State-By-State Medical Record Copying Fees

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)

Frequently Asked Questions