
New Hampshire
First 30 pages: $15 flat fee or $0.50 per page, whichever is greater
X-rays / Other Media: Reasonable fees may be charged
N.H. Rev. Stat. § 332-I:1-a
New Jersey
Hospitals Pages 1-100: $1.00 per page
Hospitals Pages 101+: $0.25 per page
Clinics Pages (all pages): $1.00 per page
N.J.S.A. 26:2H-5n
New Mexico
Pages 1-15: $30.00 flat fee
Pages 16+: $0.25 per page
X-rays and other media: Actual cost of reproduction
Worker’s Comp:
Pages 1-10: $1.00 per page
Pages 11+: $0.20 per page
16.10.17.8 NMAC
New York
Pages 1+: $0.75 per page
X-rays and other media:
Actual cost of reproduction
N.Y. Pub. Health Law § 17
North Carolina
Pages 1-25: $0.75 per page
Pages 26-100: $0.50 per page
Pages 101+: $0.25 per page
Minimum charge: $10.00
N.C. Gen. Stat. § 90-411
North Dakota
Paper Records:
Pages 1-25: $20.00 Flat Fee
Pages 26+: $0.75 per page
Electronic Records:
Pages 1-25: $30.00 Flat Fee
Pages 26+: $0.25 per page
N.D. Cent. Code § 23-12-14
Ohio
Search Fee: $22.33
Pages 1-10: $1.47 per page
Pages 11-50: $0.76 per page
Pages 51+: $0.30 per page
Ohio Revised Code § 3701.741
Oklahoma
Paper Records
Pages 1+: $0.50 per page
Electronic Records
Pages 1+: $0.30 per page
Search/Retrieval Fee: $20.00
Maximum Fee: $200.00
76 O.S. § 19
Oregon
Pages 1-10: $30.00 Flat Fee
Pages 11-50: $0.50 per page
Pages 51+: $0.25 per page
X-rays and other media:
Actual cost of reproduction
Postage: Actual cost of mailing
ORS § 192.563
Pennsylvania
Pages 1-20: $2.00 per page
Pages 21-60: $1.48 per page
Pages 61+: $0.52 per page
Microfilm copies: $2.95 per page
Search/Retrieval Fee: $30.12 (Cannot be charged if the requestor is requesting their own records)
District Attorney Requests: $30.12 Flat Fee
Social Security / Federal or State needs-based program requests: $37.52 Flat Fee
42 Pa.C.S. §§ 6152
Rhode Island
Pages 1-10: $2.50 per page
Pages 11-50: $0.75 per page
Pages 51+: $0.50 per page
216-RICR-40-10-11.2
South Carolina
Clerical Fee: $33.73
Pages 1-30: $0.87 per page
Pages 31+: $0.66 per page
Electronic Records Max Fee: $202.47 per request
Paper Records Max Fee: $269.95
S.C. Code § 44-115-80
South Dakota
Paper Records: $10.00 flat fee (Pages 1-10)
Pages 11+: $0.33 per page
Electronic Records: $0.25 per page
X-rays and other media: $10.00
Imaging CDs: $15.00
Search/Retrieval Fee: $18.00
Certification Fee: $10.00
Postage: Actual cost of mailing
S.D. Codified Laws §§ 36-2-16.1–16.4
Tennessee
Postage: Actual cost of mailing
Clinic Records Pages 1-5: $20.00 flat fee
Clinic Records Pages 6+: $0.50 per page
Hospital Records Pages 1-5: $18.00 flat fee
Hospital Records Pages 6-50: $0.85 per page
Hospital Records Pages 51-250: $0.60 per page
Hospital Records Pages 251+: $0.35 per page
Tenn. Code Ann. § 63-2-102
Texas
Notarized Records: $7.00
Hospitals Pages 1-10: $52.12 flat fee
Hospitals Pages 11-60: $1.76 per page
Hospitals Pages 61-400: $0.86 per page
Hospitals Pages 401+: $0.47 per page
Clinics Search (includes pages 1-500): $25.00
Clinics Pages 500+: $25.00 flat fee
Electronic Records Search/Retrieval: $52.12
Electronic Records Pages 1-24: $1.76 per page
Electronic Records Pages 25+: Non-billable
Tex. Health & Safety Code § 241.154
Utah
Search Fee: $30.00
Pages 1-40: $0.53 per page
Pages 41+: $0.32 per page
Max Fee: $150.00
Electronic Records Pages 1-40: $0.27 per page
Electronic Records Pages 41+: $0.16 per page
Utah Code § 78B-5-618
Vermont
A flat fee of $5 or no more than $0.50 per page, whichever is greater.
18 V.S.A. § 9419
Virginia
Search Fee: $20.00
Max Fee: $160.00
Electronic Records Pages 1-50: $0.37 per page
Electronic Records Pages 51+: $0.18 per page
Va. Code § 8.01-413
Washington
Search Fee: $28.00
Pages 1-30: $1.24 per page
Pages 31+: $0.94 per page
WAC 246-08-400
West Virginia
Search Fee: $20.00
Paper Records Pages 1+: $0.40 per page
Electronic Records Pages 1+: $0.20 per page
Electronic Records Max Fee: $150
W. Va. Code § 16-29-2
Wisconsin
Pages 1-25: $1.35 per page
Pages 26-50: $1.01 per page
Pages 51-100: $0.66 per page
Pages 101+: $0.39 per page
X-ray Images: $13.33 per image
Microfilm: $1.98 per page
Shipping: Actual shipping costs
Retrieval Fee: $26.72
Worker’s Comp:
Electronic Records Flat Fee: $26.00
Paper Records Pages 1-16: $7.50 search fee (includes pages 1-16)
Paper Records Pages 17+: $0.45 per page
Wis. Stat. § 146.83(3f)(c)2
Wyoming
Wyoming does not have specific medical record copying fees to set pricing limitations but does require fees to be cost-based.
052-3 Wyo. Code R. §§ 3-4.60 per page
Hospital Records Pages 251+: $0.35 per page
Tenn. Code Ann. § 63-2-102
Texas
Notarized Records: $7.00
Hospitals Pages 1-10: $52.12 flat fee
Hospitals Pages 11-60: $1.76 per page
Hospitals Pages 61-400: $0.86 per page
Hospitals Pages 401+: $0.47 per page
Clinics Search (includes pages 1-500): $25.00
Clinics Pages 500+: $25.00 flat fee
Electronic Records Search/Retrieval: $52.12
Electronic Records Pages 1-24: $1.76 per page
Electronic Records Pages 25+: Non-billable
Tex. Health & Safety Code § 241.154
Utah
Search Fee: $30.00
Pages 1-40: $0.53 per page
Pages 41+: $0.32 per page
Max Fee: $150.00
Electronic Records Pages 1-40: $0.27 per page
Electronic Records Pages 41+: $0.16 per page
Utah Code § 78B-5-618
Vermont
A flat fee of $5 or no more than $0.50 per page, whichever is greater.
18 V.S.A. § 9419
Virginia
Search Fee: $20.00
Max Fee: $160.00
Electronic Records Pages 1-50: $0.37 per page
Electronic Records Pages 51+: $0.18 per page
Va. Code § 8.01-413
Washington
Search Fee: $28.00
Pages 1-30: $1.24 per page
Pages 31+: $0.94 per page
WAC 246-08-400
West Virginia
Search Fee: $20.00
Paper Records Pages 1+: $0.40 per page
Electronic Records Pages 1+: $0.20 per page
Electronic Records Max Fee: $150
W. Va. Code § 16-29-2
Wisconsin
Pages 1-25: $1.35 per page
Pages 26-50: $1.01 per page
Pages 51-100: $0.66 per page
Pages 101+: $0.39 per page
X-ray Images: $13.33 per image
Microfilm: $1.98 per page
Shipping: Actual shipping costs
Retrieval Fee: $26.72
Worker’s Comp:
Electronic Records Flat Fee: $26.00
Paper Records Pages 1-16: $7.50 search fee (includes pages 1-16)
Paper Records Pages 17+: $0.45 per page
Wis. Stat. § 146.83(3f)(c)2
Wyoming
Wyoming does not have specific medical record copying fees to set pricing limitations but does require fees to be cost-based.
Wyo. Stat. § 35-2-611(b)
